Total Hip Replacement
Total Hip Replacement 2 "Total replacement of the hip joint or hip replacement, THR, indicates the replacement of the body's natural hip joint bones with artificial parts, also known as prostheses"(Simon, 1998). A number of diseases impair the hip joint bones so that THR becomes the most viable alternative to unbearable pain and/or inability to walk. "The factors that indicate a need to perform total hip arthroplasty surgery is usually severe joint degeneration with hip pain that doesn't respond to oral analgesics, disturbs sleep, and limits the ability to walk or climb stairs" (Dunajcik, 1989). The focus of this paper is to demonstrate the effects of the THR surgery on middle-aged individuals. The information includes the effects the illness will have on the patient's physical state and Erikson's developmental stages were used to assess emotional state. The effects that surgery will have on the patients' social, intellectual, spiritual, and social development was also examined. Discharge concerns such as proper administration of medications, limitations of movement as not to displace the hip and other concerns were addressed. Also, possible community resources were located for the patient's needs
The day after surgery the patient will be able to eat regular hospital food. A normal sex life can be resumed after a surgery, but the precautions must be observed. Each case is different and should be treated that way as well. Total Hip Replacement 4 Neuro/Sensory. As soon as the patient is able to he or she is encouraged to void using the bedside commode. In this stage the person looks back at his past accomplishments with either a sense of satisfaction with his accomplishments or the other end is stagnation in which the person feels as if their past accomplishments did not amount to much. The patient may be dosing off into sleep and may not be able to articulate what he or she is feeling at te time. The most common complication after a THR is venous thromboembolism. This can alter the respiratory and cardiovascular systems. In some cases the anesthesia wears off in the recovery room and the senses may be more intact than others. Any side effects should be reported to the physician as soon as possible and all medication should be taken as prescribed. The patient should be encouraged to eat plenty of fiber to reduce constipation. To cope with these fears the patient may try to do more than they should to feel more productive. The patient may not be able to participate in all aspects of their friends and family's life during the recovery period.
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