Hip fracture refers to a breakage in the hip bone which is very common in the elderly people caused by falls. For instance, Mr. Smith tripped and fel on the pavement outside his home meaning that his cause of the fracture was falling…
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For instance, Mr. Smith tripped and fel on the pavement outside his home meaning that his cause of the fracture was falling. In young individuals who still have stronger bones; things like car accidents (Handoll and Parker 81) mainly cause hip fractures. The ORIF, on the other hand is the surgery done by a surgeon to put up the fractured parts of femur bone back together using particular metal hardware. It also encompasses putting the hip back together. Hip fracture is mostly detected through the nervous system. For example, Mr. Smith grumbled of agonizing pain in his right leg and hip. He employed IV infusion where Patient Controlled Analgesia (PCA) for pain management using Morphine 1mg bolus dose with a 5-minute lockout. Therefore, he had to undergo postoperative care following an open reduction and internal fixation (ORIF) with compression plate and bone screws of the right femur. This means that as a caregiver, it is important to understand him and take his condition seriously. This is because, in elderly people like him who are above 80 years, complications can turn out to be life threatening (Handoll, Cameron, Mak and Finnegan 42). This means that there is the need to ensure hospitalization and intensive post surgery care in order for him to recover well and to be able to walk again. However, before that, it is important to understand his medication history and his response to treatment. After assessing him well, I noticed that his vital signs were stable, BSL was within normal restrains, IVTD/saline was running 8 hourly and had been ordered to use low molecular weight heparin. I also learned that he was on supplement oxygen to maintain his oxygen saturations above 95 percent, he had a Bellovac drain in situ that was to be removed in 24 hours time as well as TED stockings in situ on both legs (Chi-Chuan et al. 340). I also learned that Mr. Smith had a history of type 2 diabetes and has a 60 pack-year smoking history. This means he used one full packet of cigarettes every day for 60 years. With this information, it is easy to take good care of him since as a nurse, have sufficient information concerning hip fractures and with the addition information concerning his health history, it is now easy to take care of him. What I need to ensure is that he takes all his medications well and in time in order to recover quickly (Keene, Parker and Pryor 307). QUESTION 2 Discuss the immediate prioritized post operative care for Mr. Smith using current evidence and literature to support/justify your reasoning: A. Identify Nursing Problem/Diagnosis - Priority 1 The problematic nature of curing hip fracture sterns in part since fracture is anatomically different from other proximal femoral peritrochanteric breakages as well as tricky characteristics of femoral shaft breakages (Doherty and Lyden 141). This means that it must be cured with particularly modeled implants that can endure massive muscular forces for lengthened periods of curative. It is not strange to note that this breakage has considerably higher rates of malunion and nonunion than other femoral fractures. Successful outcomes can be attained incase there is an advanced comprehension of the breakage and the precise treatment alternatives. o Identify four (4) key pieces of assessment data to support this problem The process of nursing assessment is very critical in nursing process to both the patient and the nurse because it helps the nurse know and understand the patient well and helps the patient to feel free and share important information with the nurse (World Health Organization pp19). Therefore, the four key pieces of assessments in nursing diagnosis include assessing the history of
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