Pre-Op
Common reason for total hip replacement surgery
What is a fall?
An ongoing psychological concern
What is a Delirium?
Decreased depth of respiration, decreased rate of respiration, pooling of secretions, and impaired gas exchange.
What are respiratory complications?
This 4 letter acronym is used to promote mobilization of secretions.
What is TCDB (Turn, Cough, and Deep Breathing)?
A common side effect of blood pressure medications and immobility post-op.
What is orthostatic hypotension?
Frequently checking vitals and establishing baselines
What is assessment?
These roles will provide continued care at evaluate safety of the patient's home environment.
What are PT, OT, home health, RN, and caregivers?
Increased cardiac workload, increased risk for orthostatic hypotension & venous thrombosis.
What are Cardiovascular complications?
Assessing vital signs, I/Os, respiratory function, pain levels, lung sounds, and bowel sounds
What is post-op physical assessment?
To prevent recurring falls, older individuals/caregivers need to receive comprehensive explanations regarding the potential risk factors and side effects of medications that heighten the likelihood of falling once the patients return home.
What is safety education?
Providing education about procedure and collaborating with the medical team regarding discharge planning
What is nursing care for pre-op patients?
Take Prescriptions on time and correctly, keep environment clear of fall risks, have a plan, avoid extreme positions, complete rehab exercises
What are the 5 post-op interventions?
Decreased Muscle Size, Tone, and Strength, Decreased Joint Mobility and Flexibility, Bone Demineralization, Decreased Endurance & Stability, & Increased Risk for Contracture Formation
What are the musculoskeletal complications?
Assess extremities color, temperature, capillary refill, distal pulses, edema, sensation, motor function, pain, lung sounds, depth and effort of respirations, SOB, bowel sounds
What is post-op focused assessment?
Mitigating, preventing, and reducing the severity of recurring falls in this vulnerable population, ultimately improving the quality of nursing care.
What is the nursing priority for fall prevention?