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Contents loading... Editors loading... Categories loading... When refering to evidence in academic writing, you should always try to reference the primary (original) source. That is usually the journal article where the information was first stated. In most cases Physiopedia articles are a secondary source and so should not be used as references. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. Introduction[edit | edit source]Hip precautions are a common component of standard postoperative care following total hip replacement surgery[1] Depending on individual health and mobility a prior surgery, one may need to maintain these precautions for 60-90 days and some as far as 6 months. The hip precautions below mainly apply to the posterior or posterior lateral hip replacement procedure. The anterior hip replacement procedure has fewer precautions and they are outlined later in this article. Hip Precautions[edit | edit source]General Rule[edit | edit source]
Dressing[edit | edit source]
Sitting[edit | edit source]
The video below outlines the above issues and a few more [5] Bathing/Toileting[edit | edit source]
Ascending/Descending stairs[edit | edit source]
Lying in bed[edit | edit source]
Getting into/Riding a car[edit | edit source]
[6] Walking[edit | edit source]
Anterior hip approach precautions[edit | edit source]This approach has fewer restrictions Do not step backwards with surgical leg. No hip extension. Do not allow surgical leg to externally rotate (turn outwards). Do not cross your legs. Use a pillow between legs when rolling. Sleep on your surgical side when side lying. Evidence relating to hip precautions[edit | edit source]The use of hip precautions have been questioned in studies in recent years. A 2017 study reported that routine use of hip precautions in the primary setting appears unnecessary and potentially detrimental.[7] A 2015 systematic review concluded that in anterior lateral THR approach the rate of dislocation is low and is not improved by hip precautions. They noted that these precautions are associated with a slower return to activities, significant expense, and decreased patient satisfaction.[8] Resources[edit | edit source]
References[edit | edit source]
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When repositioning a patient what can the nurse do to prevent?Repositioning the patient every two hours helps prevent complications like pressure ulcers and skin breakdown. Avoid friction and shearing. When moving patients, lift rather than slide to prevent friction that can abrade the skin making it more prone to skin breakdown. Proper body mechanics.
What is the purpose of positioning a patient at the 30 degree lateral position?Manual repositioning of patients by nursing staff is a recognised technique for preventing pressure ulcer formation. The 30 degree tilt is a method of positioning patients that, in the laboratory setting, reduced the contact pressure between the patient and the support surface.
When positioning a patient in bed you should quizlet?The head is turned to one side and supported by a pillow. The arm that is in the back should be down by the side. The arm that is in the front should be bent up by the head and supported with a pillow. The leg that is in the back should extend straight toward the foot of the bed.
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