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Chronic dislocation of hip and knee contractor - help re turning patient

Orthopaedic   (174 Views | 3 Replies)
by Alirus145 Alirus145 (New) New Retired

Alirus145 specializes in midwifery.

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Can anyone help with some advice/ideas on how to roll/turn a patient with a chronic left hip dissociation who also has left knee contraction - due to the hip dislocation it sits at a 90 degree angle in the bed and can only be straightened as far as- see photo.   He also has a right leg above knee amputation and is completely immobile (78 year old)

He has a pressure sore developing on his sacrum so requires turning regularly but this causes extreme pain - any suggestions on how or what equipment could be used to help.

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mmc51264 has 8 years experience as a ADN, BSN, MSN, RN and specializes in orthopedic; Informatics, diabetes.

2,773 Posts; 39,158 Profile Views

Is this in a LTC facility?

 

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Alirus145 specializes in midwifery.

2 Posts; 31 Profile Views

Hi Yes this is a LTC Facility - he moved there recently from another area so notes are limited - we are waiting for a physio/OT assessment but will take a few weeks 

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On 1/28/2020 at 4:52 AM, Alirus145 said:

Hi Yes this is a LTC Facility - he moved there recently from another area so notes are limited - we are waiting for a physio/OT assessment but will take a few weeks 

Weeks????  Try to get the old chart from the previous facility and see what they did to care for this elderly gentleman.  Or talk to their PT staff.  Weeks is outrageous and wrong.

You don't want him to get pressure sores or be in pain. 

Get your managers involved today!!!  Whoever accepted this patient needs to take responsibility for figuring out how to care for him.

Where is the doctor? 

Get a trapeze bar so maybe he can do some pulling with his arms.

I wonder if an osteopath could help move that dislocated hip into the right position. 

How in the world did this ever happen?

Perhaps warm water - being in a tub for PT - can help some.

Where is the family?

Does he have adequate pain management and what about bowel regulation?

Good luck.  Thank you for recognizing this grave issue and getting some help for this poor soul.

Edited by Kooky Korky

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