Nursing process applied to an older adult with periprosthetic fracture on the right hip

Periprosthetic fracture is a rare complication in elderly adults of total arthroplasties and hip revision. Objective. To provide comprehensive care through the nursing care process to an older adult with periprosthetic fracture of the right hip. Methodology. Nursing care process carried out in the a...

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Main Authors: Isaí Arturo Medina Fernández, Perla Noemi Polanco Tinal, Reyna Torres Obregón, Sandra Cecilia Esparza González
Format: Article
Language:Spanish
Published: Universidad Nacional Autónoma de México (UNAM) 2019-08-01
Series:CuidArte
Subjects:
Online Access:https://www.revistas.unam.mx/index.php/cuidarte/article/view/70342
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author Isaí Arturo Medina Fernández
Perla Noemi Polanco Tinal
Reyna Torres Obregón
Sandra Cecilia Esparza González
author_facet Isaí Arturo Medina Fernández
Perla Noemi Polanco Tinal
Reyna Torres Obregón
Sandra Cecilia Esparza González
author_sort Isaí Arturo Medina Fernández
collection DOAJ
description Periprosthetic fracture is a rare complication in elderly adults of total arthroplasties and hip revision. Objective. To provide comprehensive care through the nursing care process to an older adult with periprosthetic fracture of the right hip. Methodology. Nursing care process carried out in the area of joint reconstruction of a third level hospital in Mexico City, Mexico; An assessment was applied based on Marjory Gordon’s functional patterns and comprehensive geriatric assessment; data were extracted from the electronic clinical record. The nursing process was applied to the three priority diagnoses according to the NANDA, NOC and NIC taxonomies. Results. During hospitalization, the main nursing diagnoses identified were acute pain, deterioration of physical mobility and risk of peripheral neurovascular dysfunction, nursing interventions were aimed at the control of immobility, activity and exercise, as well as pain management, precautions in embolism and lower limb monitoring. Conclusion.  during the intervention period, the older adult had a slow improvement, however, there were no changes in the prioritization of nursing diagnoses.  
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spelling doaj-art-d7b5464fa2344bed8b4d1b0bf0f91c002025-08-20T02:15:37ZspaUniversidad Nacional Autónoma de México (UNAM)CuidArte2395-89792019-08-0181610.22201/fesi.23958979e.2019.8.16.70342Nursing process applied to an older adult with periprosthetic fracture on the right hipIsaí Arturo Medina FernándezPerla Noemi Polanco TinalReyna Torres ObregónSandra Cecilia Esparza GonzálezPeriprosthetic fracture is a rare complication in elderly adults of total arthroplasties and hip revision. Objective. To provide comprehensive care through the nursing care process to an older adult with periprosthetic fracture of the right hip. Methodology. Nursing care process carried out in the area of joint reconstruction of a third level hospital in Mexico City, Mexico; An assessment was applied based on Marjory Gordon’s functional patterns and comprehensive geriatric assessment; data were extracted from the electronic clinical record. The nursing process was applied to the three priority diagnoses according to the NANDA, NOC and NIC taxonomies. Results. During hospitalization, the main nursing diagnoses identified were acute pain, deterioration of physical mobility and risk of peripheral neurovascular dysfunction, nursing interventions were aimed at the control of immobility, activity and exercise, as well as pain management, precautions in embolism and lower limb monitoring. Conclusion.  during the intervention period, the older adult had a slow improvement, however, there were no changes in the prioritization of nursing diagnoses.   https://www.revistas.unam.mx/index.php/cuidarte/article/view/70342elderlyhip fractureship prosthesesnursing process
spellingShingle Isaí Arturo Medina Fernández
Perla Noemi Polanco Tinal
Reyna Torres Obregón
Sandra Cecilia Esparza González
Nursing process applied to an older adult with periprosthetic fracture on the right hip
CuidArte
elderly
hip fractures
hip prostheses
nursing process
title Nursing process applied to an older adult with periprosthetic fracture on the right hip
title_full Nursing process applied to an older adult with periprosthetic fracture on the right hip
title_fullStr Nursing process applied to an older adult with periprosthetic fracture on the right hip
title_full_unstemmed Nursing process applied to an older adult with periprosthetic fracture on the right hip
title_short Nursing process applied to an older adult with periprosthetic fracture on the right hip
title_sort nursing process applied to an older adult with periprosthetic fracture on the right hip
topic elderly
hip fractures
hip prostheses
nursing process
url https://www.revistas.unam.mx/index.php/cuidarte/article/view/70342
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