Patient Details |
: |
Marital Status |
: Widower (8 years) |
Admission Date |
: 3 September 2010 (City Hospital) |
Discharge Date |
: 7 September 2010 |
Diagnosis |
: Left Total Hip Replacement (THR)
Ongoing high blood pressure |
Social Background |
: Lives at Greywalls Nursing Home (GNH) (4 years)
No children
Employed as a radio engineer until retirement aged 65
Now aged-pensioner |
Hobbies |
: Chess, ham radio operator
Sister, Dawn Mason (66), visits regularly; v supportive
– plays chess with Mr Baker on her visits
No signs of dementia observed |
Medical Background |
: 2008 – Osteoarthritis requiring total hip replacement surgery
1989 – Hypertension (ongoing management)
1985 – Colles fracture, ORIF |
Medications |
: Aspirin 100mg mane (recommenced post-operatively)
Ramipril 5mg mane
Panadeine Forte (co-codamol) 2 qid prn |
History/Supports |
: Lives with his wife
Habit of consuming liquor for the past 30 years
Cigarette smoker, Skin dark |
Nursing Management and Progress |
: Daily dressings surgery incision site
Range of motion, stretching and strengthening exercises
Occupational therapy
Staples to be removed in two wks (21/9)
Also, follow-up FBE and UEC tests at City Hospital Clinic |
Medical Progress |
: Skin biopsy is taken for pathological study
CCB – removal of pain reliever panadein forte 500mg |
Assessment |
: Good mobility post-operation
Weight-bearing with use of wheelie-walker; walks length
of ward without difficulty
Post-operative disoriention re time and place during
recovery, possibly relating to
anaesthetic – continued observation recommended
Dropped Hb post-operatively (to 72) requiring transfusion
of 3 units packed red
blood cells; Hb stable (112) on discharge – ongoing
monitoring required for anaemia |
Discharge Plan |
: Monitor medications (Panadeine Forte)
Preserve skin integrity
Continue exercise program |
Equipment required |
: wheelie-walker, wedge pillow, toilet raiser. Hospital to
provide walker and pillow. Hospital social worker
organised 2-wk hire of raiser from local medical supplier. |