Question

SCENARIO: L.C. is a 76 year old female. She had a right total hip replacement 3 days ago, without any complications. PMH- HTN and Type 2 DM. Diet- 2 Gm Na 1800 Cal ADA diet Activity- OOB with assistance; PT 2 x/day PRN- Oxycontin 5 mg po q 4 hrs prn pain. 11 am-Your patient c/o 8/10 right hip pain. You give her oxycontin 5 mg po for pain. 1120 am- The CNA enters the room to assist with her am care. When she is finished she neglects to place the call bell within the patients reach. 1130 am- your patient needs to use the restroom and falls when she attempts to get OOB. You find the patient lying on the floor screaming in pain. Of course she fell on her newly operated hip. 1. Please include your initial assessment of the fall. 2.Your nursing interventions that you would implement after the fall? 3.Any SBAR report that you may need to give to the nursing supervisor, MD, or anyone you feel you must notify; 4. What treatment do you think will be ordered in this situation?.

Answer 1

1. Initial assessment of fall down is ,as the patient was recently undergone surgery she can't walk without support so she fell down

2 check for the head injuries and hip dislocation ,drain the blood collected at surgical site ,if the blood drainage is to high inform to doctor wound should be cleaned to prevent infections as she as diabetes

3 SBAR - Situation she had fallen down , background fallen down due to ballenced out as she had undergone hip replacement surgery, assessment she is suffering from severe pain , recommendation

4 ibuprefe ,naproxen sodium for pain and anti-inflammatory

If thier is any peri prosthetic fracture ,open reduction and internal fixation , revision of total joint plants,