2. The fact that she has been kept almost totally stationery for 3 days following surgery, when she should have been exercising her limb
3. The small urine output that may signal post-operation infection.
4. Her living quarters -- in a trailer that provide plenty of opportunity for falling and re-fracturing of limb.
5. Her age which again places her at greater risk for falling.
6. Mrs. Well's desire to return to her housework. "Only very light work should be performed post-surgery of the hip with no bending, twisting, or crossing the legs at the hip joint, or at the ankles"(Queen Elizabeth Hospital Birmingham). Similarly, Mrs. Wells lives in a rural area- she should avoid gardening. Only light housework should be engaged in.
7. Mrs. Wells needs someone to help her do routine tasks such as bathing and dressing. She only has a son who lives with her, and she is poor. This may indicate that she may not receive the necessary care (Queen Elizabeth Hospital Birmingham: online
An Individualized teaching plan for Ms. Wells
I would explain the physiology of the hip joint and the performance of the surgery so that Ms. Wells understand the physiology of her injury and why she needs to take care of the spot so that re-fracturing not occur. I will also tell Ms. Wells that the 3 months following surgery is the period when the joint is weaker and can become dislocated more easily therefore...
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