This essay is going to discuss about knee replacement surgery in a 76 year old man 2022

Running Head: NURSING CARE
NURSING CARE
Name of the Student
Name of the University
Author Note

1NURSING CARE
Introduction
This essay is going to discuss about knee replacement surgery in a 76 year old man
and is going to highlight the post-surgical plan of care, various co-morbidities and their
impact on the patient and the discharge planning (Skou et al., 2015). As osteoarthritis is more
prevalent among the older population, thus, the total knee replacement is a very common
process among the elderly (Alshryda et al., 2013). Total knee replacement is a type of
surgical process where the knee joint which is not working properly is changed with an
artificial material. During the replacement surgery of knee, there is removal of the end of
femur bone and after the change it is replaced with a shell that is made with metal (Kremers
et al., 2015). It is very important to identify the co-morbidities that are experienced by the
patient during or after the surgery and thus, this essay will highlight the impact of the co-
morbidities on the patient. After this the essay outlines the discharge care plan for the patient
so that it will help the patient for the management of the disease (Weinstein et al., 2013).
Part A
Frank has undergone an uncomplicated unilateral left total knee replacement. As per
the Clinical Reasoning Cycle it is very important for the nurses to know the condition of the
patient after the surgery. As Frank is 76 years old and lives all alone in the house with his
wife who is a dementia patient there is no one in their house to look after them. Thus the
nurse has to make a post-operative care plan for Frank that will involve the self-management
of the disease and also will help Frank to know about their condition (Han et al., 2013).
Within the first 24 hours after the surgery the blood pressure of the patient is 100/54, heart
rate was 106, respiratory rate was 12BPM, SaO2 was 95%, temperature 37.6°C and the
estimated blood loss (EBL) in the OT was 200ml. The nurse who was at the night shift for
taking care of the patient was given direction so that there is no lack of care for Frank. The
nurse identified the three potential issues about Frank that involves DVT prophylaxis, wound