Nursing Case Study Answers
Do assessment on Susan’s living environment and avoid any physical barriers, especially on the floor.
Rationale: It is necessary to keep the living environment safe and tidy to Susan away from walking obstacles such as furnitures and household utensils, which will increase the risk of falling to Susan and resulting in hip dislocation due to flexing hip.
Susan must not lean forward and downward over 90 degrees and avoid high risk position.
Rationale: According to “the 90-degree rule”, patient who complete hip replacement should not bend the legs for over 90 degrees to the hip, which bending action can facilitate hip dislocation. For example, crossing legs and squatting down[4] are the high risk position to result in hip dislocation. Proper position …show more content…
Reduce pain level of incision site for prosthesis.
Rationale: Since Susan expressed tolerable mild wound pain, she should take more rest and keep taking medicine of analgesic if doctor has prescribed to her. For example, nonsteroidal anti-inflammatory drug(NSAID) is common use of pain killer which can help in pain relief[1][2]. But nurse should ask for Susan’s related allergy to medication, in order to prevent severe side effect induced. If Susan feels the pain cannot be tolerated with also inflammation sign, she should seek medical help immediately to check whether there is any infection problem on prosthesis site.
Encourage Susan to do more extremity exercises under nurse educated.
Rationale: For example, bed-supported extremity exercises including ankle pump and rotation, raise leg straightly, bed-supported knee bending, buttock contraction, etc.[4] These exercises must be done in slow rate, as to prevent dislocation under rapid action. By the way of such mild exercises, they can strengthen leg muscles, enhance knee movement from stiff, promote body circulation in lower extremities and prevent thrombus[4]. Nurse should encourage Susan not to abandon even undesirable sensation found during exercise, with also provide reassurance to Susan that these series of exercises are effective for
Rationale: It is necessary to keep the living environment safe and tidy to Susan away from walking obstacles such as furnitures and household utensils, which will increase the risk of falling to Susan and resulting in hip dislocation due to flexing hip.
Susan must not lean forward and downward over 90 degrees and avoid high risk position.
Rationale: According to “the 90-degree rule”, patient who complete hip replacement should not bend the legs for over 90 degrees to the hip, which bending action can facilitate hip dislocation. For example, crossing legs and squatting down[4] are the high risk position to result in hip dislocation. Proper position …show more content…
Reduce pain level of incision site for prosthesis.
Rationale: Since Susan expressed tolerable mild wound pain, she should take more rest and keep taking medicine of analgesic if doctor has prescribed to her. For example, nonsteroidal anti-inflammatory drug(NSAID) is common use of pain killer which can help in pain relief[1][2]. But nurse should ask for Susan’s related allergy to medication, in order to prevent severe side effect induced. If Susan feels the pain cannot be tolerated with also inflammation sign, she should seek medical help immediately to check whether there is any infection problem on prosthesis site.
Encourage Susan to do more extremity exercises under nurse educated.
Rationale: For example, bed-supported extremity exercises including ankle pump and rotation, raise leg straightly, bed-supported knee bending, buttock contraction, etc.[4] These exercises must be done in slow rate, as to prevent dislocation under rapid action. By the way of such mild exercises, they can strengthen leg muscles, enhance knee movement from stiff, promote body circulation in lower extremities and prevent thrombus[4]. Nurse should encourage Susan not to abandon even undesirable sensation found during exercise, with also provide reassurance to Susan that these series of exercises are effective for