Discharge Plan for Patient Who Underwent Total Hip Replacement
Discharge Plan for Patient who underwent Total Hip Replacement (THR)
05/05/2012
GNT1 Task2
Abstract
This paper focuses on the discharge plan for patient who underwent the Total Hip Replacement (THR). The nurse, as a case manager, works with the multidisciplinary team to determine the appropriate discharge plan for the patient. The roles and responsibilities of each member are elaborated. The healthcare issues, the safety assessment are discussed. In this case study the patient lives alone during the recovery from the surgery, so the effects of social isolation and psychological factors on the recovery process are also explained.
Assessment of the Situation: After the assessment of Mr. Trosack medical conditions, the three healthcare issues that present are identified as (1) high fall risk, (2)the insufficient family support, (3) the pain issues that are resulted from the hip fracture and the total hip replacement (THR), and (4) the impaired mobility.
There are many factors that will put Mr. Trosack at risk for future falls. First, the physiological changes associated with ageing that affect mobility. These factors may include hearing loss, visual impairment, decreased muscle mass, decreased muscle strength; especially in lower extremities, as well as a decrease in endurance. These conditions make the older adults vulnerable and contributing falls. Second, some of the medications that are prescribed for Mr. Trosack such as Percocet, Glucophage, and Lopressor have adverse side effects that may increase the risk of future falls. Percocet was prescribed for his postoperative pain, Glucophage was prescribed as an anti diabetic agent, and Lopressor used to treat hypertension. Some of the side effects of Percocet associated with falls include orthostatic hypotension and sedation which can make him dizzy or drowsy. Hypoglycemia is a side effect of Glucophage and it is also risk factor for falls.
05/05/2012
GNT1 Task2
Abstract
This paper focuses on the discharge plan for patient who underwent the Total Hip Replacement (THR). The nurse, as a case manager, works with the multidisciplinary team to determine the appropriate discharge plan for the patient. The roles and responsibilities of each member are elaborated. The healthcare issues, the safety assessment are discussed. In this case study the patient lives alone during the recovery from the surgery, so the effects of social isolation and psychological factors on the recovery process are also explained.
Assessment of the Situation: After the assessment of Mr. Trosack medical conditions, the three healthcare issues that present are identified as (1) high fall risk, (2)the insufficient family support, (3) the pain issues that are resulted from the hip fracture and the total hip replacement (THR), and (4) the impaired mobility.
There are many factors that will put Mr. Trosack at risk for future falls. First, the physiological changes associated with ageing that affect mobility. These factors may include hearing loss, visual impairment, decreased muscle mass, decreased muscle strength; especially in lower extremities, as well as a decrease in endurance. These conditions make the older adults vulnerable and contributing falls. Second, some of the medications that are prescribed for Mr. Trosack such as Percocet, Glucophage, and Lopressor have adverse side effects that may increase the risk of future falls. Percocet was prescribed for his postoperative pain, Glucophage was prescribed as an anti diabetic agent, and Lopressor used to treat hypertension. Some of the side effects of Percocet associated with falls include orthostatic hypotension and sedation which can make him dizzy or drowsy. Hypoglycemia is a side effect of Glucophage and it is also risk factor for falls.