Mr. Brown is a 64-year-old farmer. He was involved in a tractor accident and sustained a mid-shaft fractured femur. He has undergone surgery to repair this. His past history includes: Deep vein thrombosis (DVT) and hypertension. He is currently prescribed nifedipine (CR) 60 mg daily and warfarin 10 mg daily. His initial obs: T 36.4, P, 82, BP 160/95 mmHg, R, 24, Oxygen sats 98% on room air, BSL 5.9 mmol/l.. Mr. Brown is a widower, lives alone and, prior to this injury, had an active lifestyle. Mr. Brown has no relatives living nearby for support and is concerned about his ability to manage his farm work. Your assignment will need to include the following information: Identify and briefly explain the surgical options for a patient presenting with a mid-shaft fractured femur. 350 words Identify the potential post-operative complications which impact on the mortality and morbidity of patients following surgical repair of a fractured femur. For three (3) of these complications, utilising current literature, discuss: a) the nursing interventions required to prevent or minimise the risks of three (3) of the complications you have identified. AND b) how you would monitor for these. Provide evidence based rationales for your interventions and monitoring strategies. 1,100 – 1200 words
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