Materiały źródłowe

• #1 Hip Fracture (Broken Hip): Symptoms, Risks & Recovery

  https://my.clevelandclinic.org/health/diseases/17101-hip-fracture

  Hip fractures (broken hips) are medical emergencies. Almost everyone who breaks a hip needs surgery to repair the fracture. Many people need a hip replacement. It usually takes a few months to recover after surgery. […] A hip fracture is the medical name for breaking the upper part of your thigh bone (femur) near your hip joint. Youll almost always need surgery to repair a hip fracture. […] Almost everyone with a hip fracture needs surgery. Which type of surgery youll need depends on the fractures severity and type, and if you have any other injuries or health conditions. The two most common surgeries for hip fractures include: Hip replacement (hip arthroplasty): Adults older than 65 who experience a hip fracture usually need a hip replacement. You may need a total or partial replacement.

• #2 Hip Fractures – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/hip-fractures/

  A hip fracture is a break in the upper portion of the femur (thighbone). Most hip fractures occur in elderly patients whose bones have become weakened by osteoporosis. When a hip fracture occurs in a younger patient, it is typically the result of a high-energy event, such as a fall from a ladder or vehicle collision. […] Each year, more than 300,000 people in the U.S. sustain a hip fracture. Most of these fractures occur in patients 65 years of age or older who are injured in household or community falls. […] Hip fractures can be very painful. For this reason, prompt surgical treatment is recommended. Treating the fracture and getting the patient out of bed as soon as possible will help prevent medical complications such as bed sores, blood clots, and pneumonia. In very old patients, prolonged bed rest can also lead to disorientation, which makes rehabilitation and recovery much more difficult.

• #3 Broken hip

  https://www.nhs.uk/conditions/broken-hip/

  A broken hip (hip fracture) is serious and needs treatment in hospital straight away. It can take several weeks or months to recover and you may not get back the same strength and movement you had before. […] A broken hip needs to be treated in hospital straight away. […] Most people will need surgery to treat a broken hip. […] You’ll usually have surgery on the same day or day after you arrive at hospital. […] A broken hip usually takes several weeks or months to heal, but it can take longer. […] You’ll usually spend around 1 to 4 weeks in hospital. […] Soon after surgery you will start having regular physiotherapy to help you start standing and moving again. […] You may never get back the same strength and movement as you had before your break, and you may need to use a walking stick or frame. […] It’s important to do the exercises recommended by your physiotherapist regularly. This will help you recover and improve your strength and movement.

• #4 Hip Fractures: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/1200/hip-fractures.html

  Hip fractures are common causes of disability, with mortality rates reaching 30% at one year. […] Operative management within 24 to 48 hours of the fracture optimizes outcomes. […] Nonsurgical management can be considered for patients who are not good surgical candidates. […] Early postoperative mobilization, followed by rehabilitation, improves outcomes. […] Subsequent care focuses on prevention, with increased physical activity, home safety assessments, and minimizing polypharmacy. […] Physicians caring for patients with acute hip fractures face three questions. Is surgery an option? How quickly should surgery be performed? What type of procedure is best? […] Operative management of hip fractures is usually the preferred treatment because it reduces mortality rates, whereas nonoperative treatment carries a fourfold increased risk of death at one year.

• #5 What Makes Hip Fractures So Dangerous for the Elderly?

  https://www.crystalrunhealthcare.com/articles/what-makes-hip-fractures-so-dangerous-elderly

  Every year, about 300,000 Americans experience a hip fracture. A hip fracture is difficult to recover from, in part because most patients are over 65 years of age. Unfortunately, the preliminary injury can lead to a significant decline in personal independence. A hip fracture is a serious injury that can lead to lifelong impairment or even death. The one-year mortality rate for individuals who experience a hip fracture is 24%, and the likelihood of fatality increases with age. Among those who survive, under 50% ever return to pre-fracture functionality. They are also at increased risk of depression, delirium, dementia, morbidity, and subsequent fractures. […] Making a full recovery from a hip fracture is a multi-step process. The vast majority of hip fracture patients will require surgery, typically within 1-2 days after the injury occurs. Following surgery, care must be taken to ensure a proper recovery.

• #6 Postoperative management of hip fractures: interventions associated with improved outcomes

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3727802/

  The annual number of hip fractures worldwide is expected to exceed 6 million by 2050. Currently, nearly 50% of hip fracture patients will develop at least one short-term complication including infection, delirium, venous thromboembolism (VTE), pressure ulcers or cardiovascular events. […] This paper summarizes current evidence for postoperative interventions attempting to improve these outcomes, including pain management, anemia management, delirium prevention strategies, VTE prophylaxis, rehabilitation type, nutritional supplements, anabolic steroids and secondary fracture prevention. […] In general, good quality evidence supports routine use of VTE prophylaxis, and moderate quality evidence supports multifactorial delirium prevention protocols, and a conservative transfusion strategy.

• #7 Hip Fractures – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/hip-fractures/

  A hip fracture is a break in the upper portion of the femur (thighbone). Most hip fractures occur in elderly patients whose bones have become weakened by osteoporosis. When a hip fracture occurs in a younger patient, it is typically the result of a high-energy event, such as a fall from a ladder or vehicle collision. […] Each year, more than 300,000 people in the U.S. sustain a hip fracture. Most of these fractures occur in patients 65 years of age or older who are injured in household or community falls. […] Hip fractures can be very painful. For this reason, prompt surgical treatment is recommended. Treating the fracture and getting the patient out of bed as soon as possible will help prevent medical complications such as bed sores, blood clots, and pneumonia. In very old patients, prolonged bed rest can also lead to disorientation, which makes rehabilitation and recovery much more difficult.

• #8 Postoperative management of hip fractures: interventions associated with improved outcomes

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3727802/

  The annual number of hip fractures worldwide is expected to exceed 6 million by 2050. Currently, nearly 50% of hip fracture patients will develop at least one short-term complication including infection, delirium, venous thromboembolism (VTE), pressure ulcers or cardiovascular events. […] This paper summarizes current evidence for postoperative interventions attempting to improve these outcomes, including pain management, anemia management, delirium prevention strategies, VTE prophylaxis, rehabilitation type, nutritional supplements, anabolic steroids and secondary fracture prevention. […] In general, good quality evidence supports routine use of VTE prophylaxis, and moderate quality evidence supports multifactorial delirium prevention protocols, and a conservative transfusion strategy.

