Case study of hip fracture in an older person.
OBJECTIVE
To discuss proximal femoral (hip) fractures as the leading cause of hospitalization for injuries among older persons, using a case example that illustrates not only the orthopedic injury but also how an older person's chronic problems complicate the acute event.


METHODS
Extensive review of scientific literature on the conditions discussed, supplemented by the case study.


CONCLUSIONS
Hip fractures in older adults can present multiple challenges to care when complicated by preexisting or coexisting conditions. This case of an older man with a hip fracture emphasizes the resuscitation priorities for the patient found after a "long lie" and the impact of chronic alcoholism and malnutrition, which lead to serious complications.


CONCLUSIONS
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.
Hayes
Karen S
KS
Wichita State University, USA. kshayes@cox.net
Steinke
Elaine E
EE
Heilman
Annette
A
D000058:Accidental Falls; D000368:Aged; D000430:Alcohol Withdrawal Delirium / Q000145:classification; D000437:Alcoholism / Q000150:complications*; D005265:Femoral Neck Fractures / Q000150:complications / Q000209:etiology* / Q000451:nursing; D015577:Geriatric Assessment; D006760:Hospitalization; D006801:Humans; D008297:Male; D009722:Nurse Practitioners; D024802:Nurse's Role; D013997:Time Factors