A Issue For The Older Person With Fracture Trauma

The pathology of a hip fracture relates to the science, or aetiology of the femoral neck fracture in question and risk factors specific to hip fractures in the elderly are related to ageing. The most common cause of a hip fracture is physical trauma or impact, such as when stress or pressure placed on the

Safety strategies to protect your bones are important for individuals of all ages. It is imperative for everyone to protect their bones and overall health by wearing seatbelts in any moving vehicle and by using appropriate protective equipment when participating in sports. If you have been diagnosed with osteoporosis, you may be more likely to break a bone as a result of a fall. In fact, most broken bones happen as a result of a fall. Falls happen for many reasons, most of which can be avoided.

a. A complete fracture is when the entire bone impacted is fractured. A comminuted fracture is when the bone breaks shatters into many pieces. Intertrochanteric refers to the top part of the femur. So, a complete, comminuted intertrochanteric fracture is the upper most part of the femur is completely shattered. A comminuted fracture is common in older people, so this fracture is normal for someone Margaret’s age. (Marieb, Elaine N.R., Ph.D. “5/The Skeletal System.” Essentials of Human Anatomy & Physiology. San Francisco: Pearson Education, 2006/

Osteoporosis is the most common disease of the bone and the incidence of this condition is rising. Osteoporosis is estimated to effect 3 million people in the UK. A decreasing bone density in patient, especially in those above the age of 50, leads to bones becoming weak and therefore, there is an increased likelihood of fragility fractures. This condition is preventable and treatable however, it is often left undiagnosed and therefore, has major cost implications on the NHS. (National Osteoporosis Society, 2013a)

Many other complications result from the falls of older adults. Hip fractures are one of the most feared complications in the elderly. Up to 20% of people sustaining a hip fracture become non-ambulatory, and only 14 to 21% recover their ability to carry out instrumental activities of daily living (Roman, 2003). Older adult patients admitted to hospitals for hip fractures often develop delirium, which is associated with increased risk of being discharged to institutional care facilities. This becomes a vicious cycle, as they are then more prone to falls once they are in a confused cognitive state of mind. Twenty-five percent of older adults who sustain a hip fracture from a fall will die within 6 months of the injury. More than 50% of older patients who survive hip fracture are discharged to nursing homes and other assistive health care facilities. Hip fracture survivors experience a

A fall is a lethal event that results from an amalgamation of both intrinsic and extrinsic factors which predispose an elderly person to the incident (Naqvi et al 2009). The frequency of hospital admission due to falls for older people in Australia, Canada, UK and Northern Ireland range from 1.6 to 3.0 per 10 000 population (WHO 2012). The prevalence of senior citizen’s falls in acute care settings varies widely and the danger of falling rises with escalating age or frailty. Falls of hospitalized older adults are one of the major patient safety issues in terms of morbidity, mortality, and decreased socialization

Hip fractures are one of the most common causes of extended hospital stay among the

Although a fracture is also known as a broken bone, there are many types of fractures. Some types of fractures are more severe than others, all of them must be seen immediately. Fractures happen at least twice in our lives. Some types of fractures are also caused by age or osteoporosis which is the weakening of the bones (Melinda, 2015). The severity of a fracture depends on the strength with which the fracture was caused. A bone could be fractured in many ways such as lengthwise, crosswise, and also in multiple pieces (Stuart James, 2012).

Fractures in the area such as distal radius, ribs and vertebrae are likely to happen due to the spongy bone becoming thin and sparse. The bone may collapse or become misshapen. Height may decrease due to the vertebral collapse. Broken hips are seen usually in older women. The complications from fractures are the high causes of death (McCance & Crowther-Radulewicz, 2012).

Patients that experience hip fractures will die within a year. Many of these fractures are due to immobility according to assessment and Management of Clinical Problems (1788). Many falls occur in the older adult population and usually age over 60. Hip fractures not only happen with falls but also can come from blunt trauma to the hip, car accident, disease like osteoporosis and obesity can all be a major concern to hip fractures. The video talks about the common hip joint site are dislocation. Hip fracture may involve both vascular and bony damage to the body. Hip fractures are determined by atomic location of the fracture. These common fractures occur at the head of the femur, neck and greater trochanter. Over my twenty years of health care experience I have witness patients going through some difficult physical therapy. Many patients do not bounce back and many give up because the rehab is so

rise by almost 50%, with a greater than 87% rise for those aged 65 to 74 years” (p.

These injuries costed over $10 billion. Hip fractures are the most common injury in seniors over the age of 70 resulting from a fall. They can be fatal and very costly. Many of those who do not die from this injury end up in nursing homes. These injuries are not the only ones that can originate from a fall however. Other common injuries are broken arms, shoulders, legs, ribs, and even pelvis. Seniors take longer to heal from these injuries than others due to slower healing and weaker bones that comes with age. Overall, these injuries are costly and can reduce life expectancy. Those who are lucky enough to not suffer an injury suffer physiologic impacts. This causes them to become extra cautious all the time and they can no longer do as many things as they used to. Also, if a senior has experienced a fall before, they are more likely to experience another one in their lifetime.

We utilized data from the Study of Osteoporotic Fractures (SOF)(36), a prospective cohort study of community-dwelling women aged 65 years and older in 1986-1988 (SOF visit 1). In brief, 9,704 predominantly Caucasian older women were recruited from population-based listings in 4 locations in the United States as follows: Baltimore, Maryland; Minneapolis, Minnesota; Monongahela Valley (near Pittsburgh), Pennsylvania; and Portland, Oregon. Starting with the initial visit (visit 1), participants attended clinic visits approximately every 2 years. An additional 662 African-American older women were recruited during SOF visit 6 (1997-1998). Women were not enrolled in SOF only if they were unable to walk without assistance and had not previously undergone a bilateral hip replacement. The institutional review board at each site approved the study and participants provided written informed consent.

Serum N-terminal propeptide of type 1 collagen (P1NP) in Elderly Patients with Hip Fracture: Relationship with Sociodemographic and Clinical Characteristics, Other Parameters of Bone and Mineral Metabolism, and Short-term Outcomes

Bone disease is a silent disorder that may lead to pain and deformity. (NCBI, paragraph 1). NCBI resources mention that1.5 million osteoporotic fractures in the U.S leads to more than half a million of hospitalizations, about 800,000 emergency room encounters, about more than 2,600,000 physician office visits, and about 180,000 individuals are placed into nursing homes. (NCBI, paragraph 2), Caring for fractures from bone disease is expensive, ranging from $12 to $18 billion per year in 2002 and will increase over the years causing individuals and their families a devastating impact. (NCBI paragraph3). Some die from bone disease, many spirals downward in their physical and mental health that result in death, especially during the first year after the fracture. (NCBI, paragraph 4). People who suffer from fractures experience severe pain, height loss, lose the ability to dress themselves, stand up, and walk causing them to be at risk of pressure sores pneumonia, and urinary tract infections. (NCBI, paragraph 5)