Preview

Left Hip Arthroplasty: A Case Study

Better Essays
Open Document
Open Document
1802 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Left Hip Arthroplasty: A Case Study
INTRODUCTION

This case study will discuss the nursing care and needs of Mrs Audrey Smith, a 75-year-old female who was admitted to hospital due to fall at home because she had tripped over her dog. She was brought immediately to the Emergency Department by her neighbour. After a thorough assessment, Audrey sustained injury and bruises on her left shoulder and forehead following a diagnosed of fractured left neck of femur. Therefore, a surgical treatment of Left Hip Arthroplasty has been advised to her condition.

This paper aims to tackle Audrey’s identified problem and nursing interventions that will emphasize on prioritization of her needs. Her past medical background and prescribed medications, also its main indication and nursing special
…show more content…
It occurs because of inappropriate relaxation of the lower esophageal sphincter (LES) in response to an unknown stimulus. It is common for Audrey to have reflux because when people get old the LES become weak so it is advisable to give antacids to alleviate the symptoms.

OSTEOPOROSIS
(Sommers et al, 2015) defined osteoporosis is an age-related metabolic disease defined as low bone mass with a normal ratio of mineral to osteoid, the organic matrix of bone. According to definition it means low bone mass, which means Audrey is prone to fall and nurse ensures giving her calcium supplement.
TOTAL HYSTERECTOMY
According to Tabbner et al, 2009, TH is a removal of uterus and cervix through a horizontal incision just above the pubic bone. (Brunner&Suddarth 2010) defined potential complication after TH is bladder dysfunction so Audrey’s urinary incontinence can be related to this.
DEPRESSION
(Tabbner et al, 2009) defined depression as a major problem in older adults and may also be accompanied by worry and anxiety. This may be because sadness is considered a normal response to the losses associated with Audrey’s physical decline, loss of social role and husband, illnesses and side effects of medication. Observe for behavioural changes and refer

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Mrs. Dorothy Smith is a 74 year old patient on the ward of a hospital in which you are Charge Nurse.…

    • 332 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Lucille Mckenzie, a 72 year old female accompanied by her stepdaughter/ sole carer Marjorie Wilson was admitted to the ward on the 17th January via Accident and Emergency (A&E), following a fall at home. X-rays revealed healing fractures of several ribs and arthritic changes, but no bony injury of her right hip.…

    • 2056 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    unit 56 hsc level 3

    • 777 Words
    • 3 Pages

    People with arthritis have often suffer with stiff, rigid and painful joints, and movement of joints can be limited, it is important to not forcefully move the joints beyond their capabilities in order to prevent pain and discomfort.For Individual's suffering from fractures, the movement should be gentle and careful, and correct procedures must be followed, so as to reduce any further complications to the fracture. Should the individual be bed-bound, the correct hoist and sling must be used. When staff follow appropriate moving and handling techniques, it will reduces the risks of back injury, pain and discomfort to both service user and staff themselves.…

    • 777 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Ms. Cavallo, 97 years of age, has been a resident at the rehabilitation unit for 6 weeks. She has been receiving rehabilitation therapy following the repair of her hip fractured left hip. The nursing assistive personnel (NAP) tells you that Mrs. Cavallo has not been finishing her meals over the past 2 days because of poor appetite. As you enter her room today she states, “Go away. I’m tired of all this, and I just want to stay in bed today.” You explore why she feels this way. You discover that she is unsure how to use her walker and feels safer in bed. She states, “I’m still afraid that I’m going to fall because I keep forgetting how to use my walker, and I can’t fall if I stay in bed, right?”…

    • 550 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Admit the patient using critical thinking skills to assess and prioritise nursing interventions related to Audrey’s.…

    • 1908 Words
    • 8 Pages
    Good Essays
  • Good Essays

    Close and continued observations of are the best way to identify any needs or changes that a child or young person my have, with this method you can use the child development chart and identify any possible delays within the…

