Nursing care of patients with hip fractures who have comorbidities and who haveundergone hip replacement surgery : Two comparative case studies.

Abstract

      This study was case study aimed to study nursing care for patients with hip fractures who were treated with hip replacement surgery Compare 2 case studies choose a specific design. They are patients who have had hip surgery and have comorbidities. who received treatment at the female surgical and orthopedic ward and male surgical and orthopedic wards. Sirindhorn Hospital Khon Kaen Province By collecting information from medical records Information from talking with patients and relatives Comparative data analysis according to Gordon's 11 health models. Set a nursing diagnosis Plan and perform nursing actions using the nursing process.
     Results : The results of the study found that the two case study patients were elderly. Have co-morbidities Patient 1 is a 60-year-old Thai man with comorbidities including high blood pressure. And there are complications. Hypokalemia There are risks of surgery. Corrects, prepares for surgery, and performs patient care for hip fractures. Be evaluated by an internist and anesthesiologist before surgery. Had surgery according to the specified schedule. After surgery, the patient is safe. The second patient is a 79-year-old Thai woman with co-morbidities including diabetes and high blood pressure. Can control well But there were complications before surgery including: urinary tract infection Receive evaluation and treatment from a general practitioner. Until it was safe, he received hip replacement surgery. After surgery, the patient is safe.