Hip fractures have a significant impact on the lives of older adults and their families, and the subsequent surgery, although very effective in treating the fracture, places a significant emotional, physical, and financial strain on the patient. With continual rising costs in healthcare, and as little as 3 days to transition the patient out of the hospital, the physical therapist in the contemporary acute care setting, now more than ever, needs to understand how to assess and treat this patient population. In this course, learn how physical therapy can effectively evaluate and treat this patient population. Learn techniques that can make mobility easier and safer, while helping facilitate more independent movement in this setting. Understand the importance of teaching the patient about pain control, the role of exercise and early mobilization for successful outcomes, and how barriers may impact where a patient goes after the acute care setting. This is the third course in a five course series. Please be sure to watch:
Hip Fracture Part A: Overview, Classifications, and Evidence
Hip Fracture Part B: The Surgical Approach
Hip Fracture Part D: Long Term Care Management
Hip Fracture Part E: Home Care Management
Sandy Shelton has been the senior physical therapist for the orthopedic unit at Vanderbilt Medical Center in Nashville for over 20 years. She was a member of Vanderbilt’s first committee to develop and implement the use of orthopedic critical pathways, and continues to serve on a hospital-wide collaborative patient care task force. She has published an article titled “Rehabilitation Following Total Hip Arthroplasty”, served as a guest editor for an edition of Topics in Geriatric Rehabilitation on the subject of joint replacements and served as a contributing editor to an orthopedic nursing textbook OP Care: Orthopedic Patient Care. In addition to her written contributions, Sandy has also presented to physical therapy conferences and the American Academy of Orthopedic Surgeons on topics on rehabilitation of patients with orthopedic problems. Ms. Shelton received her Geriatric Training Certification in January 2001.
In this chapter, participants will discuss the role that physical therapy plays in educating patients about pain control, early mobility on the affected leg and safety when ambulating in acute care.
Sandy Sheldon leads through example, teaching participants how to prescribe exercise for this stage of recovery, and explaining how certain devices can help substitute for weakened hip muscles.
An evaluation is conducted by physical therapist Sandy Sheldon, with a particular emphasis on how patient discharge destination is determined as a function of a patient’s presenting function, and their past medical history.