Prophylaxis of deep vein thrombosis among hip surgery patients

Venous thromboembolic disease (VTE) is a term encompassing deep vein thrombosis (DVT) and pulmonary embolism (PE). DVT is a common vascular condition that arises from the formation of a blood clot within the deep veins of the circulatory system. PE occurs when a segment of that thrombosis detaches or separates from the vein wall, travels through the bloodstream, and lodges in the pulmonary artery . DVT is the most frequent complication following surgery of the hip. Without prophylaxis, this disorder occurs in 40-60% of patients after hip replacement and in 58 % following hip fracture surgery. In addition, occurrence of DVT will prolong patient s' period of hospitalization. It also leads to emotional consequences of pain, extended isolation and impaired social interaction that will have impact on every aspect of patient's life. Unless standards for orthopaedic nursing practices are set, monitored and evaluated, it is unlikely that the desired quality of nursing practice will be achieved and maintained. By developing this standard, orthopaedic nurse will be provided with an action plan to expand their role in clinical decision making with other health team.