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).
Here are four (4) nursing care plans (NCP) and nursing diagnosis (NDx) for congenital hip dysplasia:
Impaired Physical Mobility
Nursing Diagnosis
- 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
Desired Outcomes
- Child will move self in bed with traction bar; walk the length of the hallway and back twice a day.
Nursing Interventions | Rationale |
---|---|
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. |
See Also
You may also like the following posts and care plans:
- Nursing Care Plan: The Ultimate Guide and Database – the ultimate database of nursing care plans for different diseases and conditions! Get the complete list!
- Nursing Diagnosis: The Complete Guide and List – archive of different nursing diagnoses with their definition, related factors, goals and nursing interventions with rationale.
Musculoskeletal Care Plans
Care plans related to the musculoskeletal system:
- Amputation | 4 Care Plans
- Congenital Hip Dysplasia | 4 Care Plans
- Fracture | 8 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
- Total Joint (Knee, Hip) Replacement | 5 Care Plans
Pediatric Nursing Care Plans
Nursing care plans for pediatric conditions and diseases:
- Acute Glomerulonephritis | 4 Care Plans
- Acute Rheumatic Fever | 4 Care Plans
- Apnea | 4 Care Plans
- Brain Tumor | 3 Care Plans
- Bronchiolitis | 5 Care Plans
- Cardiac Catheterization | 4 Care Plans
- Cerebral Palsy | 7 Care Plans
- Child Abuse | 4 Care Plans
- Cleft Lip and Cleft Palate | 6 Care Plans
- Congenital Heart Disease | 5 Care Plans
- Congenital Hip Dysplasia | 4 Care Plans
- Croup Syndrome | 5 Care Plans
- Cryptorchidism (Undescended Testes) | 3 Care Plans
- Cystic Fibrosis | 5 Care Plans
- Diabetes Mellitus Type 1 (Juvenile Diabetes) | 4 Care Plans
- Dying Child | 4 Care Plans
- Epiglottitis | 5 Care Plans
- Febrile Seizure | 4 Care Plans
- Guillain-Barre Syndrome | 6 Care Plans
- Hospitalized Child | 5 Care Plans
- Hydrocephalus | 5 Care Plans
- Hypospadias and Epispadias | 4 Care Plans
- Intussusception | 3 Care Plans
- Juvenile Rheumatoid Arthritis | 4 Care Plans
- Kawasaki Disease | 6 Care Plans
- Meningitis | 7 Care Plans
- Nephrotic Syndrome | 5 Care Plans
- Osteogenic Sarcoma (Osteosarcoma) | 4 Care Plans
- Otitis Media | 4 Care Plans
- Scoliosis | 4 Care Plans
- Spina Bifida | 7 Care Plans
- Tonsillitis and Adenoiditis | 4 Care Plans
- Umbilical and Inguinal Hernia | 4 Care Plans
- Vesicoureteral Reflux (VUR) | 5 Care Plans
- Wilms Tumor (Nephroblastoma) | 4 Care Plans