• #9 Hip Fracture | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/hip-fracture

  A hip fracture should be treated quickly and correctly the hip is the body’s connection to the legs and is crucial for movement. […] Common signs and symptoms of a broken hip can include: Pain or swelling in the hip or groin, An obvious deformity or uneven leg lengths, Inability to stand or walk, Limited range of motion in the hip area; outward turning of the leg, Bruising (may indicate damage to blood vessels). […] A hip fracture is a serious injury, and it usually means that your child will need surgery. […] A hip fracture should be treated quickly and correctly the hip is the body’s connection to the legs and is crucial for movement. […] Boston Children’s Hospitals hip sub-specialists provide comprehensive treatment including evaluation, diagnosis, consultation, and follow-up care to their young patients.

• #10 Hip Fracture (Broken Hip): Symptoms, Risks & Recovery

  https://my.clevelandclinic.org/health/diseases/17101-hip-fracture

  Hip fractures (broken hips) are medical emergencies. Almost everyone who breaks a hip needs surgery to repair the fracture. Many people need a hip replacement. It usually takes a few months to recover after surgery. […] A hip fracture is the medical name for breaking the upper part of your thigh bone (femur) near your hip joint. Youll almost always need surgery to repair a hip fracture. […] Almost everyone with a hip fracture needs surgery. Which type of surgery youll need depends on the fractures severity and type, and if you have any other injuries or health conditions. The two most common surgeries for hip fractures include: Hip replacement (hip arthroplasty): Adults older than 65 who experience a hip fracture usually need a hip replacement. You may need a total or partial replacement.

• #11 Nursing Care Plan for Hip Fracture

  https://www.registerednursern.com/nursing-care-plan-for-hip-fracture/

  This nursing care plan is for patients who have a hip fracture. A hip fracture, as known as a femoral fracture, occurs on the proximal end of the femur. The number one cause of hip fractures is related to osteoporosis which causes weak bones. Many patient who have hip fractures report feeling the bone give away and then they fall. Another common reason for a hip fracture is due to a high trauma accident like car wreck. Majority of patients plagued with hip fractures are elderly women (ages 70s or older). […] Patient who have hip fractures will present with a lower extremity that looks shorter than the other and the extremity will be externally rotated. Hip fractures are easily diagnosis with a AP and Lateral x-ray or MRI. Most hip fractures are fixed with surgery. […] A 76 year old female is admitted with a hip fracture.

• #12 Orthogeriatric Nursing in the Emergency and Perioperative In-Patient Setting – Fragility Fracture Nursing – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK543818/

  Providing care to older people following trauma must follow the same principles as for all age groups, using the ABCDE approach. […] A hip fracture is diagnosed by the symptoms and verified with X-rays; these may be supplemented with MRI or CT to establish diagnosis. […] Caring for patients following hip fracture is an everyday event for care staff, but, for the patient, it is a life-changing event with severe and frightening consequences. […] The aim of preoperative care is to prepare the patient for surgery in a manner that avoids the development of complications of immobility and surgery. […] Pain assessment, evaluation, reassessment and appropriate administration of analgesia should be central to routine care. […] Mobilising the patient soon after surgery has proven to be beneficial in prevention of the complications of mobility and in assisting recovery.

• #13 Managing Patients With Hip Fracture | HIGN

  https://hign.org/consultgeri/resources/protocols/managing-patients-hip-fracture

  Patients with hip fracture are susceptible to foreseeable and potentially avoidable complications. An interprofessional team approach to care that uses evidence-based strategies for prevention, early detection, and proactive care to avoid complications is key to optimal patient outcomes. […] The majority of these patients will enter the hospital via the ED. Consideration must be given to providing an environment that is sensitive to the care needs of this vulnerable population. […] Early implementation of multifactorial interventions aimed at reducing complications in this vulnerable population, starting in the ED, has proven beneficial. […] Delays to surgery greater than 24 to 48 hours increase the risk of complications, delirium, and mortality. […] Higher mortality was found at 4 months among medically fit patients with administrative delay to surgery compared with patients with no delay and longer hospital stays for those with delays greater than 24 hours.

• #14 Orthogeriatric Nursing in the Emergency and Perioperative In-Patient Setting – Fragility Fracture Nursing – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK543818/

  Providing care to older people following trauma must follow the same principles as for all age groups, using the ABCDE approach. […] A hip fracture is diagnosed by the symptoms and verified with X-rays; these may be supplemented with MRI or CT to establish diagnosis. […] Caring for patients following hip fracture is an everyday event for care staff, but, for the patient, it is a life-changing event with severe and frightening consequences. […] The aim of preoperative care is to prepare the patient for surgery in a manner that avoids the development of complications of immobility and surgery. […] Pain assessment, evaluation, reassessment and appropriate administration of analgesia should be central to routine care. […] Mobilising the patient soon after surgery has proven to be beneficial in prevention of the complications of mobility and in assisting recovery.

• #15 Managing Patients With Hip Fracture | HIGN

  https://hign.org/consultgeri/resources/protocols/managing-patients-hip-fracture

  In a study of 38,020 patients with hip fractures, it was concluded that avoiding surgical delay is the most important factor in reducing mortality for hip fracture patients. […] A systematic review seeking to answer the question on the effect of early hip fracture surgery on all-cause mortality and postop complications in patients 60 years or older found early surgery reduced the incidence of PI, postoperative pneumonia, and mortality. […] Nurses can play an important role in advocating for timely access to surgery. […] A. Determine the patients preadmission cognitive status and cognitive presentation on admission using a standardized tool and information from family. […] B. Screen for delirium every 12 hours using an evidence-based tool. […] C. Educate patients and family on the increased risk of delirium with hip fracture and how they can help prevent and cope with it.

• #16 Managing Patients With Hip Fracture | HIGN

  https://hign.org/consultgeri/resources/protocols/managing-patients-hip-fracture

  D. Prevent/address the factors that may contribute to delirium, for example, pain, urine retention, infection, constipation, sensory impairment, sleep, metabolic disturbances, medications, alcohol withdrawal, dehydration, and environmental over-/understimulation. […] E. Reassess cognitive status before care transition. […] A. Assess for malnutrition on admission using a standardized screening tool. […] B. Consult a registered dietitian for comprehensive assessment if malnourished or if the patient is unable to tolerate the diet. […] C. Screen for dysphagia and refer to a speech or occupational therapist if dysphagia is suspected. […] D. Adopt protocols that minimize fasting before surgery. […] E. Optimize postsurgery nutrition. […] A. Assume the patient has moderate to severe pain. Recognize that unmanaged pain increases complications, impedes recovery, and increases mortality.

