TKR(Total Knee Replacment) is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis
Nursing Diagnosis of TKR(Total Knee Replacment)
- Acute pain
- Altered Mobility
- Risk for Infection
- Disturbed , scarring and decreased mobility overall.
- Impaired Comfort r/t TKR, AEB grimacing.
Nursing Outcome/Goal and Outcome Criteria TKR(Total Knee Replacment)
- Client will rate pain on pain scale. Will take and follow strict medication regimen.
- Client will do ROM exercises every am for 10 minutes.
- Client will inspect hip incision every day for redness, heat, or drainage
- Client will demonstrate hip insicion care with mild soap and water and be sure to dry it thoroughly.
- Client will be placed on high protein and vitamin C diet
- Client will cough and deep breathe.
Nursing Intervention Client With TKR(Total Knee Replasment)
- Assess Vital Sign(Plus,Blood Pressure,Respiratory)
- Assess pain according to pain scale (0-10) every hour.
- Assess client’s needs holistically.
- Monitor Client Diet Plan
- Will assist patient into wheelchair on the day of surgery.
- Will teach patient to walk up and down the stairs as needed.
- Assess pain, paresthesia, pulse, polar, pallor, and paralysis.
- Assess Range of Motion (R.M.O)
- Assess infection
Sources:
http://orthoinfo.aaos.org/menus/arthroplasty.cfm
Nursing Diagnosis Handbook, Ackley, B.
http://en.wikipedia.org/wiki/Knee_replacement