    • 835 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    * I observe the children for behavioral problems such as environmental stress, especially if they are new to daycare or changes in the family and problems with individual family members.…

    • 332 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    A child that may usually be quiet could become aggressive or very outgoing, while a child that usually is boisterous may become very quiet and shy. These changes may be very subtle as a child is trying to show that nothing has or is happening. 3.4 explain own setting procedures for passing on concerns about the practice of others that may impact on the welfare of the…

    • 1602 Words
    • 7 Pages
    Good Essays
  • Good Essays

    Emerging Markets (Buss4)

    • 1142 Words
    • 5 Pages

    Emerging Markets is used to describe a country in the process of rapid growth and industrialisation…

    • 1142 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Chronic Care Assignment

    • 1005 Words
    • 5 Pages

    Realistic and achievable goals will need to be established, and prioritised, this will help to determine the nursing interventions that will be required to assist the patient to manage their chronic illness. The nurse will have to reassess these goals continuously, to ensure that any new problems are identified early and can be incorporated into the care planning for the patient. A review of the Care Planning for the patient needs to be evaluated to ensure that all nursing interventions are effective. (Rita Funnell, 2005)…

    • 1005 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    miss

    • 457 Words
    • 2 Pages

    The behaviourist approach as explained in P1, suggests that learning is what changes an individual’s behaviour. Therefore, any changes in behaviour of an individual are the result of events that have taken place within the environment.…

    • 457 Words
    • 2 Pages
    Good Essays
  • Best Essays

    Care Planning

    • 3343 Words
    • 14 Pages

    To protect the resident’s identity, the resident will be called Mrs Florence Nightingale. Mrs Florence Nightingale has been selected to demonstrate how to maximize health using the nursing process. She is a 77 year’s old elderly resident in a private up-market nursing home in an EMI unit, who’s unable to self mobilize and is dependent upon a hoist for transferring. She is unable to verbally communicate, or feed her self. Due to her restricted mouth movement, difficulty with swallowing and fear of choking she is only fed in liquid form, which is thickened. She suffers from multiple disorders such as Alzheimer’s, CVA (stroke) and is doubly incontinent. Issues focusing on sustenance intake and surrounding issues will be explored in order to maximize the health of Mrs Florence Nightingale. Issues include psychological and social impacts of eating alone, ensuring adequate nutritional intake and adequate mouth care. Through the nursing process the patient’s perspective of health is identified in order maximize the patient’s health.…

    • 3343 Words
    • 14 Pages
    Best Essays
  • Good Essays

    Mental Health Nursing is a key topic in the field of medicine that provides means on how to attend to mentally ill patients. In this essay, I have come up with the procedures on how to attend to Angelina (patient), which entails therapeutic engagement skills and therapeutic treatment modalities. Under engagement skills, I have discussed how the nurse will interact with the patient so that Angelina can share her problems with the nurse. This will help the therapist come up with a solution towards her illness. In treatment modalities, I have discussed in details the types of therapy that Angelina can be administered for and how they should be carried out for success. All these processes work in hand to achieve the better option and have to be done continuously to achieve better results.…

    • 557 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    x 1 12 18 35 47 58 65 80 88 101 112 124 133 145 155 179 188…

    • 4873 Words
    • 20 Pages
    Powerful Essays
  • Good Essays

    Women’s reproductive rights have always been a taboo topic in American society, as well as throughout history. Abortion and birth control are two of the most debated rights, especially following last year’s election. The taboo topic has caused a rift between major political parties and citizens in the United States, and has been the catalyst of movements like the pro-choice and pro-life campaigns. Pro-choice is the idea that a woman should be able to decide what she wants to do with her own body, while pro-life is the idea that abortion is a crime against the innocent, thinking the woman getting the abortion is a murderer. Abortion and birth control, despite being known to be dangerous, are safe practices that shouldn’t be taken away from women.…

    • 1226 Words
    • 5 Pages
    Good Essays