Hip fracture, the most common cause of slipping accidents, often occurs in the elderly Due to the elderly being less able to control the balance of the nervous system and muscles Will have symptoms of being unable to stand or walk Legs will look shorter, twisted outward. Which is treated by hip arthroplasty. Proper preparation before surgery will reduce the chance of complications that may arise from surgery. Incorrect patient care can cause complications after surgery, such as pneumonia, pressure ulcers, hip dislocations. Therefore, nurses must have knowledge and understanding about the disease. And postoperative care, which will make patients safe, reduce complications after surgery.
Case study: Thai female patients falling behind, falling unable to walk, right hip pain, diagnosed with Closed Fracture rt femoral neck, have underlying disease which is high blood pressure In the first phase, treatment is given by weighting 2 kg on Skin traction and pain medication when pain occurs. The doctor had surgery for Cementless Bipolar hemiarthroplasty. Hyperkalemia was complication. Patients before going home have physical consultations to learn to walk with weight using a walker. Before going home, patients can walk using a walker. Advise to educate patients and relatives. To prevent hip dislocation forward the home visiting unit about pressing the coccyx, Urinary Catheter Care and self-care to prevent hip dislocation recommend setting up an appropriate environment for a place such as a bed with a high level like a chair use a toilet or toilet seat to make an appointment to follow up the treatment 2 weeks after discharge.
Result: Nursing for hip fracture patients who received hip arthroplasty. Failure to receive effective treatment and care will lead to disability, causing physical, psychological, and social problems, including eventually death. Nurses have an important role to play in every stage of the illness. Since accepting patients in the hospital Preoperative preparation Postoperative period and rehabilitation period after hip arthroplasty.
Keywords: Hip fracture , Hip arthroplasty