• #17 Hip fracture 2: nursing care from admission to secondary prevention | Nursing Times

  https://www.nursingtimes.net/musculoskeletal-and-orthopaedics/hip-fracture-2-nursing-care-from-admission-to-secondary-prevention-21-01-2019/

  Patients cognition should be assessed on admission, as potential cognitive impairment will have consequences for their care. Pain should be assessed and analgesia offered immediately on arrival to hospital, before hip fracture is confirmed. […] During their stay in hospital, patients should have physiological signs regularly monitored using the National Early Warning Score (NEWS). Nutritional assessment is an important part of the initial assessment, as there is a high prevalence of malnutrition in people with hip fractures. Comprehensive geriatric assessment and collaboration with orthogeriatricians are key to improving outcomes, achieving optimal recovery and increasing the number of patients discharged directly home from hospital. […] After surgery, a coordinated multidisciplinary approach is required to ensure that patients have the best chance to regain mobility and return to their pre-fracture level of independence. A history of falls in the past year is a key predictor of further falls, so it is important to assess patients risk of falls and identify modifiable risk factors.

• #18 Managing Pain From a Broken Hip | Effective Health Care (EHC) Program

  https://effectivehealthcare.ahrq.gov/products/hip-fracture-pain/consumer

  Managing Pain From a Broken Hip […] A broken hip is a serious injury that is very painful and can keep you from walking. People with broken hips may be at risk for other problems, such as pneumonia, blood clots, and muscle weakness. Some problems can be life threatening. For that reason, if possible, broken hips are treated with an operation to repair the hip, physical therapy to help you gain strength after the operation, and medicine to help ease the pain. […] Over time, pain from a broken hip may cause: „Delirium” (confusion, excessive sleepiness, agitation, talk that does not make sense, or seeing things that are not there). […] Your doctor may give you medicines to treat the pain before or after an operation to repair the broken hip. […] Some research shows that nerve blocks used before, during, or after an operation may ease short-term pain more than the usual treatment of opioid or NSAID pain medication.

• #19 Managing Pain From a Broken Hip | Effective Health Care (EHC) Program

  https://effectivehealthcare.ahrq.gov/products/hip-fracture-pain/consumer

  Nerve blocks may help you avoid „delirium,” or confusion and cloudy thinking, which can be caused by pain or by opioid pain medicines. […] There have been only a few studies on traction. They show that traction before an operation does not help relieve pain more than using pain medicines alone, but there is not enough research to know for sure. […] Although some studies show that these methods might help, there is not enough research to say if these options can lessen pain from a broken hip. […] Doctors do not know if the pain from your broken hip will be improved or relieved by acupressure, relaxation therapy, or TENS more than by medicines like opioid and NSAID medicines.

• #20 Why Hip Fractures Require Surgery & Treatment | UTSW Medical Center – MedBlog

  https://utswmed.org/medblog/hip-fracture-surgery-fall/

  Surgery to repair a hip fracture should be done within 24-48 hours. […] Every patient with a fall-related hip fracture should get it fixed within 24-48 hours. […] Delaying treatment can lead to serious, even fatal complications. […] The longer you wait to get treatment after a hip fracture, the weaker and frailer your body becomes. […] Earlier surgery means faster pain relief. […] If treatment is delayed, you might experience more pain, lose more strength, and need a longer recovery period. […] The more time you spend immobile, the more likely you are to develop complications such as pneumonia, bedsores, and blood clots. […] Many studies have shown that delayed hip fracture treatment increases the risk of death. […] If you fall and suspect a hip fracture, dont try to tough it out. Seek medical attention right away.

• #21 Home | UCSF Hip Fracture Protocol

  https://hipfracture.ucsf.edu/home

  The UCSF Hip Fracture Protocol is an interdisciplinary joint effort among orthopedic surgery, anesthesia, hospital medicine, cardiology, emergency and geriatric medicine. This website summarizes the care pathway for all hip fracture patients admitted to UCSF. These patients will be followed by the Geriatric-Orthopedic Co-management service, regardless of admitting team. It is a resource for residents, service attendings and any other team members to optimize care based on best available evidence. It has been reviewed and approved by the departments and divisions of each service. […] Goal time to OR is 24 hours as a hip fracture needs urgent surgical repair. Getting to the OR within 24 hours is associated with improved health outcomes including decreased post-operative complications (pneumonia, hypoxia, arrhythmias, UTIs, PE), lowered mortality, improved pain and decreased rates of delirium shorter length of stay.

• #22 Home | UCSF Hip Fracture Protocol

  https://hipfracture.ucsf.edu/home

  All patients with hip fractures should receive timely, effective, multi-modal analgesia. As part of this the Departments of Anesthesia and Perioperative Care, Emergency Medicine, Orthopedic Surgery recommend all patients receive an ultrasound-guided fascia iliaca block (FIB) as soon as appropriate and possible as this has been shown to decrease pain, need for opioids, and assist in timely transfer to OR. […] DVT prophylaxis: start POD #1. […] Start Calcium Carbonate 1250mg daily on discharge (alternatively can order extra strength Tums twice daily). […] This surgery is urgent and patient is medically optimized for the proposed procedure and requires no further medical evaluation at this time. Please discuss with anesthesia that spinal anesthesia is preferred if appropriate and safe.

• #23 Hip Fractures – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/hip-fractures/

  Most hip fractures require surgical treatment within 1 to 2 days of injury. Only a very small group of nondisplaced fractures in healthy patients can be treated without surgery, while a separate small group of patients may be too sick to safely have surgery. […] Surgical treatment is required to relieve the acute pain of the fracture and to allow the patient to get out of bed. Having surgery as soon as possible can lessen the risk of complications. […] Most patients are able to get of bed and start physical therapy the day after surgery. It is important to begin moving as soon as possible. This helps prevent medical complications, such as blood clots, pneumonia, and bed sores. For older patients, it also helps prevent disorientation and deconditioning. […] During recovery, you will work with physical and occupational therapists. They will give you exercises and tell you how much weight you can put on your leg. They will also show you how to manage the activities of daily living, such as bathing and dressing.

