The nurse would understand the need for additional teaching for home management for a client who had hip replacement when the client states, "I will:
1. Sit down in a chair to reach items below the waist height.".
2. Use a shower chair and raised toilet seat when performing hygiene.".
3. Have a ‘reacher' to access things on the floor.".
4. Remove loose carpets or objects in walkways.".
Sit down in a chair to reach items below the waist height.". Rationale:
• Sitting down in a chair and then trying to reach below the waist height is still placing the hip at risk of displacement due to an angle that is less than 90 degrees. Additional teaching is required. Suggestions should include placing objects at the waist height or using a reacher to assist without additional bending or twisting of the hips.
• A shower chair and raised toilet seat are keeping the hips at the correct angle to prevent displacement.
• Using a reacher will prevent bending or stooping that might cause hip displacement.
• Loose carpets and objects in walkways may cause unnecessary falls and further injure the client and/or hip replacement itself.
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