patient is more likely to succeed in reaching her physical activity goals if her pain is under good control. Impaired physical mobility R/T recent surgery 2° right intertrochanteric hip fracture AEB pt. only being able to ambulate 40 ft with walker & assist x 1. Acute pain R/T recent surgery 2° to intertrochanteric right hip fracture AEB pt. rating pain as a 10/10. Ensure pt. changes position at least Q 2hr to prevent muscle atrophy & pressure sores from immobility & extended periods
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Hip Fractures Candice Murphy BIO120 Anatomy and Physiology Essentials Phase 2 Individual Project 19 April 2015 Causes of Hip Fractures The most common causes of hip fractures are: • Falls to a hard surface from a great height. • Blunt trauma to the hip‚ such as from a car crash. • Diseases such as osteoporosis‚ a condition that causes the loss of bone tissue. • Obesity (too much weight may place great pressure on the hip bones. (Macon and Leonard‚ 2012) Common Locations of Fractures
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1. Describe what is meant by motivation. What types of non-financial reward might a company use to motivate employees? Ans: Motivation may stem from personal interest such as keeping safe or from external factors such as praise and reward. Non-financial rewards: * appreciation of hard work * a sense of achievement * responsibility and empowerment * opportunity for advancement * a sense of challenge and enjoyment. 2. Describe the effects of an unmotivated workforce on a company. How
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Fracture * Bones form the skeleton of the body and allow the body to be supported against gravity and to move and function in the world. Bones also protect some body parts‚ and the bone marrow is the production center for blood products. * Bone is not a stagnant organ. It is the body’s reservoir of calcium and is always undergoing change under the influence of hormones. Parathyroid hormone increases blood calcium levels by leeching calcium from bone‚ while calcitonin has the opposite effect
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Paula Meza Chart Analysis 91 years old Allergic to Aromasin DNR History of Present Illness: Hip Fracture - patient fell in her home and broke her hip (admitting diagnosis). Vascular Dementia brought on by several TIA’s (Etiology/Pathology) Pts. progressive cognitive deficits led to her fall‚ and inabilility to perform normal ADL’s and self care. Since being admitted to Thompson‚ pt. has had consults with oncology in regards to her breast cancer diagnosis‚ with a GI specialist
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Recognising fractures and dislocations A fracture is the cracking or breaking of a bone and dislocations are where a bone has been displaced from the point in where it should be. There are different types of fractures with the most common being hairline and compound. Hairline fractures are where there is a very fine line between the segments of the bone that appears when x- rayed. The bone segments will remain in alignment and the fracture may not go fully through. Compound fractures are also known
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Packet 4 1. What is meant by a “complete‚ comminuted‚ intertrochanteric fracture of the right hip? 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
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DIAGNOSIS: Acute intertrochanteric fracture of right hip She was alert oriented x3 with reasonable thought content. She understood questions well and was in no acute distress. CHIEF COMPLAINT: Right hip injury HISTORY OF PRESENT ILLNESS I was called to see this 69-year-old black female patient‚ well known to me‚ who was brought to the emergency room after she sustained an injury of her right hip. She states she was walking when her right leg “gave out” and she fell onto the right hip. She complained
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3 Fracture healing 1 1.1 1.1.1 1.1.2 1.1.3 1.2 2 2.1 2.2 3 4 Biology of fracture healing in unstable fractures 73 Healing under uncontrolled motion 73 Inflammatory phase 73 Repair phase 75 Remodeling phase 76 Healing under restricted motion 77 Biology of fracture healing in stable 78 fractures Contact healing 79 Gap healing 80 Stimulation of fracture healing 81 Radiographic evaluation of fracture healing 88 Implant removal Bibliography 92 91 5 6 72 Author Dominique J Griffon
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Classification Current preference in terminology is to use open rather than compound to denote a fracture with an overlying wound. GustilloAnderson \classification (1) The prevalence of wound infection and nonunion increases with increasing grade of open fracture. The Gustillo Anderson classification of open fractures looks at several aspects of the injury not just the size of the wound. • Prescence or absence of neurovascular injury • Degree of contamination (farmyard injuries are grade
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