Why Mortality Increases in the Elderly Within a Year of Hip Fractures and What You Can Do to Help

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A startling 1 in 5 people over 65 who experience hip fracture surgery will die within a year agreeing to the Centers for Disease Control. Certainly, a fractured hip doesn't kill outright - rather it's the slow healing time that makes a someone susceptible to other problems which cause death. We can trace the imagine for death back to one thing: immobility. There are steps though that you can take to ensure the best outcome for your loved one.

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Humans are not meant to be immobile for any prolonged period of time. When we are the following changes may occur:
Skin breakdown Pneumonia Muscle atrophy Depression

Let's retell the importance of each of the above problems.

1. The Hows and Whys of Skin Breakdown

Prolonged immobility leads to pressure ulcers. Indeed, very little pressure is needed before the blood contribute to the area is compromised and tissue damage occurs. We part pressure in millimeters of mercury (mm Hg) - the same measurement we use in blood pressure.

The pressure required for tissue damage to start is minimal (greater than 35 mm Hg for those who have blood pressure cuffs and want to try this out). This pressure decreases the blood contribute to the tissue which then becomes starved for oxygen. The cell hemorrhages and then dies.

In order to know what 35 mm Hg pressure of course feels like, think of the pressure exerted on your arm when you have your blood pressure taken. Now 35 mm Hg is not the kind of pressure you feel when the cuff is fully inflated but rather the pressure that you feel when the cuff is just starting to inflate after some pumps.

If you can't remember what that feels like, that's the point - it's so minimal. So the next time you're laying on the floor consider this: the pressure in the middle of your hip and a hard resting outside can exceed 300 mm Hg.

Post-operative patients have very little mobility because of the effects of anesthesia, pain and feebleness so they are not able to shift their weight colse to - things that we all do unconsciously thousands of time a day. That's why frequent position changes, heel protectors, and skin hydration are all crucial while this period.

2. Pneumonia

When we are laid up in bed for some days, we don't fully inflate our lungs nor are we able to of course cough and move secretions around. The tiny air sacs that are at the end of our bronchial tubes collapse when they are not properly inflated with air, a health called "atelectasis". After some days, bacteria can then build up and lead to pneumonia.

That's why patients are encouraged to cough and deep breath after surgery especially because general captivating about is severely restricted. An incentive spriometer, a cylindrical expedient with a tube attached that the sick person sucks on, is an cheap tool that encourages deep breathing and complete aeration of the lungs.

3. Muscle Atrophy

The process of healing after hip surgery is a long one captivating corporeal therapy and a willingness on the individual to do the exercises. But the weeks of little mobility lead to muscle atrophy, causing individuals to tire more swiftly which then leads to greater limitations.

The hard work of corporeal therapy can not be underestimated even though the gains may seem so minimal at first. The goal while this first post-op phase is to claim muscle tone and compel in the face of little activity. That's why it is also foremost to make sure that pain medication is given before each session in order to maximize results.

4. Depression

Hip surgery is hard at any age but much more difficult on the elderly whose quality to bounce back swiftly is diminished by a slower healing time. This combiined with the following, conduce to depression:
Loss of independence Fear of being located in a nursing home Fear of supplementary falls Discouragement because of the slow progress

In many cases, depression is accompanied by loss of appetite and poor sleep, both key components in insuring prosperous healing. The use of anti-depressants and nutritional supplements can help.

Because anti-depressants may take a while before their benefits are felt, be especially alert for the first signs of depression so that medication therapy can be intiated promptly. Be sure to seek out the help of the facility's collective work and pastoral care staff.

Individuals do heal from hip surgery and return to independent living but it requires interventions and cooperation from mutiple disciplines:
physical/occupational therapy nursing medicine collective work dietary and finally, patients and families.

Focusing on these aspects of care will help maximize healing.

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