Answer:
After surgical repair of a hip fracture, the nurse should provide the client with specific instructions to help promote healing, prevent complications, and ensure a safe and successful recovery. The following are some instructions that the nurse should reinforce with the client prior to discharge:
Weight-bearing restrictions: The nurse should reinforce any weight-bearing restrictions that the client may have, as directed by the healthcare provider. This may include using crutches or a walker, avoiding putting weight on the affected leg, or using a wheelchair.
Incision care: The nurse should instruct the client on how to care for the incision site, including how to clean and dress the wound, and when to report any signs of infection, such as redness, swelling, or drainage.
Pain management: The nurse should provide the client with instructions on how to manage pain, including any prescribed pain medications, as well as non-pharmacological methods, such as ice or heat therapy.
Physical therapy: The nurse should explain the importance of physical therapy in promoting healing and restoring function, and provide the client with information on any scheduled therapy appointments.
Follow-up care: The nurse should provide the client with instructions on any necessary follow-up care, including when to schedule a follow-up appointment with the healthcare provider and when to have any necessary imaging studies.
Activity restrictions: The nurse should instruct the client on any specific activity restrictions, such as avoiding certain positions or movements, and when these restrictions may be lifted.
Nutrition: The nurse should provide the client with information on the importance of a healthy diet, including adequate protein and calcium intake, to promote healing and maintain bone health.
Fall prevention: The nurse should instruct the client on fall prevention strategies, such as keeping walkways clear of clutter, using assistive devices, and avoiding risky behaviors.
It is important for the nurse to provide clear and concise instructions to the client and family members, and to ensure that the client has a clear understanding of the instructions before discharge. The nurse should also encourage the client to ask questions and seek clarification as needed.