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Nursing care plan hip replacement total

Written by ncp nursing care plan on May 4th, 2011

Hip Replacement, Total
A total hip replacement (arthroplasty) is a surgical procedure in which the ball and socket components of the hip joint are replaced with prosthetic devices. There are a variety of prosthetic devices available. The prostheses are either cemented in place using an agent called polymethylmethacrylate or are uncemented (cementless). Uncemented prostheses have porous surfaces that permit bone ingrowth to occur and provide biological fixation. A total hip replacement is performed to relieve joint pain that has been resistant to conservative management and/or improve joint mobility in persons with severe arthritis. It may also be performed to treat avascular necrosis of the femoral head, congenital hip deformity, and failure of previous reconstructive hip surgery.

Preoperative
Deficient knowledge

Postoperative
Risk for peripheral neurovascular dysfunction: operative extremity
Acute pain: hip
Actual/Risk for impaired tissue integrity
Activity intolerance
Impaired physical mobility
Risk for infection: operative hip
Risk for falls
Potential complications
hemorrhage and/or hematoma formation
dislocation of hip prosthesis(es)
thromboembolism
fat embolism syndrome (FES)
Deficient knowledge, Ineffective therapeutic regimen management, or Ineffective health maintenance

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Source Credits: Nursing Care Planning Guides: For Adults in Acute, Extended and Home Care Settings by S. P. Ulrich and S. W. Canale BSN MSN / Nursing Care Plans by M. Doenges MF Moorehouse Alice Murr