• #24 Hip Fracture | Memorial Hermann

  https://memorialhermann.org/services/conditions/hip-pain-and-injuries/hip-fracture

  Managing your pain safely and effectively is important to us. A fractured bone can be very painful, especially before surgery. There are many new pain management techniques used by the Memorial Hermann Hip Fracture Program to manage your pain and make you as comfortable as possible. […] Complications can occur after a hip fracture and, generally, are related to immobilization. The most common complications are pneumonia, pressure ulcers (bed sores), blood clots or thrombophlebitis, mental confusion (delirium), urinary tract infections (UTIs). […] The best treatment is to prevent bed sores in the first place. Nurses routinely assist to move patients in bed every few hours to make sure the skin is not getting too much pressure in one area. The best way to prevent pressure ulcers is to get you out of bed and moving when possible.

• #25 Hip Fractures: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/1200/hip-fractures.html

  The American Academy of Orthopaedic Surgeons 2021 clinical practice guideline recommends operative management within 24 to 48 hours of injury unless a delay is needed to stabilize comorbidities. […] Early operative management improves pain control, decreases length of hospitalization, and reduces complications. […] An interdisciplinary care team, including orthopedic surgeons, hospitalists, dietitians, geriatric services, and physical and occupational therapists, reduce postoperative complications and in-hospital mortality and improve functional status. […] Hip fracture-associated delirium is a common complication in hospitalized patients, both pre- and postoperatively. […] Early rehabilitation and weight-bearing initiated within 24 hours postoperatively are associated with improved mobility outcomes.

• #26 Managing Patients With Hip Fracture | HIGN

  https://hign.org/consultgeri/resources/protocols/managing-patients-hip-fracture

  F. Mobilize and assess toileting needs every 2 to 3 hours while awake. […] G. Ensure nutrition and hydration are monitored and needs are met. […] H. Implement a written care plan to address any skin injury or breakdown as per evidence-based clinical guidelines. […] A. Recognize that hip fracture patients are at high risk for VTE. […] B. Advocate for evidence-based treatment. […] C. Ensure that treatment is initiated as prescribed. […] D. Monitor for adverse events, for example, bleeding, bruising, or rashes with chemoprophylaxis or skin breakdown and circulatory impairment with compression stockings or pneumatic compression sleeves. […] E. Encourage leg exercises and early, frequent mobilization. […] F. Encourage fluid intake of 6 cups minimum daily unless contraindicated. […] G. Educate patients and families on detection and prevention of VTE at home and actions to take if VTE is suspected.

• #27 Complications of Hip Fracture | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/bones-joints-and-muscles/hip-fracture/treatments/complications.html

  Serious complications can result from a hip fracture. A patient may have to remain in traction for a specified period of time after surgery. Blood clots can occur in the veins, usually in the legs. If a clot breaks off, it can travel to a blood vessel in the lung. This blockage, called a pulmonary embolism, can be fatal. […] Other complications can include: Pneumonia, Muscle atrophy (wasting of muscle tissue), Post-operative infection, Non-union or improper union of the bone, Mental deterioration following surgery in older patients, Bedsores from lying in the same position with minimal movement. […] With some fractures, blood cannot circulate properly to the femoral head, resulting in a loss of blood supply to this area. This is called femoral vascular necrosis or avascular necrosis. This complication may occur depending on the type of fracture and the anatomy of a person’s blood supply to the head of the femur bone. This is more common with femoral neck fractures.

• #28 Managing Patients With Hip Fracture | HIGN

  https://hign.org/consultgeri/resources/protocols/managing-patients-hip-fracture

  B. Reassess the need for the catheter each shift and remove as soon as possible, within 36 hours after surgery. […] C. Use an evidence-based nursing protocol to guide insertion, hygiene, and management of the catheter and drainage system. […] A. Conduct a head-to-toe, pressure point assessment on admission and then each shift. […] B. Use an evidence-based pressure ulcer risk screening tool (i.e., Braden Scale) to identify areas to be monitored and addressed. […] C. Implement a written care plan to address any underlying risk factors as indicated (e.g., immobility, nutrition, moisture). […] D. Consider using pressure reduction mattresses and chair surfaces routinely for hip fracture patients. […] E. Ensure that patients are repositioned every 2 hours (some patients may do this independently).

• #29 Managing Patients With Hip Fracture | HIGN

  https://hign.org/consultgeri/resources/protocols/managing-patients-hip-fracture

  J. Use regularly scheduled doses of analgesics while pain persists. […] A. Assess prehospital bowel habits and management. […] B. Assess for BM daily, including size, consistency, and color. […] C. Assume the patient will be constipated as a result of immobility, analgesics, and pain. […] D. Use a standardized geriatric-appropriate bowel protocol. […] E. Administer prophylactic laxatives as ordered unless contraindicated, for example, diarrhea and multiple daily moderate to large BMs. […] F. Ensure adequate fluid intake and a high-fiber diet where appropriate, for example, bran, prunes, applesauce, and dates. […] G. Encourage ambulation to promote bowel function. Avoid bedpans; ambulate to the toilet. […] A. Avoid indwelling catheters. Use an indwelling catheter only if evidence-based criteria are met, for example, Centers for Disease Control and Prevention (CDC) criteria.

• #30 Managing Patients With Hip Fracture | HIGN

  https://hign.org/consultgeri/resources/protocols/managing-patients-hip-fracture

  B. Assess pain and pain history on admission using a comprehensive validated tool. […] C. Consider any painful comorbid conditions and prehospital analgesic use in the pain management plan, for example, arthritic joint pain exacerbated by immobility. […] D. Assess valid pain scale with vital signs; differentiate between acute and chronic pain. […] E. Assess using a validated sedation scale every hour for 24 hours and then every 4 hours thereafter. Adjust analgesic dosing according to the scale. […] F. Time the administration of analgesics such that their peak effect coincides with physiotherapy and mobility. […] G. Use a pharmacological and nonpharmacological multimodal approach to reduce the need for opioids. […] H. Advocate for regional blocks (nerve/compartment). […] I. Ensure that geriatric-appropriate analgesics/doses are prescribed and administered.

