Total Hip Joint Replacement
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Total hip joint replacement is becoming a common surgical procedure among older patients, and their responses to the procedure, and recovery rate from the procedure are influenced by the presurgical assessment data they receive and the post-surgical discharge information and followup care provided. Patients who are educated about the procedure and know what to expect afterwards experience an improvement in their self-care and carefully coordinated discharge planning and support can be greatly beneficial in these circumstances (Fielden, Scott and Horne, 2003). Because of a shortage of hospital beds, and increasing health care costs, patients are being discharged earlier and it is necessary to make sure that they can handle their discharge self-care so that they can have an uneventful recovery. A. Purpose centered on specific issues and factors Fielden, Scott and Horne (2003) investigated the experiences of 33 total hip joint replacement (THJP) patients from two hospitals who were either discharged early (after fewer than five days in hospital) or late (after five or more days in hospital) to determine their expectations and satisfaction with in-hospital discharge planning. During the early rehabilitation stage after THJR, patients have a limited capacity for self-care. Patients usually experience immediate relief from pain and movement restriction, their physical functions are restricted and mobility aids are required in the early stag
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ibed in superlatives, but as to quality rather than the nature of their care, while the other members of the team were described in terms of their area of expertise.
Some patients used the internet to get more information on their condition, and this has been shown in other studies to provide effective learning and improvement in patient outcomes (Fielden, Scott and Horne, 2003). Because the patients relied heavily on written information, it is important to make sure that this material is complete and readily understandable to its intended audience.
The study had limitations in that it only considered patients in two hospitals, and the situation may vary at other hospitals in terms of information given and discharge planning procedures (Fielden, Scott and Horne, 2003). In this particular study, the low visibility of the role of the nurse in the whole process is interesting, particularly since it is the nurse who is usually responsible for assessing, coordinating and monitoring discharge arrangements and educating the patient to prepare them for discharge. It suggests that perhaps these nurses need mentoring in their role in discharge planning.
B. Interviews and studies
Hip fractures are common in older people, and th
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Some common words found in the essay are:
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Approximate Word count = 2164
Approximate Pages = 9 (250 words per page)
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