2025 Volume 3 Article ID: 2024-012
Lifestyle guidance is important for preventing dislocation after hip replacement arthroplasty. Patient A underwent left hip replacement arthroplasty approximately two years previously and underwent a left hip replacement due to a dislocation that developed when the patient fell at home due to Parkinson syndrome. The author provided daily life guidance to prevent any dislocation because the patient had a high risk of dislocation. However, Patient A experienced three dislocations during hospitalization and was scheduled to undergo total hip arthroplasty (THA). Based on this case, the author examined appropriate and effective nursing care during the process of the patient regaining her necessary activities of daily living (ADL).
The postoperative development of dislocations poses an obstacle to regaining ADL. A step-by-step intervention was important for ADL after hospital discharge, depending on the level of understanding of dislocation in Patient A. Feedback by the medical staff provided at each intervention stage could improve the motivation of Patient A.
In addition, since the hospitalization period has generally been asked to be shorted by the guidance of Japanese Ministry, early intervention is required for the patient’s goal of being discharged from hospital. It was concluded that physical support from nurses to prevent dislocation would be important in addition to mental support to provide patients with repeated successful experiences.
