Optimal Hip Fracture Management In High-Risk Frail Older Adults

摘要

Mr. G, age 84, fell on the ice and suffered a right hipfracture. His medical history included heart disease, diabetes,emphysema, and asbestosis. Before the fall, he was oxygen-dependentbut living independently. His surgery was delayedwhile his pulmonary status was assessed. Unfortunately, he developedcomplications; and it was decided not to operate. Afterdischarge to a rehabilitation facility, he suffered from pain,anorexia, constipation, delirium, aspiration pneumonia, pressureulcers, weight loss, and cognitive and functional decline.After multiple hospitalizations, the family and patient electedhospice care. The patient died 3 months after the fracture.