4 Congenital Hip Dysplasia Nursing Care Plans

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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 nursing care plans and nursing diagnosis for congenital hip dysplasia:

  1. Impaired Physical Mobility
  2. Impaired Social Interaction
  3. Constipation
  4. Risk for Injury
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Impaired Social Interaction

Nursing Diagnosis

  • Impaired Social Interaction

May be related to

  • Physical mobility restrictions

Possibly evidenced by

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  • Boredom
  • Change in pattern of interaction
  • Environment that lacks diversion
  • Inability to engage in usual activities for the age group
  • Lengthy treatment and immobilization

Desired Outcomes

  • Parent will stay with the infant and renders social interaction.
  • Infant will respond positively to parental interaction.
  • Infant will be included in family activities.
Nursing InterventionsRationale
Assess infant’s social interaction with
parents.
Provides data about infant stimulation.
Allow significant others to visit or stay with the child.Facilitates social interaction with others during prolonged treatment and decreases boredom.
Provide exposure to other children by moving bed near areas of activity or near a window; wheel on a stretcher, wheelchair, or stroller; allow to walk with cast or brace if permitted.Promotes environmental stimulation and social interaction; fosters social interaction with others during long-term treatment and lessens boredom.
Encourage age-appropriate toys to be used in bed while in a prone or sitting position depending on the type of treatment and degree of immobilization.Promotes social and developmental activities and decreases boredom during prolonged treatment.
Position toys and other items within the reach of the child.Gives access to diversion activities when needed.
Encourage parents to allow as much independence if self-care by the child as possible.Promotes independence and allows some control over the situation.
Teach parents to incorporate infant/child in the family activities.Promotes a feeling of acceptance and well-being as part of the family.
Assist parents with devices available or methods of converting aids used for mobility to satisfy needs of the child with a cast or appliance.Promotes exposure to a variety of activities and changes of environmental stimuli.
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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

Other nursing care plans for musculoskeletal disorders and conditions:

Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession.
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