1 case of femoral neck fracture patients the right nursing.docVIP

 PAGE \* MERGEFORMAT 3 1 case of femoral neck fracture patients the right nursing Femoral neck fractures in the elderly often traumatic, spontaneous fractures of diseases, disorders can lead to action, the patient’s mobility and daily living significantly lower, after careful treatment and care has achieved good results, will now be summarized as follows Nursing : 1 Clinical data 1.1 General Information Patients, female, 70 years old, private prosecution at home fall injuries caused by the right hip, that wound pain, limited mobility, call 96120 cars orthopedic hospital treatment access, check: T36.8 P86 / min R19 times / min BP130/80mmHg, conscious, right hip swelling, pain, bruising activity limitation, the right lower limb was external rotation deformity, shortening 3cm, CR film showed: right oblique central femoral neck fracture, elective surgery. 1.2 Treatment of cases Often by orthopedic preoperative care, secondary care, general food, the right tibial tubercle continuous skeletal traction weight 5kg, pinhole point of iodine 4mlBid, after a week of traction, reduce swelling and pain right hip, limited mobility, stability of the right tibial tuberosity, restaurants and two will be adequate, I was no exception, in the Union the right femoral neck fracture with epidural anesthesia for small incision hollow screw fixation. 2 Care 2.1 good admission assessment: elderly social experience is rich, poor physical fitness, and more comfort, to encourage patients, good psychological care, good preoperative missions. Close observation of changes in condition 2.2: close observation of changes in patient vital signs, observe the feeling of movement and limb tip end of elf blood circulation. 2.3 to strengthen basic care: Keep the bed flat, ground scrub, massage the skin under pressure at the ground to prevent the occurrence of pressure sores. To maintain disease-room air circulation, encourage patients to take a deep b