CNA250 Nursing Practice 2
Questions:
Mrs Berry is an 80 year old woman who fell and fractured her left neck of femur.
1.Should Mrs Berry considered for a hip replacement?
2.Should Mrs Berry considered for a hip replacement?
3.Should Mrs Berry considered for a hip replacement?
Answers:
Introduction
The Hip replacement is a very critical decision to take as it depends on a number of factors like age factor, medical history of the patient, physical stature as well as other allied and associated features.
Case I
In a normal situation where Mrs. Berry can be perceived as a normal individual about 80 years of age and has incurred with a fall that has lead to a situation in which a hip replacement is necessary to allow for a health life after the concerned medical activity. “After total hip replacement surgery, crutches are often prescribed to enable patients to walk independently” (Freddolini et al., 2018).
In this respect it can be observed that most of the people will vote for a yes for the situation to get better by undergoing a medical surgery.
Case II
In this situation it can be observed that the lady, Mrs. Berryhas several types of medical problems like Hypertension, Myocardial Infarction, Parkinson’s’ disease, BCC on face and hands, Pneumonia, colon cancer, Depression and several other types of medical issues.
In this type of situation there becomes a risk for the treatment to be done by the medical surgery as in this case the risk for mortality may be enhanced and moreover there may be issues of severe medical complications and as a result may lead to complications post surgery. “The primary outcome was the responder rate for THR at 12-months as measured by the relative effect per patient (REPP score), calculated for each patient using the total WOMAC score” (Huber et al., 2018).
Case III
In this case it is revealed that Mrs. Berry lives in a hospital level residential care facility and that she also requires the full assistance of living for her day to day activities.
In this scenario if there is a situation for a case of medical surgery then the answer tentatively becomes no because of her limited life expectancy as well as poor patient compliance with treatment. “The tool intends to facilitate and enhance the motor recovery, due to the fact that the patients will be able to perform the therapeutic movements at home and at any time” (Rybarczyk et al.,2017).
Conclusion
In the above discussion we can see that there is three different types of situations in which three different types of approaches can be made for the said patient Mrs. Berry.
References
Freddolini, M., Esposito, F., Marcucci, M., Corvi, A., Braccio, P., & Latella, L. (2018). Does crutch length influence gait parameters after total hip replacement surgery?. Gait & posture, 60, 262-267.
According Quote
“After total hip replacement surgery, crutches are often prescribed to enable patients to walk independently. Purpose of this study was to evaluate possible crutch length influence on gait performance and symmetry, including spatiotemporal and kinetics parameters. Thirty patients were randomly assigned to elbow flexed (EF) or elbow extended (EE) crutch setup. Subjects were asked to walk on the laboratory path, instrumented with motion tracking system and force platforms.”
Huber, J., Dieppe, P., Dreinhoefer, K., Günther, K. P., & Judge, A. (2017). Does arthritis in other joints and spine influence the 1-year outcome of total hip replacement? A prospective multicenter cohort study (EUROHIP) measuring the influence of musculoskeletal morbidity.
According quote
Methods The European Collaborative Database of Cost and Practice Patterns of Total Hip Replacement study consists of 1,327 patients receiving primary THR for osteoarthritis across 20 European orthopedic centers. The primary outcome was the responder rate for THR at 12-months as measured by the relative effect per patient (REPP score), calculated for each patient using the total WOMAC score.
Rybarczyk, Y., Aladro, A., Gonzalez, M., Villarreal, S., & Deters, J. K. (2017). ephort project: A telerehabilitation system for reeducation after hip replacement surgery.
According Quote
This project aims to develop a web-based system for the remote monitoring of rehabilitation exercises in patients after hip replacement surgery. The tool intends to facilitate and enhance the motor recovery, due to the fact that the patients will be able to perform the therapeutic movements at home and at any time. As in any case of rehabilitation program, the time required to recover is significantly diminished when the individual has the opportunity to practice the exercises regularly and frequently.
Use the following coupon code :
SAVE10