Home Care of Elderly Women with Total Hip Prosthesis

Year 2020, Volume: 9 Issue: 1, 58 - 66, 02.04.2020

Kübra Erturhan Türk Hesna Gürler

https://doi.org/10.37989/gumussagbil.476347

Abstract

The aim of this study was to evaluate the home care needs of an elderly
woman with total hip replacement for femur fracture according to Roper Logan
Tierney Daily Living Activities Model and to plan appropriate interventions for
these requirements. This is a case report. After total hip replacement surgery,
the individual who is half dependent on daily living activities lives alone and
can’t meet home care needs. During the assessment, knowledge deficit, body
image disturbance, acute pain, disturbed sleep pattern, activity intolerance,
nutrition less than body requirements, social isolation, constipation,
inability to maintain daily living activities, risk of fall and risk of venous
thromboembolism were identified as nursing diagnoses and nursing interventions
for these diagnoses were performed. Roper Logan Tierney Daily Living Activities
Model was found to be a useful model in determining and meeting the
postoperative home care needs of elderly people who have difficulty in daily
life activities.

Keywords

Elderly, Home Care, Total Hip Replacement

Total Kalça Protezi Takılan Meme Kanserli Yaşlı Kadının Evde Bakımı

Abstract

Bu çalışmada
femur kırığı nedeniyle total kalça protezi takılan yaşlı bir kadının Roper Logan Tierney Günlük Yaşam Aktiviteleri Modeline göre evde
bakım gereksinimlerinin değerlendirilmesi ve bu gereksinimlere yönelik uygun
girişimlerin planlanması amaçlandı. Bu çalışma bir olgu sunumudur. Total kalça
protezi ameliyatı sonrası günlük yaşam aktivitelerinde yarı bağımlı olan birey
yalnız yaşamakta ve evde bakım gereksinimlerini karşılayamamaktadır. Yapılan
değerlendirmede bireye, günlük yaşam aktivitelerini yerine getirmede
yetersizlik, konstipasyon, bilgi eksikliği, akut ağrı, uyku örüntüsünde bozulma,
aktivite intoleransı, beden gereksiniminden az beslenme, sosyal izolasyon,
beden imajında bozulma, rol performansında değişim, düşme ve venöz tromboemboli
riski hemşirelik tanıları konuldu ve bu tanılara yönelik hemşirelik girişimleri
uygulandı. Olgudan elde edilen veriler doğrultusunda Roper Logan Tierney Günlük
Yaşam Aktiviteleri Modeli’nin günlük yaşam aktivitelerinde zorlanan yaşlı
bireyin ameliyat sonrası evde bakım gereksinimlerinin belirlenmesi ve
karşılanmasında yararlı bir model olduğu belirlendi.

