Case Study of Hip Fracture in an Older Person

Abstract

Careful physical and psychosocial assessment is important for determining the presenting problem and comorbid conditions. Priorities for postoperative management of hip fracture and its complications guide the nurse practitioner through the successful return of the patient to the community.

Concept of the term long lie: a scoping review

“… Quantitative Prospective cohort study Public health Inpatient and outpatient Persons affected by a long lie and found alive n = 297 Persons affected by a long lie and found dead n = 90 No definition Häcker & Offterdinger (2019) [ 31 ] GER How is a long lie related to a cardiac arrest? Unclear Case description Emergency medicine Inpatient Person affected by a long lie (5d) n = 1 Persons are unable to move on their own and lie in a helpless position for a longer period Hayes et al (2003) [ 32 ] USA How are older adults treated with a hip fracture? Unclear Case description Rehabilitation Medicine Inpatient Person affected by a long lie (20 h) n = 1 Persons are unable to move on their own and lie on the floor for a longer period Hierholzer et al (2011) [ 33 ] GER What complications can be expected with a long lie?…”

“…Older adults suffered falls [ 19 – 21 , 23 – 28 , 30 , 32 – 41 ], but it has been the frailty of the individuals that affected their inability to get up after the fall [ 22 – 28 , 30 , 33 – 36 , 39 ]. Older adults are characterized mainly by balance and mobility problems [ 27 , 28 , 36 , 39 ], they have generally a longer disease duration with poor health [ 27 , 29 ], and are dependent on others for help with activities of daily living [ 39 ].…”

“…These symptoms are confirmed by further studies. Hypothermia [ 21 , 22 , 24 , 29 , 31 ], infections [ 21 , 24 , 29 , 30 , 39 ], exsiccosis [ 21 , 22 , 24 , 29 , 30 , 32 , 39 , 41 ], wounds and serious injuries [ 22 , 24 , 28 – 30 , 32 , 39 , 41 ], as well as pathological laboratory parameters [ 21 , 29 , 32 , 33 ] up to rhabdomyolysis [ 21 , 24 , 31 – 33 ], and sepsis [ 21 , 24 , 29 , 30 ] are the most common.…”

“…In most of the studies, the affected persons were unable to get up ( n = 7) [ 24 – 26 , 28 , 35 , 39 , 40 ] or they remained in the same place ( n = 7) [ 20 , 22 , 23 , 27 , 36 – 38 ]. In three studies, the affected persons were completely unable to move [ 29 , 31 , 32 ], while in two other studies, the persons were only unable to get help [ 21 , 40 ]. Nine studies also added that the persons had to wait for help while lying [ 24 , 26 , 28 , 31 – 36 ] or sitting [ 34 ].…”

“…Researchers from 13 studies described that affected people had limited mobility on the floor or ground [ 20 , 22 , 23 , 25 – 28 , 32 , 35 , 37 – 40 ]. Only studies from Germany or Finland did not specify the location explicitly and did not include the location of the event in the definition at all [ 21 , 29 , 31 , 36 ], or alternatively used the terms hard ground [ 24 , 33 ] or deeper level [ 34 ].…”