Clinical Updates Denver, Colorado（临床更新科罗拉多州丹佛市）.pdfVIP

Clinical Updates UPDATED: Care of the Patient with a Hip Fracture By Nora Bass, RN, MSN, MBA, ONC Abstract Hip fractures frequently require surgical fixation in even the sickest of patients because of the pain they produce. Mobility, positioning, and activities of daily living (ADLs) become quite challenging for the caregiver in the absence of (or before) surgical repair. In addition, complications associated with immobility can also warrant rapid surgical fixation after injury. The goals of surgery are comfort and mobilization. Caring for a patient with a hip fracture can be challenging for the nurse who must position the patient, manage pain, prevent skin breakdown and other complications, and meet the educational and psychosocial needs of patients and their families. Understanding fracture types and surgical care is important to appreciate the risks associated with surgery and facilitate pre- and postoperative management. This knowledge will equip the nurse to care for this vulnerable patient faced with a life-threatening, life-altering event. The Numbers Preoperative Care Discharge Planning Anesthesia Postanesthesia Care Unit Postoperative Care Nursing Unit Mobilization Pain Medication Hydration and Oral Intake Foley Catheter Removal DVT Prevention Wound Infection Prevention Complications of Hip Fracture Conservative Care Osteoporosis Discharge Home Placement Rehab/Skilled Nursing Facility Conclusion About The Author References Related Information The Numbers Hip fractures are common injuries affecting the proximal femur of the hip joint. They result from trauma (usually falls) or pathology like cancer, Hip fractures are almost always due to a fall, but only 5% of falls result in a fracture. Hip fracture risk is greatest for a sideways fall that impacts 1 on the greater trochanter. In