• #31 Postoperative management of hip fractures: interventions associated with improved outcomes

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3727802/

  Aggressive pain control with higher doses of opiates and/or regional blocks are associated with lower delirium rates. […] After hospital discharge, good quality evidence supports the use of bisphosphonates for secondary fracture prevention and mortality reduction. […] Rehabilitation services are important, but evidence to guide quantity, type or venue is lacking. […] Delirium occurs in a quarter of patients without baseline dementia, and over half of dementia patients who experience a hip fracture. […] Therefore, delirium prevention efforts become extremely important after hip fracture. […] Several trials of multifactorial interventions have also shown promising results. […] Thus, it appears that careful attention to medical and geriatric issues with an interdisciplinary team is an effective strategy in preventing delirium in this population.

• #32 Managing Patients With Hip Fracture | HIGN

  https://hign.org/consultgeri/resources/protocols/managing-patients-hip-fracture

  A. Monitor fluid balance after surgery. […] B. Review lab values and report abnormalities to medical practitioner as indicated. […] C. Ensure adequate fluid intake, minimum 6 cups per day or as per fluid restrictions. […] D. Assess for clinical signs of dehydration (hypotension, headache, dry mouth, oliguria, and skin turgor) or overload (edema, cough, and coarse breath sounds). Follow up with medical practitioner as indicated. […] The nurse is responsible for ensuring timely and consistent postoperative mobility. […] A. Request that family provide sturdy footwear with a closed heel and toe. […] B. Ensure that an individually fitted walker is available at the bedside. […] C. Teach bed exercises: buttock tightening, foot circles, and dorsal and plantar flexion of both feet. Remind patients to do exercises every hour while awake.

• #33 Managing Patients With Hip Fracture | HIGN

  https://hign.org/consultgeri/resources/protocols/managing-patients-hip-fracture

  D. Teach the importance of mobility in healing and restoring function. […] E. Establish mobility goals with patients. […] F. Assist the patient with: […] A. Both verbal and written instructions on preparing to go to the next level of care should begin early in the hospital stay. […] B. For those going to a rehabilitation facility, handoff should include information on surgical procedure/activity restrictions and cognitive status, including delirium assessment results, diet/appetite, sleep strategies, and pain management. […] C. For those going directly home, determine home assistance requirements and assist patients in making arrangements. Stress the importance of frequent ambulation, healthy diet, adequate sleep, pain management, and follow-up to ensure adequate bone health. […] D. Educate patients on early warning signs of red flags and what to do (e.g., VTE, delirium, infection, dislocation, constipation).

• #34 Hip fracture – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hip-fracture/diagnosis-treatment/drc-20373472

  A health care provider can often diagnose a hip fracture based on symptoms and the abnormal position of the hip and leg. An X-ray usually will confirm the fracture and show where the fracture is. […] Treatment for hip fracture usually involves a combination of prompt surgical repair, rehabilitation, and medication to manage pain and to prevent blood clots and infection. […] The type of surgery generally depends on where and how severe the fracture is, whether the broken bones aren’t properly aligned (displaced), and your age and underlying health conditions. Options include: […] A hip fracture can be repaired with the help of metal screws, plates and rods. In some cases, artificial replacements (prostheses) of parts of the hip joint may be necessary. […] Physical therapy will initially focus on range-of-motion and strengthening exercises. Depending on the type of surgery and whether there’s help at home, going to an extended care facility might be necessary. […] In extended care and at home, an occupational therapist teaches techniques for independence in daily life, such as using the toilet, bathing, dressing and cooking. An occupational therapist will determine if a walker or wheelchair might be needed to regain mobility and independence.

• #35 Orthogeriatric Nursing in the Emergency and Perioperative In-Patient Setting – Fragility Fracture Nursing – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK543818/

  The underlying principle of quality of care is empathy, a complex multidimensional aspect of the therapeutic relationship involving the ability to understand the needs, meanings, fears, priorities and perspectives of patients. […] An important aspect of preparing the patient for discharge is considering the secondary prevention of the fracture. […] Discharge planning should be a coordinated effort between the patient, the patients family, the multidisciplinary team and staff in the destination setting, if the patient is to be discharged to another care facility.

• #36 Managing Patients With Hip Fracture | HIGN

  https://hign.org/consultgeri/resources/protocols/managing-patients-hip-fracture

  E. Assess medication management skills and develop a plan for medication review and safety at home. […] F. Consult with occupational or physical therapists to assess and address the need for home modifications and equipment. […] G. Arrange a home follow-up phone call or home visit from a healthcare professional for support, teaching, and problem-solving. […] H. Provide information for follow-up with orthopedic surgeon. […] I. Include information on the surgical procedure/activity restrictions, the importance of frequent ambulation, healthy diet, sleep strategies, bone health, and pain management. […] A. Ensure consultation with fracture liaison service before discharge.

• #37 Hip fracture: a guide for family carers | RCP

  https://www.rcp.ac.uk/improving-care/resources/hip-fracture-a-guide-for-family-carers

  The aim of surgery is to allow a patient to get up and put weight onto their hip straight away. […] Rehabilitation usually begins on the day after surgery, when a physiotherapist will carry out an assessment and provide an exercise programme that sets out a series of goals to achieve. […] Getting out of bed and on their feet as soon as possible will also reduce the patient’s risk of getting pneumonia, blood clots and pressure sores. […] When someone leaves hospital after a hip fracture, they will usually need more support than they did before they broke their hip, including help with eating, drinking and food preparation. […] Getting to the toilet can be very difficult after a broken hip. […] As a carer, you play a key role in ensuring that the transition from hospital to home runs smoothly and safely. […] A carers assessment is free and anyone over 18 can ask for one. […] Today, surgery for hip fracture is so successful that, for most patients, a follow-up appointment at an outpatient clinic is no longer necessary.

• #38 Hip fracture – discharge Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/discharge-instructions/hip-fracture-discharge

  Have a bed that is low enough so that your feet touch the floor when you sit on the edge of the bed. […] If you do not have someone to help you at home for the first 1 to 2 weeks, ask your surgeon about having a trained caregiver come to your home to help you. […] Change your dressing (bandage) over your incision every day if your surgeon says it is OK. Gently wash the wound with soap and water and pat it dry. […] To prevent another fracture, do everything you can to make your bones strong. […] Keep wearing the compression stockings you used in the hospital until your surgeon says you can stop. Wearing them for at least 2 or 3 weeks may help reduce clots after surgery. […] Be careful not to get pressure sores (also called pressure ulcers or bed sores) from staying in bed or a chair for long periods of time.

