Congenital hip dysplasia (also known as developmental hip dysplasia) is related to abnormal hip development that may arise during the fetal life. The abnormalities include hip instability, shallow acetabulum (preluxation), incomplete dislocation of the hip (subluxation), and femoral head not in contact with the acetabulum (dislocation). Involvement of the hip is unilateral but may appear on both. It predominantly occurs in females than in males. It is usually recognized during newborn and responds to treatment best if started before two (2) months of age.
Hip dysplasia treatment is dependent on the age of the child and the severity of the condition and ranges from application of a reduction device to traction and casting, to surgical open reduction. Casting and splinting with correction is usually unfeasible after six (6) years of age.
Nursing Care Plans
Nursing care planning goals for a child with congenital hip dysplasia include improving physical mobility, providing appropriate family and social supports, educating and involving parents in ADL’s, and avoiding complications (e.g., compartment syndrome).
Impaired Physical Mobility
May be related to
- Musculoskeletal impairment (hip defect)
Possibly evidenced by
- Imposed movement restriction by splint, harness, cast, or traction
- Inability to purposefully move within the physical environment including bed mobility; ambulation
- Child will move self in bed with traction bar; walk the length of the hallway and back twice a day.
|Assess muscle mass, strength, tone; ability to move and activity level in performing ADL.||Provides data about the condition and function of the musculoskeletal system.|
|Assess sensory and motor function of extremities; presence of surgical correction of musculoskeletal abnormalities.||Provides data about conditions or treatments that affect mobility.|
|Assess activity restrictions, bed rest status, imposed immobility by braces, casts, traction, splints.||Keep rest during acute stages to promote healing and restoration of health.|
|Allow all age-appropriate activities that promote mobility, encourage the infant to crawl.||Facilitates mobility based on the constraints of illness and provides an opportunity to vent frustration due to imposed immobility.|
|Discourage activity restrictions unless ordered; allow and assist if possible in performing daily activities; administer pain medication prior activity.||Supports mobility and activity compatible with health and life; allows for independence and control for normal development.|
|Provide and apply harness, splint; use of aids including wheelchair, crutches, supportive reading, eating, and other aids for ADL as needed.||Promotes autonomy and support in mobility and activities.|
|Keep body alignment during bed rest,|
do position changes every two (2) hours or as needed; provide a drawing for the child to follow for position and area to lie in bed.
|Avoids contractures and physical deformity.|
|Encourage and assist the child in muscle strengthening exercises, passive stretching exercises as appropriate.||Conserves muscle strength or prepares for use of mobility aids.|
|Facilitates rest with periods of mobility.||Avoids fatigue and maintains energy.|
|Teach parents and child about complications brought about by immobility.||Promotes compliance with the program to maintain mobility and understanding of effects of immobility.|
|Teach parents and child to utilize devices or aids for mobility and ADL.||Helps safe use of aids and equipment and increased protection.|
Recommended nursing diagnosis and nursing care plan books and resources.
- Nursing Care Plans: Nursing Diagnosis and Intervention (10th Edition)
An awesome book to help you create and customize effective nursing care plans. We highly recommend this book for its completeness and ease of use.
- Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions and Rationales
A quick-reference tool to easily select the appropriate nursing diagnosis to plan your patient’s care effectively.
- NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023 (12th Edition)
The official and definitive guide to nursing diagnoses as reviewed and approved by the NANDA-I. This book focuses on the nursing diagnostic labels, their defining characteristics, and risk factors – this does not include nursing interventions and rationales.
- Nursing Diagnosis Handbook, 12th Edition Revised Reprint with 2021-2023 NANDA-I® Updates
Another great nursing care plan resource that is updated to include the recent NANDA-I updates.
- Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5(TM))
Useful for creating nursing care plans related to mental health and psychiatric nursing.
- Ulrich & Canale’s Nursing Care Planning Guides, 8th Edition
Claims to have the most in-depth care plans of any nursing care planning book. Includes 31 detailed nursing diagnosis care plans and 63 disease/disorder care plans.
- Maternal Newborn Nursing Care Plans (3rd Edition)
If you’re looking for specific care plans related to maternal and newborn nursing care, this book is for you.
- Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care (7th Edition)
An easy-to-use nursing care plan book that is updated with the latest diagnosis from NANDA-I 2021-2023.
- All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health (5th Edition)
Definitely an all-in-one resources for nursing care planning. It has over 100 care plans for different nursing topics.
Other recommended site resources for this nursing care plan:
- Nursing Care Plans (NCP): Ultimate Guide and Database
Over 150+ nursing care plans for different diseases and conditions. Includes our easy-to-follow guide on how to create nursing care plans from scratch.
- Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing
Our comprehensive guide on how to create and write diagnostic labels. Includes detailed nursing care plan guides for common nursing diagnostic labels.
Other nursing care plans for musculoskeletal disorders and conditions:
- Amputation | 4 Care Plans
- Congenital Hip Dysplasia | 4 Care Plans
- Fracture | 11 Care Plans
- Juvenile Rheumatoid Arthritis | 4 Care Plans
- Laminectomy (Disc Surgery) | 8 Care Plans
- Osteoarthritis | 4 Care Plans
- Osteoporosis | 4 Care Plans
- Rheumatoid Arthritis | 6 Care Plans
- Scoliosis | 4 Care Plans
- Spinal Cord Injury | 12 Care Plans
- Total Joint (Knee, Hip) Replacement | 5 Care Plans