Nursing Considerations for Traumatic Geriatric Orthopedic Injuries

  • Elizabeth L. Price
  • Rajesh R. Gandhi
  • Therese M. Duane
Chapter

Abstract

Traumatic orthopedic fractures in the elderly population can cause significant morbidity and mortality. The most common mechanism of injury for elderly patients with orthopedic fracture is a fall from standing. According to the Centers for Disease Control and Prevention (CDC), one out of five falls results in serious injury including fracture or traumatic brain injury. In the elderly population, over 250,000 patients are hospitalized each year because of hip fractures (Centers for Disease Control and Prevention. 2015. Important facts about falls. http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html. Accessed 9 Apr 2016; Centers for Disease Control and Prevention. 2015. Costs of falls among older adults. http://www.cdc.gov/homeandrecreationalsafety/falls/fallcost.html. Accessed 9 Apr 2016; Centers for Disease Control and Prevention. 2015. Stopping elderly accidents, deaths and injuries. http://www.cdc.gov/steadi/materials.html. Accessed 9 Apr 2016). In 2013, direct medical cost for treatment of hip fractures was approximately $34 billion dollars (Centers for Disease Control and Prevention. 2015. Important facts about falls. http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html. Accessed 9 Apr 2016; Centers for Disease Control and Prevention. 2015. Costs of falls among older adults. http://www.cdc.gov/homeandrecreationalsafety/falls/fallcost.html. Accessed 9 Apr 2016; Centers for Disease Control and Prevention. 2015. Stopping elderly accidents, deaths and injuries. http://www.cdc.gov/steadi/materials.html. Accessed 9 Apr 2016). In this injured population, it is important to provide evidence-based, expedited care to decrease complications and lengthy hospital stays which can ultimately cause severe functional decline and possibly death. Nursing measures to decrease the incidence of complications and shorten hospital length of stay should be implemented in all geriatric trauma fractures, whether operative or nonoperative.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Elizabeth L. Price
    • 1
  • Rajesh R. Gandhi
    • 2
  • Therese M. Duane
    • 2
  1. 1.Department of Trauma ServicesJohn Peter Smith Health NetworkFort WorthUSA
  2. 2.Department of SurgeryJohn Peter Smith Health NetworkFort WorthUSA

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