Geriatrics Practical Complete Solutions
Posterior THR precautions "90-Pigeons-Crossing" - No flexing hip or bending torso past 90° - No internal rotation (pigeon toe) - No crossing midline (hip adduction)
Anterior THR precautions Opposite of posterior hip precautions - Can bend forward/flex hi...
Anterior THR precautions ✅Opposite of posterior hip precautions
- Can bend forward/flex hip past 90°
- No hip extension
- No bridging (common for moving side-to-side in bed)
- No external rotation
Anterolateral THR precautions ✅
Additional safety precautions to consider for THR patients ✅-Safety during mobility (i.e. wearing grip
socks and locking wheelchair brakes)
-Safety during use of adaptive equipment
-Balance with any weight-bearing precautions
-Call button within reach
THR assessments ✅1. Pain (1-10 Scale)
2. Berg Balance
3. Static and Dynamic Standing Balance
4. Home Assessment
5. Functional Reach if ANTERIOR Incision
THR interventions ✅- adaptive equipment
, - ADL dressing
- ADL transfers
- bed mobility
Adaptive equipment used for THR ✅AE / DME will allow the client to complete ADL tasks with Mod I
while adhering to hip precautions because they will not be bending or crossing midline.
- Reacher
- Shoe Horn
- Long-handled Sponge
- Shower Chair
- FWW
- Tub bench
safety precautions for TKR ✅Typically no movement restrictions and Weight-Bearing as Tolerated
(WBAT)
what movement should be promoted in patients with TKR and why? ✅Promote flexion to prevent
contractures from knee being in prolonged extended position
Assessments for TKR ✅- Pain (1-10 Scale)
- Timed Up-and-Go
- Functional Reach
- Home Assessment
interventions for TKR ✅- patient education in adaptive equipment use during bathing & dressing
- transfers with WB precautions (protect surgical site)
patients with THR and TKR should dress ✅affected side first
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