Nursing care of hip arthroplasty patient with comorbidities: Report of the 2 cases

Abstract

Hip fracture is the common problem in elderly patient with osteoporosis. The hip arthroplasty is one of the best treatment for hip fracture in patient with comorbidities such as diabetes, dyslipidemia, cirrhosis, etc. Postoperative nursing care plan in comorbid patient should increase carefully in preoperative, perioperative, and postoperative period for patient safety and decrease postoperative complication.

In the present day, Bangphli hospital serves hip arthroplasty for 10 patients per year. We reported 2 cases of patients with comorbidity operated hip arthroplasty. First, Elderly female patient presented with hip fracture that had diabetes and dyslipidemia, take blood thinner medication. Abstain from surgery 7 days after surgery, care for complications, such as pressure ulcers, urinary tract infections, pneumonia, etc. Both disease and disease patients. Observe the symptoms closely. Second, Male patient presented with hip fracture that had hypertension and cirrhosis. Patients fret over irritability due to alcohol. Liver dysfunction Describe the patient. And the opportunity to ask patients. Patients are encouraged to cooperate in the treatment. Control of blood pressure during surgery. Postoperative bleeding should be noted for surgical wounds, drainage and vital signs. Two of them operated with hip arthroplasty with some of different nursing care planning and both of them remained safety without postoperative complication and stayed in hospital for 1 month.