• #39 Hip fracture – discharge Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/discharge-instructions/hip-fracture-discharge

  Contact your surgeon if you have: Shortness of breath or chest pain when you breathe, Frequent urination or burning when you urinate, Redness or increasing pain around your incision, Drainage from your incision, Swelling in one of your legs (it will be red and warmer than the other leg), Pain in your calf, Fever higher than 101°F (38.3°C), Pain that is not controlled by your pain medicines, Nosebleeds or blood in your urine or stools, if you are taking blood thinners.

• #40 Postoperative management of hip fractures: interventions associated with improved outcomes

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3727802/

  Anemia, typically defined as a hemoglobin level 10gdl1 (100gl1), is present in approximately half of hip fracture patients at hospital admission, and 90% postoperatively. […] Observational studies suggest that anemia is associated with poor functional outcomes and mortality after hip fracture, therefore, several studies have explored whether interventions to improve anemia result in better outcomes. […] Rehabilitation is a cornerstone in efforts to reduce rates of ambulatory and functional impairment, but limited evidence is available to inform on the optimal venue for such therapy. […] Although evidence supporting a specific type or venue of rehabilitation after hip fracture is lacking, a sensible approach in my opinion is to provide the most intensive regimen tolerated by the patient, addressing both physical and instrumental tasks with an interdisciplinary team.

• #41 Surgery to Repair a Hip Fracture: What to Expect at Home | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.surgery-to-repair-a-hip-fracture-what-to-expect-at-home.zy1646

  Surgery for a hip fracture repairs a broken hip bone. When you leave the hospital after surgery, you will probably be walking with crutches or a walker. […] You will need someone to help you at home for the next few weeks or until you have more energy and can move around better. […] If there is no one to help you at home, you may go to a rehabilitation center or long-term care center. […] You will continue the rehabilitation program (rehab) you started in the hospital. The better you do with your rehab exercises, the quicker you will get your strength and movement back. […] Most people are able to return to work 4 weeks to 4 months after surgery. […] But it may take 6 months to 1 year for you to fully recover. […] Some people, especially older people, are never able to move quite as well as they used to.

• #42 Hip Fracture Education for Patients & Families > Beacon Health System

  https://www.beaconhealthsystem.org/hip-care/hip-fracture-education/

  After your surgery, youll be moved to the Post Anesthesia Care Unit (PACU), also called the recovery room. Youll stay there until the anesthesia wears off and you are stable. This usually takes a few hours. You will then be moved back to your hospital room. […] It is important that you dont stay in bed too long after your surgery. Physical therapy will begin the day of your surgery or the next morning, depending on the time of day your surgery is scheduled. Your goal is to increase your activity a little each day to build your strength and continue your recovery outside of the hospital. […] Recovering from a hip fracture is not easy; it takes a lot of hard work and can take from three months to a year to heal. With proper care and rehabilitation, some people may return to pre-injury levels of activity and independence.

• #43 Hip fracture 2: nursing care from admission to secondary prevention | Nursing Times

  https://www.nursingtimes.net/musculoskeletal-and-orthopaedics/hip-fracture-2-nursing-care-from-admission-to-secondary-prevention-21-01-2019/

  The secondary prevention of fragility fractures is an integral part of care, which should therefore include the assessment and management of osteoporosis. Fracture liaison services identify patients who have sustained a fragility fracture, are at risk of osteoporosis and are appropriate for further assessment. […] Hip fractures are a common injury seen predominantly in older people. A multidisciplinary approach is required to provide timely and efficient care during admission, optimise outcomes after surgery and improve quality of life after discharge. Nursing staff have a key role in assessing and managing patients, and in reducing risks associated with immobility and malnutrition.

• #44 Hip Fracture: Diagnosis, Treatment, and Secondary Prevention | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0615/p945.html

  Following a hip fracture, patients should usually be treated with a bisphosphonate, regardless of their bone mineral density, unless contraindicated. […] Patients should receive post-fracture rehabilitation to help restore functional capability. […] All patients require rehabilitation therapy after hospital discharge, but the best strategies to improve mobility are not fully known. […] Long-term care is essential to return the patient to the most functional state as soon as possible, ideally to prefracture level of activity.

• #45 Hip fracture – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hip-fracture/symptoms-causes/syc-20373468

  Healthy lifestyle choices in early adulthood build a higher peak bone mass and reduce the risk of osteoporosis in later years. The same measures adopted at any age might lower the risk of falls and improve overall health. […] To avoid falls and to maintain healthy bone: Get enough calcium and vitamin D. In general, men and women age 50 and older should consume 1,200 milligrams of calcium a day, and 600 international units of vitamin D a day. […] Exercise to strengthen bones and improve balance. Weight-bearing exercises, such as walking, help maintain peak bone density. Exercise also increases overall strength, decreasing the risk of falling. Balance training also is important to reduce the risk of falls since balance tends to deteriorate with age. […] Use a cane, walking stick or walker. If you don’t feel steady when you walk, ask a health care provider or occupational therapist whether these aids might help.

• #46 Postoperative management of hip fractures: interventions associated with improved outcomes

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3727802/

  Secondary fracture prevention, in particular bisphosphonate therapy, reduces subsequent fracture rates and mortality and should be considered in all hip fracture patients. […] Because of the complexity of care after hip fracture, models of care including clinical pathways, geriatrics consultation or specialized wards may facilitate high quality, interdisciplinary care and therefore improve outcomes.

• #47 Hip Fractures: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/1200/hip-fractures.html

  Patients with acute hip fractures should receive postoperative oral bisphosphonates, and those with decreased BMD should receive longer-term treatment to prevent secondary fractures with agents, including bisphosphonates, parathyroid analogs (teriparatide or abaloparatide [Tymlos]), and RANKL inhibitors (denosumab [Prolia] or romosozumab [Evenity]). […] Physical activity is effective for primary and secondary prevention of hip fractures. […] Primary care physicians should consider a full geriatric assessment for patients at high risk for falls.

• #48 Hip Fracture | Memorial Hermann

  https://memorialhermann.org/services/conditions/hip-pain-and-injuries/hip-fracture

  After a hip fracture, patients typically arrive at Memorial Hermann through the Emergency Department or are admitted directly from a nursing or assisted living facility. […] As quickly as possible, an anesthesiologist will evaluate you and take steps in order to manage the pain you will be experiencing, and a hospitalist will continue your treatment by making sure you are medically stable and prepared for surgery. […] The experienced team at Memorial Hermann will focus specifically on you and your family. […] Nursing Team (Registered Nurse, Licensed Vocational Nurse, Patient Care Assistants) – Before, during and after your surgery, you can expect to meet different nurses who perform many different jobs. Nurses will help prepare you for surgery and will be in the operating room with you throughout your surgery. After surgery, the nursing team will carry out all orders given by your team of physicians, as well as keep you comfortable and safe in the hospital.