Keywords

Yaşlı, Evde Bakım, Total Kalça Protezi

References

• World Health Organization (WHO) (2015) http://apps.who.int/iris/bitstream/handle/10665/186463/9789240694811_eng.pdf;jsessionid=C4C5EBE22DD183174AE1B1FF2AD869A5?sequence=1 Erişim Tarihi: 11.09.2018
• Gürler, H., Bayraktar, N. & Erdil, F. (2017). Cerrahi Girişim Uygulanan Yaşlı Bireylerde Düşmelerin Önlenmesi, Türkiye Klinikleri J Surg Nurs-Special Topics, 3(2): 124-129.
• Centers for Disease Control (CDC) and Prevention. National Center for Injury Prevention and Control (2015). Preventing Falls: A Guide to Implementing Effective Community-Based Fall Prevention Programs, 2nd Edition.
• Cockayne, S., Pighills, A., Adamson, J., Fairhurst, C., Drummond, A., Hewitt, C, … & Torgerson, D.J. (2018). Can occupational therapist-led home environmental assessment prevent falls in older people? A modified cohort randomised controlled trial protocol. Send to BMJ Open, 8(9): e022488.
• Sotoudeh, G.R., Mohammadi, R., Mosallanezhad, Z., Viitasara, E. & Soares, J.J.F. (2018). The Prevalence, Circumstances and Consequences of Unintentional Falls among Elderly Iranians: A Population Study. Arch Gerontol Geriatr. 79: 123-130.
• Jagnoor, J., Keay, L., Jaswal, N., Kaur, M. & Ivers, R. (2014). A Qualitative Study on The Perceptions of Preventing Falls As A Health Priority Among Older People in Northern India, Injury Prevention, 20(1): 29–34.
• Özkan, S. & Adanaş, C. (2018). Femur Boyun Kırıklarında Güncel Yaklaşımlar Current Approaches in Femoral Neck Fractures. Van Tıp Derg 25(1): 76-81.
• Autar, R. (2011). Evidence Based Venous Thromboprophylaxis in Patients Undergoing Total Hip Replacement (THR), Total Knee Replacement (TKR) and Hip Fracture Surgery (HFS), International Journal of Orthopaedic and Trauma Nursing, 15(3), 145–154
• Açıksöz, S. & Uzun, Ş. (2007). Total Kalça Protezi Uygulanan Bireylerin Günlük Yaşam Aktivitelerine Yönelik Evde Bakımda Karşılaşılan Güçlükler. C.Ü. Hemşirelik Yüksekokulu Dergisi, 11(1): 8-16.
• Reay, P. A., Horner, B., & Duggan, R. (2015). The Patient's Experience of Early Discharge Following Total Hip Replacement. International journal of orthopaedic and trauma nursing, 19(3), 131-139.
• Bilik, Ö. (2017). Klinikten Eve Uzanan Yolculuk: Ameliyat Olan Hastaların Evde Bakımı, Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 33(1): 114-127
• Bobay, K.L., Jerokfe, T.A., Weiss, M.C. & Yakusheva, O. (2010). Age Related Differences in Perception of Quality of Discharge Teaching and Readiness for Hospital Discharge. Geriatric Nursing, 31(3): 178-187.
• Roper, N., Logan, W. W, & Tierney, A. J. (2000). The Roper-Logan-Tierney Model of Nursing: Based on Activities of Living. Edinburgh: Churchill Livingstone.
• Alligood, M.R. (2014). Nursing Theorists and Their Work, 8. Edition, Elsevier Inc., Riverport Lane St. Louis, Missouri
• Bulut, H. & Güler Demir, S. (2017). Hemşirelik Teorileri ve Modelleri, Akademi Basın, İstanbul. Ed: Karadağ, A., Çalışkan, N., Göçmen Baykara, Z. ss: 532-573
• Yao, D.H., Keswani, A., Shah, C.K., Sher, A., Koenig, K.M. & Moucha, C.S. (2017). Home Discharge After Primary Elective Total Joint Arthroplasty: Postdischarge Complication Timing and Risk Factor Analysis. J Arthroplasty, 32(2):375-380.
• Neighbour, C. (2014). Improving Bowel Care after Surgery for Hip Fracture. Nurs Older People, 26(10):16-22.
• Suwanpasu, S. & Pongpaew, W. (2016). Predictors of Health-Related to Quality of Life after Hip Surgery in Elderly Patients after Acute Care, Journal of Medical Research & Health Education, 1(1), 1-7.
• Fielden, J.M., Scott, S. & Horne, J.G. (2003). An Investigation of Patient Satisfaction Following Discharge After Total Hip Replacement Surgery, Orthopaedic Nursing, 22(6): 429-436.
• Montin, L., Suominen, T. & Leino-Kilpi, H. (2002). The Experiences of Patients Undergoing Total Hip Replacement, Journal of Ortohopedic Nursing,6: 23-29.
• Saray Kılıç, H. & Taştan, S. (2017). Development of Post Hip Replacement Comfort Scale. Applied Nursing Research,38:169-174.