Hip Fracture Case Study

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INTRODUCTION Hip fracture more commonly occurs in older people. The average age of a person with hip fracture is, statistically, to be 84 years in men and 83 in women and an estimate 76% of fractures occur in women (National Hip Fracture Database). Around 70,000-75,000 hip fractures occur a year as reported by the National Joint Registry. This case study is of an elderly patient who has undergone left hemi-arthroplasty due to an intracapsular hip fracture following a fall. The Roper, Logan and Tierney (RLT) model for nursing, in addition to the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach and other assessment tools like the AVPU scale, NEWS and MUST is applied in this study for a systematic assessment and plan of care………………………….. PATHOPHYSIOLOGY The hip joint is the largest joint in the entire human body. It is the ball and socket joint in which the head of the femur (ball) and the concave pelvic acetabulum (socket) is joined. A hip fracture can occur inside the socket in the neck of the ball or outside the socket in between or below the greater and lesser trochanters (Bracewell et al 2010).…show more content…
Full verbal consent of the patient was obtained before using any information to comply with the guidelines set by the Department of Health (2009). Throughout this case study, refer the patient will herby be referred to as “Mrs J”. Mrs J is an 84-year-old British catholic widow, retired clerk who lives along with her son in a flat. She was diagnosed with osteoporosis 8 years ago. Mrs J is underweight with a BMI of just 18. Mrs J is also hypertensive for the last 20 years and is on regular beta-blockers. She is a non-smoker and non-alcoholic and quite independent with her Activities of Daily Living
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