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Surgery Precautions

FM

QuestionAnswer
What are the functional mobility precautions and positioning rules after a THA? Posterior Approach Avoid hip flexion greater than 90 degrees, hip add past midline, hip IR. Keep the legs apart, use abd pillow. Avoid low chairs and excessive bending forward.
What are the functional mobility precautions and positioning rules after a THA? Anterior Approach Avoid excessive hip extension and ER. Follow the specific surgeon's precautions because protocols can vary
What are the functional mobility precautions and positioning rules after a TKA? Encourage knee extension and avoid prolonged knee flexion to prevent a knee flexion contracture. Avoid placing a pillow directly under the knee for prolonged positioning. Encourage ROM and mobility as ordered. If elevation needed, place under lower leg
What are the functional mobility precautions for a patient with a NWB ankle fracture? Involved LE must be NWB. Rely on unaffected LE and UEs as appropriate. Do not use fractured leg to push, bridge, or WB. Maintain prescribed weight-bearing status during all mobility
What are the positioning and functional mobility precautions after a BKA? Avoid hip and knee flexion. No pillow under knee. Encourage knee extension. Encourage periodic prone positioning
What are the positioning and functional mobility precautions after an AKA? Prevent hip flex, abd, and ER. Avoid prolonged sitting and hip flexion. Avoid elevation of residual limb. Encourage hip extension and neutral positioning. Periodic prone positioning
What are the positioning and functional mobility precautions for a patient with burns? Position pt opposite direction of burn and avoid prolonged comfortable positioning. Encourage ROM. Reposition frequently. Rely on unaffected extremeties during positioning. Prevent areas from excessive pressure, shear, or stress
What are the functional mobility precautions after CABG Protect the sternum. Avoid excessive pushing, pulling, and lifting with UEs. Pushing remain under 10 pounds.
What are the functional mobility precautions after lumbar/spinal surgery Avoid bending, lifting, twisting, and excessive pushing. Keep neutral spine. Use a log roll for bed mobility
What are the functional mobility and positioning considerations after a CVA with hemiplegia Do not pull on affected UE, especially at the shoulder. Position the affected extremeties appropriately and use unaffected side to assist with mobility when needed.
What are the functional mobility and positioning considerations for SCI? Protect the spine and maintain appropriate alignment while following the patients spinal precautions.
What positioning measures help prevent pressure injuries Reposition every 2 hrs. Offload bony prominences, keep the skin clean/dry, inspect the skin, avoid friction and shear, and use appropriate positioning/support surfaces. Patients with impaired sensation or mobility require especially close skin monitoring.
Created by: user-2052658
 

 



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