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Sunday, October 11, 2020 | History

4 edition of What is important to elderly women who sustain a hip fracture? found in the catalog.

What is important to elderly women who sustain a hip fracture?

Leslie Soever

What is important to elderly women who sustain a hip fracture?

by Leslie Soever

  • 268 Want to read
  • 11 Currently reading

Published by National Library of Canada in Ottawa .
Written in English


Edition Notes

Thesis (M.Sc.) -- University of Toronto, 2002.

SeriesCanadian theses = -- Th`eses canadiennes
The Physical Object
FormatMicroform
Pagination microfiches : negative.
ID Numbers
Open LibraryOL21789863M
ISBN 100612687996
OCLC/WorldCa54459938

Stephan.R () cited the work of The Kellogg International working group () on the prevention of falls in the elderly as defined as’ unintentionally coming to the ground or some lower level and other than as a consequences of sustain a violent blow, loss of consciousness, sudden onset of paralysis as in the stroke or an epileptic. In this nursing care plan guide are 11 nursing diagnosis for fracture. Know the assessment, goals, related factors, and nursing interventions with rationale for fracture in this guide. A fracture is the medical term used for a broken bone. They occur when the physical force exerted on the bone is stronger than the bone itself.

There are , hip fractures in the United States each year, and they occur almost entirely among elderly people.2 The medical, social, and economic consequences for hip fracture victims are severe, for instance, resulting in an excess 1-year mortality of 12 to 25 percent, impaired ambulation, and institutionalization for 33 percent or more.   Early operative fixations of long bone fractures in young patients within 24 hours may decrease morbidity, mortality, and the length of hospital stay. However, the elderly patient with a hip fracture presents a more challenging situation. Preexisting medical conditions and the lack of physiologic reserve make elderly patients less optimal Cited by:

During a sideways fall, the chances of hip fracture see a fold and fold increase in elderly males and females, respectively. Neurological factors Elderly individuals are also predisposed to hip fractures due to many factors that can compromise proprioception and balance, including medications, vertigo, stroke, and peripheral neuropathy.   Abstract. Fractures of the proximal femur in elderly patients represent a significant burden on society for a number of reasons. The worldwide population is aging at an increasing rate, and with age, the rate of fragility fractures, including Author: Nathan Kaplan, Stephen L. Kates.


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What is important to elderly women who sustain a hip fracture? by Leslie Soever Download PDF EPUB FB2

A hip fracture is a break that occurs in the upper part of the femur (thigh bone). Symptoms may include pain around the hip, particularly with movement, and shortening of the leg. Usually the person cannot walk. They most often occur as a result of a fall. Risk factors include osteoporosis, taking many medications, alcohol use, and metastatic cancer.

Risk factors: Osteoporosis, taking. Hip Fracture in the Elderly: A Re-Analysis of the EPIDOS Study with Causal Bayesian Networks Article (PDF Available) in PLoS ONE 10(3) March with 80 Reads How we measure 'reads'.

As many patients sustain their hip fracture from a fall, it is important to consider the possible psychological impact of the fall. Fear of falling is a significant predictor of poor quality of life, so interventions aimed at reducing that fear.

The diagnosis of a hip fracture is generally made by an X-ray of the hip and femur. Hip fractures occur at the upper end of the thigh bone (femur). In some cases, if the patient falls and complains of hip pain, an incomplete fracture may not be seen on a regular X-ray.

In that case, magnetic resonance imaging (MRI) may be recommended. The most important factor in the treatment of elderly patients with pelvic ring injuries is to sustain their mobility or to treat the consequences of immobility actively. 28–30 Therefore, the aim of all treatment options – whether non-operative or surgical – must be the mobilization of the patients, as quickly as possible.

To make the Author: Markus A. Küper, Alexander Trulson, Fabian M. Stuby, Ulrich Stöckle. Subjects and methods: We enrolled patients with hip fracture ( % women), aged 65 years or older (mean age ± years), who underwent surgical hip fracture repair.

Hip Fracture. Hip fractures include femoral neck, intertrochanteric or subtrochanteric fractures and the classification is based on their location.

In risk parlance, the term ‘hip fracture’ refers to all these types of hip fracture. From the age of 60, it is estimated that 17 out of men will sustain a hip fracture during their remaining. Hip fracture is one of the most serious consequences of falls in the elderly, with a mortality of 10% at one month and 30% at one year.

