Thursday 17 May 2012

Hip replacement post operative precautions




In my first fieldwork placement as an occupational therapy student I was placed at a community physical setting at a hospital. The client base mainly involved people of he older generation however did cater from 20 years and up. During this placement I became very familiar with total hip replacements and providing occupational therapy services for pre operation precautions.

My supervisor and I visited many people at their homes before they went into surgery for their total hip replacement surgery. It was her job as the community occupational therapist to ensure the client had education on the postoperative limitations they would have.

One consideration she taught during these session was way in which you should get on and off the bed without flexing the hip joint to much. This video demonstrates the precautions needed to be considered when getting on and off the bed.



Also she educated them on getting on and off a chair as demonstrated in the video:



One other important education topic was going up and down stairs as demonstrated in this video:



My supervisor also supplied the client with tools to assist them during the recovery when clients are recovering they are unable to bend their hip joint less than 90 degrees as this might cause the hip to dislocate.

The most common piece of equipment given out was the easy reach. This video demonstrates this piece of equipment when pulling up pants: 



I was lucky enough to view a total hip replacement at the hospital. This was a fantastic experience and the procedure was very interesting to watch.

In this video you can see the basic over view of what happens in a total hip replacement procedure.



5 comments:

  1. Thats really awesome about getting to see a hip replacement surgery. Did it change how you viewed clients after coming out of those operations? as in did you have more of an understanding of why the felt the way the did/ what their functional abilities were?

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  2. Yes i was very lucky to have that opportunity.

    Yes, you are right Hannah it was interesting to learn how intrusive hip replacements can be. It really did give me a greater insight as to why their mobility would be so limited following the surgery.

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  3. Vitamins and supplements have been consistently recommended by health care providers to relieve any health complaints like osteoporosis and hip pains. Regarding hip replacement surgeries, one should know that certain devices have been recalled by their manufacturers due to complaints from its clients. For instance, the ASR Hip Replacement Recall by the DePuy Orthopaedics of Johnson&Johnson. Certain design features of ASR XL Acetabular System and the ASR Hip Resurfacing System can cause grinding of the implants’ metal components. This will eventually cause metal pieces to break off into the body. Metal particles traveling in the body and bloodstream may cause bone loss, inflammatory reactions, and damage in soft tissue. See http://depuylawsuit.tumblr.com/ .

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  4. it is a very sensitive part of the process as you are dealing with bureaucracy and so on. Having to deal with all the lines can add up the stress that you already have.

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  5. This for sharing this very interesting blog you have here about hip replacement.

    DePuy ASR Hip Recall

    ReplyDelete