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Total Hip Replacement surgical procedures
Nursing (01)
Kerala University of Health Sciences
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Total Hip Replacement ( THR)
A THR use two- device consisting of an acetabular cup that is inserted into the acetabulum and a femoral component that is inserted into the femur to replace the femoral head and neck.
Pre operative care
❖ Explain procedure to the patient. ❖ Assess the neurovascular starus(circulation,sensation,mobility) ❖ A surgeon frequently order a prophylactic antibiotic preoperatively to minimize the chance of an infection. ❖ The patient donates blood before surgery per guidelines. ❖ Some hospitals have joint camp programs where group of patient undergoing joint replacement are admitted on same day. Post operative care. ❖ Provide general post operative care ❖ Prevent complications.
Complications of THR
❖ Hip dislocation ❖ Skin breakdown ❖ Infection ❖ Bleeding ❖ Pain ❖ Thromboembolic complication(DVT,PE,TE)
Nursing intervention
- Ensure hip that the hip is not allowed to become adducted. Use triangular pillow or pillows
- Turning patient requires abductor pillow to remain in place. Turn patient as a whole. Not allowing hip or leg to fall forward or backward. Use pillows to support raised limb.
- Monitor for skin integrity of opposite heel
- Ensure limb remain in abduction when moving patient out of bed.
- Prevent postoperative pneumonia by encouraging deep breathing and coughing and use of incentive spirometer.
- Pain control is of the utmost importance. Provide regularly scheduled analgesics and ensure break through analgesia is provided prn. Decrease pain allows for earlier mobilization and less complications of immobility.
- Monitor level of consciousness and orientation. Many older patients have alternation in their mental status after surgery due to anaesthetics, analgesics, blood loss, and environmental changes
Total Hip Replacement surgical procedures
Course: Nursing (01)
University: Kerala University of Health Sciences
