ACTIVE LEARNING TEMPLATE:
System Disorder
STUDENT NAME______________________________________
Hip Fracture
DISORDER/DISEASE PROCESS___________________________________________________________
Alterations in
Health (Diagnosis)
Hip fracture
Pathophysiology Related
to Client Problem
Break in bone d/t trauma or
pathological disease process
REVIEW MODULE CHAPTER____________
Health Promotion and
Disease Prevention
Consume adequate calcium/vit D in diet.
When healed, incorporate weight bearing
exercises into routine. Decrease in high
injury risk behavior and monitor for signs of
osteoporosis
ASSESSMENT
SAFETY
CONSIDERATIONS
Risk Factors
Expected Findings
Osteoporosis, osteosarcoma, malnutrition,
substance use disorder, metabolic conditions
including lactose intolerance, history of falls, high
impact sports including skateboarding and football,
car crashes, age
Laboratory Tests
pain, swelling, limited mobility,
increased HR/BP
Diagnostic Procedures
CBC, full metabolic panel including
T4/TSH
x-rays, bone scan, CT/MRI
PATIENT-CENTERED CARE
Nursing Care
assess pain
management, monitor
skin for breakdown,
reposition, monitor foDVT
Therapeutic Procedures
keep joint in place/
immobilize, ROM in non
affected limbs
ACTIVE LEARNING TEMPLATES
Fall risk-low bed/
bed alarm on, risk
for embolismantiembolism
stockings or SCD
Complications
Medications
Analgesics,
stool softener
PRN, if surgery
or open
fracture>
antibiotics
Client Education
explain fall risk and hip
precautions, explain
treatment options
DVT, PE, infection,
failure to heal,
hemorrhage,
osteomylitis,
heterotopic
ossification, fat
embolism,
bedsores, atrophy
Interprofessional Care
PT/OT either in-patient or
outpatient, surgeon for
hip replacement
Therapeutic Procedure
A11