• #49 Time to surgery is critical for survival after hip fracture | Australian Commission on Safety and Quality in Health Care

  https://www.safetyandquality.gov.au/newsroom/latest-news/time-surgery-critical-survival-after-hip-fracture

  A/Professor Hullick added: “Older people can have complex needs, and research shows the best results come when specialists from both orthopaedic surgery and geriatric medicine work together on a patient’s care – known as an orthogeriatric model of care.” […] “This means that as well as repairing the bone, we are managing the person’s other medical conditions, their cognitive function, their mobility and reducing the risk of more falls and fractures. This has been a focus since the standard was first introduced, with many hospitals now having orthogeriatric teams.” […] “The standard has already been a catalyst for change. By updating it and addressing the gaps, care will continue to improve. It will be fantastic to see a solid boost to patient outcomes as hospitals embed these latest changes.”

• #50 Hip fracture 2: nursing care from admission to secondary prevention | Nursing Times

  https://www.nursingtimes.net/musculoskeletal-and-orthopaedics/hip-fracture-2-nursing-care-from-admission-to-secondary-prevention-21-01-2019/

  Hip fractures occur mostly in older people, many of whom have comorbidities, underlying conditions and/or cognitive impairment. This article describes the essential nursing care from admission to secondary prevention. Skilled nursing assessment and management, alongside collaborative interprofessional working, are needed to optimise outcomes. Key elements of care for improving patient outcomes after a fragility hip fracture are incentivised by the National Tariff Payment System. Fracture care should include secondary prevention of fragility fractures through the assessment and management of osteoporosis and risk of falls. This article describes the mainstay of nursing care on admission, during hospital stay, before and after surgery, and in preparation for discharge. […] This article outlines the essential elements of nursing care for patients with a hip fracture from admission to rehabilitation and discharge. NHS England and NHS Improvement use the National Tariff Payment System to incentivise elements of care identified as important in improving patient outcomes after a fragility hip fracture.

• #51 HFCP Toolkit | Alberta Health Services

  https://www.albertahealthservices.ca/scns/hfcptoolkit.aspx

  Provinicial clinical pathways have been developed by the Bone and Joint Health SCN to guide the care of patients who have had a hip fracture. […] This toolkit for providers includes order sets, patient education materials, and assessment tools. […] The pathways are evidence-informed and focus on prevention and the acute and restorative care phases. […] Alberta Hip Fracture Restorative Care Pathway. […] Hip Fracture Care Pathway Surgical Checklist. […] Your Guide After a Hip Fracture. […] Preventing Slips, Trips and Falls.

• #52 Nursing Home Hip Fracture Lawyer | $450M+ Recovered | Nursing Home Law Center

  https://www.nursinghomelawcenter.org/nursing-home-injuries/broken-hip/

  A broken hip can dramatically alter an elderly persons quality of life, creating substantial pain, increased medical bills, and often permanent disabilities. […] Hip fractures are among the most common and severe injuries elderly nursing home residents can experience. These injuries significantly impact the health, independence, and overall quality of life for older adults. […] Federal regulations clearly outline nursing homes responsibility to implement effective safety measures to protect residents from avoidable injuries, including hip fractures. […] Practical measures nursing homes must take to effectively protect residents and reduce hip fracture risks include: Placing cushioned floor mats to soften the impact if a resident falls out of bed or a wheelchair, Installing bed alarms that promptly alert staff when residents attempt to leave their beds, Using properly fitted bed rails to help prevent residents from exiting beds without assistance, Ensuring call bells or emergency alerts are always accessible, allowing residents to request help easily, Maintaining clean, uncluttered floors and walkways to reduce tripping hazards, Providing residents with non-slip socks or footwear to enhance traction and stability, Using padded garments (hipsters) designed to absorb impact and reduce injury risk from falls, Regularly supervising residents identified as high-risk to prevent unsupervised walking or transfers, Implementing consistent toileting schedules to ensure residents receive timely assistance, reducing the likelihood theyll attempt self-toileting without help.

• #53 Broken Hips in Nursing Homes – How Broken Hips Can Happen

  https://www.nursinghomeabusecenter.com/nursing-home-injuries/broken-bones/broken-hips/

  One in five hip patients die within one year of the injury. […] Loved ones should always check the side effects and potential drug interactions of medications to ensure they do not impair balance. Nursing home staff should have a plan in place for movement for and of the patient. As always, closely work with the doctor to ensure the patient has a decreased risk of falling. […] Broken hips can lead to physical and emotional issues as well as short-term and long-term difficulties. In the short-term, patients may need to undergo surgery. When patients undergo surgery, their mobility may be impaired as they recover, leading to depression or malnutrition. […] Sometimes, patients may move into nursing homes where there are not enough staff members to properly assist them in recovery. Understaffing translates to a higher risk of death in patients recovering from hip surgery.

• #54 Hip fracture – Wikipedia

  https://en.wikipedia.org/wiki/Hip_fracture

  Surgery on the same day or day following the break is estimated to reduce postoperative mortality in people who are medically stable. Among those affected over the age of 65, 40% are transferred directly to long-term care facilities, long-term rehabilitation facilities, or nursing homes; most of those affected require some sort of living assistance from family or home-care providers. Most of the recovery of walking ability and activities of daily living occurs within 6 months of the fracture. […] Patients with hip fractures are at high risk for future fractures including hip, wrist, shoulder, and spine. After treatment of the acute fracture, the risk of future fractures should be addressed. Currently, only 1 in 4 patients after a hip fracture receives treatment and work up for osteoporosis, the underlying cause of most of the fractures. Current treatment standards include the starting of a bisphosphonate to reduce future fracture risk by up to 50%.

• #55 Hip Fracture (Broken Hip): Symptoms, Risks & Recovery

  https://my.clevelandclinic.org/health/diseases/17101-hip-fracture

  It usually takes at least a few months to recover from a broken hip. You may feel and notice improvements gradually over a year after treatment. […] Hip fractures are emergencies. In addition to the damage to your femur and hip joint, hip fractures often happen alongside other major injuries. […] Studies have found that adults older than 65 whove experienced a hip fracture are more likely to reduce or stop physical activity like walking and to cut back on social activities and hobbies, even after they recover.

