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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Constipation

Nursing Diagnosis

May be related to

  • Musculoskeletal impairment
  • Inadequate physical activity or immobility.

Possibly evidenced by

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  • Frequency less than usual
  • Decreased bowel sounds
  • Hard formed stool
  • Straining at defecation.

Desired Outcomes

  • Child will maintain passage of soft, formed stool every 1 to 3 days without straining.
Nursing InterventionsRationale
Assess child’s stool including color, consistency, frequency and amount.Normal consistency, frequency, and amount of stools vary with children’s age, and diet.
Encourage increased fluid intake as tolerated.Adequate hydration is necessary for regular bowel movements.
Provide stool softener or mild laxative as needed.May be prescribed to prevent fecal impaction.
Provide privacy during defecation.Privacy allows the patient to relax, which can help promote defecation.
Provide regular exercise and activity as appropriate.Movement promotes peristalsis. Abdominal exercises strengthen abdominal muscles that facilitate defecation.
Instruct parents to increase dietary fiver apple juice to milk formula for infants; fruits, vegetables, whole for older infants and children.Provides bulk to the stool and makes defecation easier because it passes through the intestine essentially unchanged.
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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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