Elderly patients with hip fractures have complex medical, surgical, and rehabilitation needs, and a well-coordinated multidisciplinary team approach is essential for the best outcome.

The model of best practice for hip fracture care is Cited by: The circumstance of fracture without any history of significant trauma is not uncommon. Whenever you get this history, a red flag should pop up in your visual cortex and a bell should go off in your auditory tracts.

Generally, the differential diagnosis here is fairly logical. The thing to remember is that a bone needs a reason to break. Indeed, by one in four women compared to one in eight men will probably sustain a hip fracture, despite an observed trend break for New Zealand women and Swedish women.

In Korea, however, this trend differs and between and hip fracture rates for women increased by: Almost all osteoporotic fractures result from injury, that is, the application of more force to the bone than it can sustain given its fragility. Such injury is usually incurred in a fall.

Although only 2% to 5% of falls in the elderly result in fracture, both the frequency of falling and the mechanics of falling change with advancing by:   Approximately one half of elderly white women and one quarter of elderly white men will sustain an osteoporotic fracture in their lifetime.

1 Of these fractures, hip fracture is the most serious, with a mortality rate of 20% to 30% during the first year after the fracture. 1 Even though the principal goals of management are a return to a pre-event functional level and the Cited by: HIP FRACTURES.

Hip fractures are one of the most devastating and costly problems commonly faced by the older population. More thanpeople sixty-five years of age and older are hospitalized each year for hip fractures in the United States, and about one-quarter of these people will not survive more than a year because of the fracture or its complications.

A broken hip is usually a fracture in the upper portion of your femur, or thigh bone. A joint is a point where two or more bones come together, and the hip is a ball-and-socket joint. Osteoporosis is the most common type of bone disease. Osteoporosis increases the risk of breaking a bone.

About half of all women over the age of 50 will have a fracture of the hip, wrist, or vertebra (bones of the spine) during their lifetime. Women aged years who have a hip fracture are at greater risk of sustaining a further fracture than the general population of the same age (Lawrence et al, ).

An elevated fracture risk in both women and men continues for up to 10 years after the initial fracture and is greatest during the first year (Cooper et al, ). Of these, the most serious injury is hip fracture, a leading cause of morbidity and excess mortality among older adults (7).

Duringthe estimated number of hospital admissions for hip fracture increased fromtoIn80% of the admissions for hip fracture occurred among women (8). One out of five falls causes a serious injury such as broken bones or a head injury,4,5; Each year, 3 million older people are treated in emergency departments for fall injuries.

6 Overpatients a year are hospitalized because of a fall injury, most often because of a head injury or hip fracture. 6 Each year at leastolder people are hospitalized for hip. Osteoporosis is a serious public health issue.

The past 10 years have seen great advances in our understanding of its epidemiology, pathophysiology, and treatment, and further advances are rapidly being made. Clinical assessment will probably evolve from decisions mainly being made on the basis of bone densitometry, to use of algorithms of absolute fracture risk.

1 While most falls result in no injury, 31% of falls result in an injury requiring medical attention or restriction of activities for at least one day.

2 Most of these are minor soft tissue injuries, but % of falls result in fracture, and 5% of falls result in more serious soft tissue injury or head trauma. 3 Women are 50% more likely to Cited by:.

Approximately one in two women over age 50 will break a bone because of osteoporosis. A woman’s risk of breaking a hip is equal to her combined risk of breast, uterine and ovarian cancer. There are multiple reasons why women are more likely to get osteoporosis than men, including: Women tend to have smaller, thinner bones than men.

Background Guidelines on the management of hip fracture in the elderly focus on fractures suffered in the community. Between 4% and 7% of hip fractures occur in hospital.

Mortality is higher in those who sustain hip fracture in hospital than those who sustain a fracture in the community. However, it is not known if sustaining a nosocomial fracture is an Cited by: 3. The Fracture Liaison Service (FLS) allows appropriate antiosteoporosis therapy to be targeted to potentially reduce future fracture risk.

A proportion of these treated patients will still experience a further fracture. This work reviews the characteristics of these patients. Data were collated for patients >65 years old presenting to the South Glasgow FLS between January Cited by: