Orthopeadic/ Hip/ General Aging

Question 1

Hip replacement Pre-admission checks:

Answer 1

Medical hx, Bloods, ECG, Urine and Xrays

Question 2

Hip replacement Risks of surgery.

Answer 2

Infection, DVT (lack of mobility, bruising and swelling, Dislocation, leg length differences.

Question 3

Hip Replacement General Anesthetic and Side Effects of GA:

Answer 3

Stops transmission of pain to the brain and uncontrolled loss of consciousness. IV line
Side effects: Nausea, vomiting, blurred vision, difficulty passing urine.

Question 4

Hip replacement Post-OP considerations:

Answer 4

Assistance with mobilising, BM, leg/ chest exercise, wound and food monitoring.
Pressure injury.

Question 5

Aging context in NZ and health strategy?

Answer 5

NZ has an aging population, more elderly than youth. NZ Healthy Aging Strategy 2016, aims to better support the elderly, with complex needs, ensuring innovation and rehabilitation.

Question 6

Age-related changes on body systems:
1)Nervous system/ integumentary
2) Cardiopulmonary System
3) GI and GU
4)General Status
5) Musculoskeletal system

Answer 6

1) Slower cognition, Eyesight, impaired senses, slower response to stimuli. decrease in skin elasticity, dryness and thinning of hair.
2) Decrease of blood vessel elasticity, venous blood return less effective.
3) decrease urinary output, decrease # functioning nephrons, decrease in sphincter control, decrease digestive juices, slow paralysis, anemia.
4) Decrease ability to repair, decrease wound healing, and tiredness.
5) Kyphosis, Decrease in bone density, decrease in bursa (wearing down), decrease in weight.

Question 7

Osteoporosis
what
Diagnosis
treatment

Answer 7

Decrease in bone and change in bone structure more susceptible to fracture.
Diagnosis: Physical examinations of motor movements, DEXA scan
Treatment: Vitamin D and calcium, Oral meds IV.

Question 8

Arthritis
What is it?
rheumoid?

Answer 8

is the inflammation of the joints, causing a decrease in range of motion due to swelling and stiffness.
Rheumatoid is autoimmune causes systemic inflammation leading to destruction of tissue
Osteo: Inflammation of weight-bearing bones (Knees, Hips, Hands)
Gout: Increased caused by a build-up or uric acid. Allopurinol.

Question 9

Nursing Assessment of Older Adult

Answer 9

Posture, gait, Muscle strength, Mobility aid, Colour. odem.
PI Surface Skin examination Keeping moving Nutrition. BM

Question 10

Falls Consideration:

Answer 10

Environmental hazards
Neuromuscular disorder MS or Muscular Dystrophy SK degradation.
Mobility issues?
Side effects of meds

Question 11

Aging and Mental Health

Answer 11

Age of 80 30% of brain mass decrease. Social isolation endured so much loss.