 Wysłany: Sob 21:35, 26 Mar 2011 Temat postu: ralph lauren home Hip replacement nursing _386 |
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| Nursing care of hip replacement
(3) health care changes in patients and manic personality temperament, should be to convince, to persuade the tone for comfort, when persuasion failed, can be used with restraint, but not to use sedatives to prevent exacerbations. Nursing care of hip replacement Yongwei Yau Lian Xiu Bu Chunyan Zhang Dong MILITARY red Jilin Medical College Hospital (132013) keywords hip replacement; nursing hip replacement surgery is permanent in the human body into an artificial femoral head and hip caps to replace the diseased Air Force Logistics College, Xuzhou (221000) hip joint, in order to achieve relieve pain, correct deformity and maintain joint movement and stability. I Hospital Since 1997 the Fourth Military Medical University, Jilin Military Medical College 2OOO Volume 22 on September 3 to 20 cases of such patients were treated, with artificial hip arthroplasty with satisfactory result, now nursing reported below. 1 line of clinical data in patients with total hip arthroplasty in 20 cases, including 8 males and 12 females; aged 50 to 89 (mean 70) years; a fall or a car accident caused by carelessness, of which 3 patients with upper limb fractures and tibia and fibula fractures, 2 patients with high blood pressure, diabetes and other diseases. 1 month after follow-up, 14 patients could walk with crutches, and 6 cases associated with other fractures of the activities can only sit. 2 Preoperative nursing care for the elderly 2.1 physiological reserve capacity is limited, less tolerance of surgery, this patient fully preoperative preparation is necessary, such as hypertension and pulmonary disease patients after admission in addition to close monitoring of blood pressure and give appropriate treatment,ralph lauren home, but should not be underestimated for lung disease prevention, treatment and care, such as the inhalation, encourage patients to expectoration, avoid cold and heat and so on. The elderly often appear after the fracture of fear, anxiety, loneliness and despair and other psychological changes, the nurse should take the initiative to approach patients, understand their family situation, in particular, to respect and care for patients, for answers to their questions at any time, quickly adapt to the patient hospitalized environment, reduce or eliminate the psychological burden in order to facilitate surgery. Patients who, after the operating room, ward or lactic acid UV disinfection should be done, change of bed linen, blankets, sick bed cushions, bed unit to keep clean, and ready to skin traction materials, oxygen, T shoes,tory burch flats, suction devices and other nursing pad supplies. For patients with pressure ulcers may occur prior to strengthen local compression of the skin care, air cushion for patients, 1 every 2 hours, turning over, local activities, and make clear the dangers of pressure ulcers, patients obtain cooperation. 2.2 Postoperative care after limb should wear shoes or skin traction T, maintain outreach 3O. Neutral position, careful not to cross-legged,jordan heels, side limbs over time to prevent adduction, external rotation of femoral head Erzhi prolapse shift. Patients may be appropriate to sit and lateral alternation between contralateral legs and back when lying to pad pad or pillow to keep limbs in the neutral position of outreach. The elderly often accompanied by the determination, lung disease, in nursing, we should strengthen the observation, attention control infusion, blood transfusion rate. Regular measurement of blood pressure, pulse, respiration, observed urine. Strengthen the local wound and drainage care, maintenance of dressings clean to avoid contamination. Note that observation of the wound drainage fluid, color, quantity, etc. Do not allow drainage tube compression, distortion, to prevent the drainage of reflux, poor drainage or too many doctors to report promptly disposed of, replacement of drainage pipes, strictly aseptic operation, and do good record. 1d and surgery preoperative antibiotics, intravenous infusion of bacteria such as Bristol and so on. Purpose is to make antibiotics in patients with effective blood reaches a certain concentration, play a role in prevention of postoperative infection. Functional exercise is more important orthopedic treatment, which aims to restore partial function and general health. Postoperative day 1 start from the simple act of training guide its deep breath, and outreach arm, chest, to increase strength, maintain range of upper limb joints, increase heart and lung function. After 2 days from the pain began to feel the smallest quadriceps exercise, roll the towel into a cylinder placed in the popliteal fossa in patients with lower extremity stretching, quadriceps contraction, contralateral do first practice,ray ban sunglasses, patients do side, to prevent buckling of the knee when standing. After exercise therapy should be continued efforts to enrich the content, such as lower extremity stretching, traction, external rotation and other sports. Functional exercise should be gradual, driven initiative to promote a passive activity, on the 14d after the weak, the surgical site pain are still not functional exercises to encourage patients to overcome the difficulties persist in early functional exercise to promote blood circulation, prevent muscle atrophy, limb stiffness and so on. At the same time to guide patients to relax muscles, joint activities, 28d after surgery to help patients get out of bed, taking care to avoid within 2 months of sitting low stool, to prevent dislocation. Assistance activities to promote application of fitness function in patients with difficult exercise, but also received good results. (2000-03.28 Received) 1 ◆ ● 相关的主题文章： asics outlet Immunogold filtration assay gold stan mbt scarpe Outside the double serum test in the di herve leger dress Elderly prostate cancer diagnosi |
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