![]() Adequate and timely giving of pain medication ensures the effectiveness and maintenance of pain relief for the patient. Muscle relaxants The mentioned drug classes address the patient’s pain and muscle spasms. Nonsteroidal anti-inflammatory drugs (NSAIDS) Administer medications as ordered such as: Analgesics, Doing so may increase the patient’s coping capabilities, especially those with associated stress from traumatic injury. Stress management techniques can help the patient to refocus attention from pain and provide a sense of control for the patient. Provide encouragement to the use of stress management techniques (such as guided imagery) and emotional support to the patient. Pain medications given before any procedures or before pain levels peak ensures for the patient’s full participation and promotes relaxation. Educate the patient the importance of pre-medicating before the pain becomes severe. ![]() Administer pain medications before any nursing or medical interventions. Elevating the affected limb ensures for proper venous blood return that leads to a decrease in edema and pain. Ensure that the affected limb is supported and supported at all times. Keeping the affected limb steady relieves pain and prevents further bone displacement and injury to surrounding tissues. Keep the affected limb immobilized as much as possible, through the use of splint, traction, bed rest, etc. Furthermore, it also determines other factors that may affect the patient’s pain, such as level of anxiety, pain perception, etc. Accurate and timely pain assessment aids the healthcare provider in assessing the effectiveness of therapeutic regimen. Nursing Interventions for Hip Fracture Rationale Ensure the timely and accurate assessment of the patient’s pain levels through the Wong-Baker FACES rating scale or similar. Nursing Diagnosis: Acute Pain related to the movement of bone fragments and injury to surrounding soft tissues secondary to hip fracture as evidenced by reports of pain and guarding behavior.ĭesired Outcome: The patient will be able to verbalize relief of pain and demonstrate ability to perform activities of daily living with minimal complaints of discomfort. Nursing Diagnosis for Hip Fracture Nursing Care Plan for Hip Fracture 1 For patients with mobility issues, ensure the use of walking aids such as walkers or canes.Avoid orthostatic hypotension, which can lead to dizziness and fall, by standing up slowly.Monitor medication side effects that may increase fall incidents.Have regular eye check-ups to assess for vision problems, particularly if the patient has diabetes or eye disease.Assess hazards in living spaces to avoid opportunities for fall.Exercise regularly to improve balance and strengthen the bones.Ensure adequate supplemental calcium and vitamin D in the diet.The necessary preventive measures are as follows: To avoid having a hip fracture starts in preventing the risk of fall in the first place. Occupational Therapy – This involves working with an occupational therapist who will determine if the patient needs assistive devices in order to do the activities of daily living, such as the use of walkers. ![]() It will initially start first with range-of-motion and strengthening exercises and progressing to more complex therapy in order for the patient to regain normal physiology. Physical Therapy – This involves helping the patient regain normal function of the affected limb. ![]() Rehabilitation of the patient post-surgery involves two types and they are: This surgery is done when the patient has other health conditions, such as cognitive impairments, that render them dependent on others. Partial hip replacement – This involves the installation of a metal replacement to the damaged or displaced bone, either the head or neck of the femur.This surgery is given to otherwise healthy patients who live independently due to the cost-effectiveness and associated long term benefits. Total hip replacement – In this surgery, the upper femur and the socket of the pelvic bone is replaced with prosthesis.Metal plates are sometimes used in conjunction with the screws to stabilize the area more. Internal repair with screws – This is a surgical treatment using metal screws inserted into the bones to keep it in place until the fracture heals.
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