Nursing care for Infectious Patient after Orthopedic Operation : Case Study 2 Cases

Abstract

          Introduction: Most complications which always occur one week after having a surgery of femur shaft fractures are from the severity of fracture, the process of operation, and other aspects. They were frequently found in the elderly and bed ridden patients; for example, septicemia, wound infection, and the infection of other systems. Though the other infection are not common complication, the impact on patient has been severe and can lead to disabilities and death. According to the information collected from the orthopedic department, Photharam Hospital, the number of the femur shaft fracture with other part injury patients from serious accidents, both senior patients and other risk patients, has increased since 2017 as well as the complication rate of infection after the operation apart from infectious wound. These events resulted in the public health problem; for instance, low quality of life, disability, prolonged hospitalization, and economic loss.
          Objective: The study is to review nursing care procedure in the patient having femur fracture operation with septicemia and pneumonia. The study was in-depth researched in two cases who had femur bone fixation for femur shaft fracture from accident. One had developed septicemia subsequent to surgery operated then was transferred to a medical ward for cardiovascular treatment leading to prolonged hospitalization. The other had initiated pneumonia within 48 hours following the operation; the infection was stimulated from many kinds of risk prior the surgical intervention. In respect of the infection, the nurse must plan and assure that the patients were taken care in order to minimize the complication of infection. Infection control measurement of the hospital must be exercised until the patient’s hospital discharge. This in-depth research created the developing of the consistent and extensive guideline of caring for femur shaft fracture patients.