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Nursing Care Interventions and Discharge Planning Needs

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Added on  2020-02-24

Nursing Care Interventions and Discharge Planning Needs

   Added on 2020-02-24

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Running head: NURSING CARE INTERVENTIONS 1Nursing Care Interventions and Discharge Planning NeedsStudent’s NameUniversity Affiliation
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NURSING CARE INTERVENTIONS 2Nursing Care InterventionsAlthough femoral fractures are common among the elderly, it is a condition that can be difficult to manage when the nursing staff does not take proper interventions following a post operative surgery (Avenelll and Handoll, 2010). To ensure quick recovery for Mr. Brown, a patient who has had surgery to repair his fractured femur after being involved in a tractor injury, a nurse will take appropriate interventions to ensure quick recovery and mobility of the patient. Some of the recovery measures will include; Pain management; Pain following a surgery or an injury is a natural part of the recovery process (Black et al., 2010). As a nurse, I would work towards reducing the pain of Mr. Brown tohelp his leg recover faster by ensuring that he adheres to the prescribed medications. The drugs are usually prescribed to reduce pain for a short period following an injury or surgery. Accordingto Nosbusch et al., (2011), there are different types of medicines used to help curb pain such as local anesthetics, non-steroidal anti-inflammatory drugs and opiods to mention just a few. Although a doctor can use a combination of these drugs, for pain relief it is vital to consider the past medical history of the patient (Nosbusch et al., 2011). For the case of Mr. Brown, I would use anti-inflammatory drugs alongside Warfin to prevent blood clotting because he has a history of deep vein thrombosis.Weight bearing; to avoid further complications, it is of great importance to follow the physician’s instructions for putting weight on the injured hip. Ha et al., (2010), asserts that whether a fracture is treated with surgery or not, a healthcare officer is supposed to discourage weight bearing until the time recovery occurs. To achieve this, the patient may require up to 10 months or more of recovery before weigh bearing can be done without the risk for complications (Ha et al., 2010). One can also put on a knee brace for extra support. For the case of Mr. Brown,
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NURSING CARE INTERVENTIONS 3I would ensure that he adheres regularly to the scheduled X-ray for close monitoring on how the hip is healing. When a patient is treated with a cast or a brace, regular X-ray check-ups help a doctor to know whether the fracture is stable enough to start weight bearing activities (Ha et al., 2010). Although one can still put weight on the leg, a walker or crutches are important at time to reduce the weight.Early motion; although this intervention may not work immediately for the case of Mr. Brown due to surgery, it will be a mandate of the nurse to decide on the best time for the patient to begin moving the knee to prevent stiffness. According to Black et al., (2010), this period depends on how the soft tissues including the muscles and the skin of the patient are recovering as well as how secure the fracture is following a surgery. On the other hand, Rhudy et al., (2010)holds that early motions usually begin with passive exercises. For the case of Mr. Brown, a therapist would gently move the knee in case the patient cannot move or would place it in a continuous passive motion machine that will cradle as well as move the leg. For the bone that hasfractured into multiple pieces or in cases where bones are weak especially for the elderly, the leg may take longer to recover, hence longer time before a physicist recommends motion activities (Schilcher et al., 2011). The rationale for this intervention is that it will prevent the leg from being stiff and ensure passive exercise which will make sure that no movement complications after recovery.Discharge Planning NeedsOne of the key reasons for discharge planning is to reduce avoidable readmissions in the hospital (Rhudy et al., 2010). In the healthcare set ups, the doctor will ensure that Mr. Brown needs are considered as well as put in a detailed discharge plan with input from the patient and family. Unfortunately, Mr. Brown is a widower, has no relatives or neighbors around to take care
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