A bone fracture is a common diagnosis given at least once to most people during their lifetime. With the older population there is an increased level of worry as well as some differences of that of a young adult or child. When comparing an older adult and a younger adult suspected of a fracture, there are slight differences in areas such as: assessment findings, interventions provided and potential outcomes. As an older adult there is a higher potential for fractures because of Osteoporosis, or bone becomes weaker of time. Other factors contribute such as unsteady gait, visual disturbances and medications making bone weaker such as long-term steroid (Southerland, 2). When presented an older adult, it can be initially harder to diagnosis them with a fracture given their assessment findings can vary. Pain is not the best indicator of fracture in older adults because of possible delirium, dementia or peripheral neuropathy commonly due to diabetes. A fracture in an …show more content…
Research tells us that about 25% of older adults who suffer a fracture will have a second fracture within the next 5 years (Southerland, 1). We also know that half of older adults will require home health care within 6 months following a fracture, and many of those people will have long-term functional decline. With this in mind it is clear to see why fractures can be so devastating in the older adult population. Often times an older adult is hospitalized for a fracture, due to the fracture they remain immobile for several days to weeks and eventually become extremely ill from a secondary infection such as pneumonia. Fractures in children or young adults most commonly cause slim to none permanent decline and outcomes are mostly positive after several months of recover. We must recognize that this is clearly not the case in the older adults. A fracture can drastically snowball into a mountain of emotional and physical limitations with negative
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Your hip area may also be cleaned if your fracture requires a bone graft that is taken from your hipbone. • The surgeon will make a cut (incision) through your skin to expose the areas of the fracture. • The broken bones will be put back into their normal positions. The surgeon will use screws, screws and a metal plate, or different types of wiring to hold the bones in place. •
Falls account for a majority of the injuries to patients in long term care facilities. With falls being such a prevalent problem in the geriatric population it is important for nurses to take into account many different aspects of the problem and make it a priority to reduce and even eliminate the problematic issue with the long term care setting. Nurses should be most concerned first about the safety and well being of their clients, injuries, lasting disabilities, and costs associated with the falls. “Falls account for a significant portion of injuries in hospitalized patients, long term care residents, and home care recipients. In the context of the population it serves, the services it provides, and its environment of care, the organization
The doctor is only to bill for repair of the fracture in which it is a post-operative care. For example, Medicare can have complications in its global surgical package. As much reading
Risk factors associated with fall related minor injury are young age, male gender and cognitive impairment whereas with fall related major injury the risk factors include functional autonomy, and length of stay in hospitals. In further statistical analysis, controlling for functional autonomy, disruptive behaviours and neuroleptic use were found associated with fall related major injury. To add on falls also have significant psychosocial consequences as those who have been victims of falls often develop a post fall syndrome which is fear of falling. The elderly than further reduce their activities as to prevent further falls thus precipitating a cycle of increased dependency, loss of function, loss of confidence, social isolation and depression which leads to decreased quality of
Problem Identification Getting out of bed is one of the dangerous things that the elderly patients do when they are admitted in the hospital. Study conducted by Ambrose, Paul & Hausdorff, (2013) on patient falls reveals that a majority of falls in the elderly patients occur between 0700 and 1900, especially when they are getting out of bed to use the rest room. The cause of their falls is mainly due to unsteady gait, memory loss, confusion that comes with age. Memory loss and vision problems which occurs during old age in the elderly patients puts them at risk for falls. Other factors that can lead to falls are; Presence of throw rugs, psychotropic medications, lack of Vitamin D, and weakness of the lower extremities.
As working as a Certified Nursing Assistant in a long term care rehabilitation facility, I encounter many elderly patients who are admitted for fall related injuries. The majority of patients are recovering from total knee and hip replacements as a result from falling at home or elsewhere. Fuller states, “Falls are the leading cause of injury related visits to emergency departments in the United States and the primary etiology of accidental deaths in persons over the age of 65 years…More than 90 percent of hip fractures occur as a result of falls, with most of these fractures occurring in persons of over 70 years of age” (Fuller, 2000, para.1). There are many factors that can contribute to the reason why individuals, particularly the elderly,
Fractures could include into back or neck pain also and this stage is when the compression of the spine will be caused, this could lead to loss of height and at this is the most noticeable stage where height will be lost and it is visible. The upper back can also develop a slight curving and this will be because of a stooped posture also known as kyphosis, both neck and back pain will start to develop which could also affect breathing as the extra pressure on the airway is
The clinical practice guidelines that were selected for this paper are from the National Guideline Clearinghouse and from International journal of nursing studies. The Hendrich Fall Risk Model was primarily developed as a predictive nursing assessment tool based on epidemiological research (NGC, 2011). The Guidelines were developed by the Hartford Institute for Geriatric Nursing the committee was however not stated. Authors were asked to sign confidentiality documents and all the authors agreed this. The research was conducted by hand searches of public literature and searches of electronic database.
Fall-related fracture is the common phenomenon in older adults resulting in chronic pain, loss of function, and disability. Evidently, it is the highest cause of accidental death in older adults. Noteworthy, the frequency of falls increases with age and frailty levels. Moreover, frail older adults, with a history of falling, are significantly at risk of adverse health outcomes including increased hospital stays and death. The causation of fall in frail older adults are intricate and interfere with the interrelationship between individual and environment context.
Research suggests that each year an estimated 1 in 3 older adults fall. Many older adults lose their lives from falls. Fall related injuries are responsible hundreds of thousands of hospitalizations each year. With the main focus on universal fall precautions and environmental safety, traditional fall prevention and fall management programs have been less than fully effective. A large problem that continues in acute care is the lack of an injury risk screening tool.
References Bilik, O., Damar, H. T., & Karayurt, O. (2017). Fall behaviors and risk factors among elderly patients with hip fractures. Acta Paulista De Enfermagem, 30(4), 420-427. doi:10.1590/1982-0194201700062 Nicholas, J., & Wiseman, M. (2009). ELDERLY POVERTY AND SUPPLEMENTAL SECURITY INCOME.
They used flexion, extension, lateral bending and axial rotation as the spinal mechanics to be tested. They assessed the mechanics in the intact spine, created a burst fracture at L3, and the mechanics were again tested pre and post instrumentation. The instrumented group was further subdivided into two groups, depending on whether they had four or six pedicle screws (ie a screw through the pedicle of the fractured vertebral level). The results showed decreased movement in all mechanical modalities except for axial rotation. They also demonstrated that screws through the fracture vertebrae provided a stiffer construct, and that monoaxial screws resulted in a stiffer construct than polyaxial screws.
5. BONE AILMENTS 5.1 FRACTURES A fracture is also known as bone breakage. Bones are mostly unbending, but every now and then they bend or give external force to the body. However, the bones will break if the force applied on it is too strong, just as a plastic ruler breakdowns when it is bent too far.
Compression fractures are tiny cracks that can worsen over time. The result of a compression fracture is that the structure of the spine may change permanently. One of the most serious aspects of these fractures is people do not realize the problem at the time because the pain associated with a compression fracture is minor. It is not until later when the cracks have healed incorrectly and the results are permanent damage that the full extent of the injury is apparent. The main symptoms are difficulty breathing and pain in the back.