• #56 How Do Older Adults Fare After Hip Fracture? > Health in Aging Blog > Health in Aging

  https://www.healthinaging.org/blog/how-do-older-adults-fare-after-hip-fracture/

  Hip fractures in older adults can be extremely serious, and often result in chronic illness, death, and increased health care costs. […] As many as 50 percent of older adults face difficulties following a hip fracture, and may be unable to bathe, feed, or dress themselves (called activities of daily living, or ADLs). […] This physical decline can lessen their quality of life, and some 20 percent of older adults go on to long-term care facilities after having a hip fracture. […] Whats more, hip fractures affect not only the quality of life and health of the older adult, but also that of their caregivers and can cause financial burdens when the individual requires more care. […] The researchers said that their study showed that having cognitive impairment, including dementia and in-hospital delirium, can be a major predictor of functional problems and disability following hip fracture, even for older adults who were able to function well before having a hip fracture.

• #57 How Do Older Adults Fare After Hip Fracture? > Health in Aging Blog > Health in Aging

  https://www.healthinaging.org/blog/how-do-older-adults-fare-after-hip-fracture/

  The researchers also noted that the proportion of people who had difficulty performing their daily tasks three months after surgery did not improve after six months. […] However, the proportion of people who were disabled and unable to get around was greater at three months than at six months, showing that some older adults could recover following hip fractures, and some were able to climb stairs and walk two blocks. […] The researchers said that their work showed that older adults who were independent before their hip fractures, but who had cognitive impairment or experienced in-hospital delirium, experienced poorer outcomes after their hip surgery. […] The researchers suggested that all older adults be screened for these conditions when theyre admitted to the hospital for hip fracture treatment and be screened throughout their hospitalization.

• #58 Surgery to Repair a Hip Fracture: What to Expect at Home | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.surgery-to-repair-a-hip-fracture-what-to-expect-at-home.zy1646

  You heal best when you take good care of yourself. […] Follow the steps below to get better as quickly as possible. […] Your rehab program will include a number of exercises to do. Always do them as your therapist tells you. […] Do not do any vigorous exercise for 12 weeks or until your doctor tells you it is okay. […] Continue to wear your compression stockings as your doctor says. […] Most people wear these stockings for 4 to 6 weeks after surgery. […] Follow these tips to prevent falls: […] Be sure to make and go to all appointments, and call your doctor if you are having problems.

• #59 Hip fracture: a guide for family carers | RCP

  https://www.rcp.ac.uk/improving-care/resources/hip-fracture-a-guide-for-family-carers

  Breaking a hip is a traumatic experience that affects people psychologically as well as physically. […] Usually patients are encouraged by hospital staff to get out of bed and start moving the day after surgery. […] Caring for someone who has frailty or is ill or disabled can have a significant impact on your own health and well-being. […] Hip fracture care in hospital is provided by a large team of specialists working together. […] A broken hip can be very painful and so patients are offered pain relief to keep them as comfortable as possible and to allow examinations, investigations, nursing care and rehabilitation to take place. […] Most people who break their hip will need to have an operation to provide pain relief and allow them to get back on their feet again as soon as possible.

• #60 Nursing Care Plan For Impaired Mobility Related To Hip Fracture – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-impaired-mobility-related-to-hip-fracture/

  We understand the profound impact that a hip fracture can have on a patients life, encompassing physical discomfort, emotional challenges, and the quest to regain independence. […] Our interventions are thoughtfully tailored to address these specific needs, ensuring that we empower each patient to embark on their path to recovery with dignity and resilience. […] Our commitment extends beyond medical care; it encompasses empathy, compassion, and the unwavering belief that every patient has the potential for recovery.

• #61 Hip Fracture Program | Ballad Health

  https://www.balladhealth.org/medical-services/hip-fracture-program

  Through our hip fracture program, youll find the regions most specialized services for senior citizens with a broken hip. […] You heal best with support from a team. Thats why you get access to a variety of providers who specialize in treating elderly people who broke a hip. […] Youll likely need surgery. A surgeon will evaluate your fracture and determine the correct procedure for your injury. […] Following surgery, physical therapy will help you slowly and safely start moving again. […] You might stay in the hospital to benefit from inpatient rehabilitation and round-the-clock nursing care. […] Wherever you go, well work with your caregivers to make sure you keep getting therapy and other services you need.

• #62 Hip Fracture: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/hip-fracture-nursing-diagnosis-care-plan/

  Hip fractures will typically require surgery within 1 to 2 days after injury, as surgical intervention will help relieve acute pain and lessen possible complications as well as restore mobility. […] The nurse is responsible for preparing and caring for the patient before, during, and after the surgery. For optimal recovery, nurses are involved in pain management, infection prevention, and encouraging ambulation as prescribed. Nurses are also part of the collaborative approach if rehab or home health care is required to promote further healing and recovery. […] Nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] One of the clinical manifestations of hip fractures is pain along with tenderness in the affected area. […] Patients with hip fractures have difficulty moving due to the loss of structural integrity to the femur and/or hip as well as from pain. This results in a decreased ability to ambulate and transfer. […] Infection of the surgical site is a potential complication following hip arthroplasty. Patients who develop infections require longer inpatient care and more aggressive management. Reduction of this risk is vital to promote an early and smooth recovery.

• #63 Nursing Care Plan For Impaired Mobility Related To Hip Fracture – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-impaired-mobility-related-to-hip-fracture/

  Impaired mobility due to a hip fracture is a profound health concern that significantly affects the physical, emotional, and functional well-being of individuals. […] A hip fracture often necessitates immediate medical attention and comprehensive nursing care to mitigate complications, promote recovery, and restore the patients quality of life. […] Consequently, nursing care plays a pivotal role in facilitating the journey toward recovery and restoration of mobility. […] Nurses are central figures in the care of patients with hip fractures. […] This nursing care plan serves as a testament to our unwavering commitment to delivering compassionate, patient-centered care to individuals facing impaired mobility due to hip fractures. […] Our mission is to provide comprehensive support, alleviate suffering, and empower patients as they embark on their path to recovery and mobility restoration.

Zobacz więcej