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Prevention of future falls
Home care
• Take pain medication exactly as directed.
• Don’t drive until your doctor says it’s okay. And never drive if you are taking opioid pain medication.
• Wear the support stockings you were given in the hospital. Wear them 24 hours a day for 3 week(s).
• Get up and carefully move around at night to relieve pain.
• If you received an artificial hip joint, tell all your health care providers (including your dentist) about the joint before any procedure. You will likely need to take antibiotics before dental work and other medical procedures to reduce the risk of infection.
Incision care
• Avoid infection by washing your hands often. If an infection occurs, it will need to be treated with antibiotics immediately. So call your doctor right away if you think you may have an infection. Symptoms of infection include a fever or leakage of white, greenish, or yellowish-colored fluid from the incision.
• Check your incision daily for redness, tenderness, or drainage.
• Avoid soaking your wound in water (no hot tubs, bathtubs, swimming pools) until your doctor says it’s OK.
• Wait 7 day(s) after your surgery to begin showering. Then shower as needed. Carefully wash your incision with soap and water. Gently pat it dry. Don’t rub the incision, or apply creams or lotions. And sit on a shower stool when you shower to keep from falling.
Sitting and sleeping
Moving safely
Common Side Effects:
Nursing Interventions:
Health teaching:
Dosage:
Common Side Effects:
Nursing Interventions:
Health teaching:
FONTS
SUBJECTIVE:
Internal Fixation)
drainage
OBJECTIVE:
BP: 110/84
Diaphoretic and pale skin
Pedal pulses present
Capillary Refill: 2 seconds
Restless
Oriented x2
Name: Mrs. Z Age: 72 y/o
Diagnosis: Fracture of Right Hip
Docusate Sodium 100mg PO daily
(Injections) Roxanol, Astramorph PF, Duramorph, Infumorph, Morphine HP
Adverse Reactions:
Morphine Sulfate 1mg/ml
Narcotic Analgesic, dyspnea associated with acute left ventricular failure and pulmonary edema; preoperative sedation
(Tablets) MS Contin
Relieves pain by stimulating opiate receptors in CNS.
Reduces stimuli from sensory nerve endings; pain threshold is increased
Softens stools by increasing the water and fat penetration in the intestines
Laxative, for constipation, prophylaxis for patients who should not strain during defecation
Generic name:
Brand name:
Docusate Sodium 100mg
Soflax, Colace, Kaopectate
Roxanol
- Solution 20 mg/mL
Roxanol Rescudose
- Solution 10 mg per 2.5 mL
Roxanol 100
- Solution 100 mg per 5 mL
Roxanol T
- Solution 20 mg/mL
Roxanol UD
- Solution 10 mg per 2.5 mL
- Solution 20 mg per 5 mL
- Solution 30 mg per 1.5 mL
Route of administration: IM, IV, Oral, Suppository
Astramorph PF
- Injection 0.5 mg/mL
- Injection 1 mg/mL
Duramorph
- Injection 0.5 mg/mL
- Injection 1 mg/mL
Infumorph
- Injection 10 mg/mL
- Injection 25 mg/mL
MS Contin
- Tablets, controlled-release 15 mg
- Tablets, controlled-release 30 mg
- Tablets, controlled-release 60 mg
- Tablets, controlled-release 100 mg
- Tablets, controlled-release 200 mg
Drug Classification/Uses:
Mechanism of action:
Dosage:
Route of administration: Oral, Rectal
Monitor I & O, bowel sounds, and serum electrolytes, and/or abdominal pain and cramping.
Soft-Lax
- Capsules 100 mg
Generic name:
Drug Classification/Uses:
Colace
- Capsules 50 mg
- Capsules 100 mg
- Syrup 60 mg/15 mL
Brand name:
Docusate Sodium
Adults and Children older than 12 y/o
PO 50 to 500 mg daily.
Kaopectate Stool Softener
- Capsules 240 mg
Mechanism of action:
Which of the following indicates a neurovascular problem during the nurse's assessment of a patient with a fracture?
a. Exaggeration of extremity movement
b. Increased redness and heat below the injury
c. Decreased sensation distal to the fracture site
d. Purulent drainage at the site of an open fracture
Which of the following symptoms should the nurse be monitoring for a patient with pelvic fracture?
a. Changes in urinary output
b. Petechiae in abdomen
c. palpable lump in the buttock
d. sudden decrease in blood pressure
3. Lifestyle
-Avoid smoking and alcohol.
4. Medical option
-BMD testing
Weight-bearing exercise activities, exercise that focuses on posture and balance, and exposure to sunlight.
HEALTH PROMOTION STRATEGIES
2. Exercise
• Do all exercises as per instruction.
• Arrange your household to keep
the items you need within reach.
• Remove electrical cords, throw rugs,
and anything else that may cause you to fall.
• Use nonslip bath mats, grab bars, an elevated
toilet seat, and a shower chair in your bathroom.
• Don’t bend at the hip when you bend over. Don’t bend at the waist to put on socks and shoes. And avoid picking up items from the floor.
• Use a cane, crutches, a walker, or handrails until your balance, flexibility, and strength improve. And remember to ask for help from others when you need it.
• Free up your hands so that you can use them to keep balance. Use a fanny pack, apron, or pockets to carry things.
• Follow your doctor’s orders regarding how much weight to place on the affected leg.
• Use an elevated toilet seat for 6 week(s) after surgery.
• Use pillows between your legs when sleeping
on your back or on your healthy side.
• Sit on a firm cushion when you ride in a car and avoid sitting too low. Try not to bend your hip too much when getting in and out of the car.
• Don’t sit for more than 30 to 45 minutes at a time.
• Use chairs with arms, and sit with your knees slightly lower than your hips. Don’t sit on low or sagging chairs or couches.
• Don’t lean forward while sitting.
• Don’t cross your legs.
• Keep your feet flat on the floor. Don’t turn your foot or leg inward. This stresses your hip joint.
Calcium and Vit D
Estrogen Replacement
Decrease fall-risk Environment
5. Supplements:
- supplemental calcium that contains vitamin D.
- recommended vitamin D is
400-1000 IU for younger adults and
800-2000 IU for older adults and for people with high risk for osteoporosis.
Health Teaching Plan
Limit Caffeine
(e.g. low-fat and skim milk, non fat yogurt, and reduced fat cheese, salmon and sardines, leafy green vegetables.)
Adequate intake of Calcium and vitamin D.
HEALTH PROMOTION STRATEGIES