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Total hip arthroplasty rehabilitation nursing

Guide the patella in patients over campaign to promote the patella, down, left, right movement,[link widoczny dla zalogowanych], every 3 ~ 5min, 3 to 4 times a day. Centripetal limb massage at the same time to promote limb blood flow back to prevent deep vein thrombosis. (3) 3 days after surgery, patients with quadriceps training guide: limb outreach 3O. . Neutral position, knee pads,[link widoczny dla zalogowanych], a soft pillow can take the initiative under the pressure of knee, thigh muscle contraction to maintain 10S. Then relax. At the same time as the gluteus maximus contraction practice law: patient supine,[link widoczny dla zalogowanych], legs straight, arm on the side comfortably on both sides of the hip muscle contraction, maintaining 10S, relax, repeat the exercise several times. Conditions in the physical condition allows, it can roll to get up the first 30 ~ 60. ,[link widoczny dla zalogowanych], Outreaching limbs seat to keep neutral position. Prevent limb hip external rotation, adduction. (4) 4 to 6 days after surgery, mainly to enhance muscle isotonic contraction and joint movement. Guide the patient to do straight leg raising exercise: supine position, straight leg raise,[link widoczny dla zalogowanych], heel away from the bed 20cm, beginning in the air pause 5s. After the pause time to gradually extended. To patients without a sense of fatigue is appropriate. Can guide the patients to the hip flexor, knee movement: beginning nursing assistance Satisfy the patient with a knee in one hand and lift up the heel, in the case does not cause pain down the hip flexor, knee movement, but hip flexion <45 . And then gradually increase the degree of flexion, but not In order to avoid dislocation of the hip. (5) 7 days after surgery to guide the contralateral limb of patients with elbow and three support or both hands on the bed side of the rings to straighten the upper body, hips lifted off the bed to 10cm, to maintain 5 ~ 10S, so repeat the training. (6) 8 to 14 days after operation, continuous limb strength training, a seat from the supine training: hands hold up, limb abduction, hip flexion <45. With hands and legs healthy limb supporting force will be moved to the bedside, nurses should also assist the upper body lifting patients from bed. And help patients to move to the bed leg. Seat of a train station: Zhu Shui, not weight-bearing limb, patients go to bed, the first landing leg health, after suffering from leg touching the ground, Shui Zhu upper limbs, the use of health even behind the legs and hips with both hands, standing with crutches standing at the bedside of about 2min. But attention to the prevention of hypotension and collapse. Standing of a walking training: limb is not weight-bearing. Walking nurses or family members must be protected in the side to avoid accidents, according to the patients physical, time, generally no more than 15min. 3.1 3 position discharge rehabilitation instruction guide supine or semi-recumbent position is best to take 3 months to avoid the side, cross-legged, do not take the low chair or sofa, do not cross legs. 6 months to avoid limb adduction, internal rotation movement, limb should be standing outside the show. Things do not pick up squat. 3.2 The functional activity within 3 months after the guidance is not weight-bearing limb. Zhu crutches to walk. 3 months after the limb can be gradually weight bearing with crutches for a cane crutches discarded by the street, and then gradually make simple activities such as walking and so on. Fully restored, can be normal activities of daily living, but avoid strenuous exercise such as sprint, tennis, etc., so as not to cause excessive wear of artificial hip joints. Guidance Note 3.3 balanced diet daily activities, and more into the calcium-rich foods; to avoid obesity, smoking cessation alcohol; toilet Toilet should not be too low; the correct guidance of the affected side when the first patients to wear pants, after contralateral, do not wear tie shoes, wear the pants, socks, knee hip extension should be kept in place; adopt a shower bath; attention to the prevention of influenza, infection control in time to avoid hip infection. 3.4 1,3,6 months after referral time regular follow, such as hip pain or severe discomfort after the event. Should be ready for treatment. 4 Experience of treatment of bone disease in patients with the ultimate goal is to maximize the recovery as soon as possible. We work in clinical nursing I deeply appreciate the care and rehabilitation of the right hip replacement surgery is an important part of success, can effectively prevent the occurrence of complications such as deep vein thrombosis, pulmonary embolism, infection, loosening of artificial hip joint dislocation. Depending on the rehabilitation of patients develop a corresponding training program, targeted guidance to patients early activities, early out of bed, early exercise and discharge from the rehabilitation guidance, can reduce complications. Early resumption of the hip joint function, the patients lay the foundation for improved quality of life. 5
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