Nursing Care for Patients Underwent Anterior Cruciate Ligament Reconstruction
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Abstract
The anterior cruciate ligament (ACL) injury is mostly founded in adults. The major causes of this health condition are accidents and crashes. The frequent found signs and symptoms are pain, listened “popping” at knee, feel like having knee loosening, and poor body balance which impact their ability to maintain activity of daily life. The significant examination to investigate ACL injury include Ballottement test, instability test, X-ray, magnetic resonance imaging (MRI), and arthroscopy. There are two phases of treatment. First, patients with common ACL injury would receive supportive treatment. Second, patients with severe ACL injury would need the operation for repairing or reconstruction of ACL. The essential nursing care during preoperative period are providing information and encouraging rehabilitation such as breathing exercise, effectiveness of coughing, and ankle pumping exercise. Within 24 hours after operation, nurses should prevent the postoperative complications from local anesthesia such as hypothermia, bleeding, pulmonary embolism, pain, and numbness. Nursing care for post-operative within 24 - 72 hours consist of preventing infection, pain, joint stiffness, and knee stability training. The patients should be prepared and rehabilitated from the pre-operative period until discharge from hospital. Ultimately, they could return to normal life by having proper knee ligament function, safe from falls, and good quality of life after ACL reconstruction.
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References
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