HIP FRACTURE

Emily Mortensen
Ferris State University

Introduction
Fracture
A bone that is subjected to stress greater than it can absorb, resulting in the
disruption in the continuity of the bone structure.

Hip Fracture
15.8% lifetime risk at 50 years of age
Patient mortality: 1/3 in one year post-fracture

Purpose
Educating patients on prevention of future hip fractures

Evidence for Care

Research article
Balancing risk after fall-induced hip fracture: The older persons need for information

Problem
How effective is patient education after discharge?

Evidence for care

Theory
Grounded theory
Dorothea Orems Self-Care Deficit Theory

Evaluation of the Evidence

Study Methods
Grounded theory method
Qualitative interviews with clients up to 3 months post-discharge
Recruitment

Data Collection
Analysis

Results
Balancing Risk
Provision of information

Evaluation of the Evidence

Critique
Source
Purpose
Design
Results

Limitations to the research:

Small sample
Focus on those with positive outcomes

Participant bias

Patient Care Design

Interdisciplinary Team
Care Management
Physical Therapy
Occupational Therapy
Family and caregiver involvement

Treatment
Surgical reduction and fixation,
Prosthetic replacement of femoral head, or

Closed reduction with stabilization

Patient Care Design

Nursing Management:
Immediate postoperative care focus on pain control,
complication prevention, and early mobilization
Proper repositioning

Promoting exercise
Monitoring for complications

Patient Education
Personalize education
Build confidence
Resource connection
Provide written and oral instruction

Patient Care Design

Nursing Diagnosis
Readiness for enhanced self-health management related to fractured hip

Interventions
Assess home environment
Patient expression of concerns
Education of resources available at home
Educate on care needs post-discharge

Advocate Role
Advocate
One that supports or promotes the interests of another

Care planning
Ensure client is kept informed and their best interests are kept intact
Personalize care to patients needs
Ensure all patient needs are met in care plan.

Advocate Role
Nursing significance
300,000 hospitalizations annually over 65 years
Patient safety issues
Patient satisfaction

References
Advocate. (n.d.) In Merriam-Webser online. Retrieved from http://www.merriamwebster.com/dictionary/advocate
Hinkle, J. L.; & Cheever, K. H. (2014). Brunner & Suddarths Textbook of Medical-Surgical Nursing (13th
ed.). Philadelphia: Lippincott Williams & Wilkins
McMillan, L.; Booth, J.; Currie, K.; & Howe, T. (2014). Balancing risk after fall-induced hip fracture: The
older persons need for information. International Journal of Older People Nursing, 9(4), p. 249-257