How to care for patients undergoing total hip replacement

summary

Because of the pain, we did the artificial total hip replacement surgery, but after the nursing work has become a problem, not only related to the patient's postoperative recovery, but also affect the operation situation, so the artificial total hip postoperative nursing has become a very concerned problem of patients and their families, let's popularize the science of artificial total hip replacement postoperative nursing.

How to care for patients undergoing total hip replacement

First, functional training. After the anesthesia disappeared, the quadriceps femoris muscle of the affected limb began to contract actively and the ankle joint flexed, extended and rotated regularly, supplemented by passive massage, which could promote venous blood return. The healthy side of the lower limb should also be raised and knee flexion exercise to prevent muscle atrophy, joint stiffness, deep venous thrombosis.

Second: skin care. The old people's metabolism slows down, subcutaneous fat reduces, skin elasticity is poor, postoperative bedridden time is long, it is easy to have bedsore. Therefore, it is necessary to keep the bed clean and tidy, turn over frequently, scrub frequently, move gently, and guide the patients to actively move the healthy limbs. Carefully observe the degree of limb edema, skin color, temperature and sensation, and compare them on both sides. Carefully check the compression parts, and deal with the abnormalities in time to prevent them. In order to reduce the compression of the bony process, the balloon and cotton pad can be used when necessary.

Third, we should strengthen nutrition and promote calcium absorption. The elderly often have different degrees of osteoporosis and other symptoms. It is suggested to eat more high protein, high calorie, high fiber and calcium rich foods, and supplement calcium and vitamin D regularly to correct the negative calcium balance, so as to facilitate fracture healing. For postmenopausal women, if there is no drug contraindication, appropriate amount of estrogen replacement therapy can be used. In order to develop a reasonable personalized nursing plan according to the physical condition of patients.

matters needing attention

With the growth of age, the physical function of the elderly is gradually degenerating, especially the loss of calcium in bone and joint is serious, and we have done the nursing after total hip replacement, we must have a plan, do a good job in functional training.