HIP FRACTURES-GENERAL REHABILITATION

SUMMARY

11 points regarding rehabilitation of an elderly patient post hip replacement (traumatic):
1. Wound/dressing review and management
2. Investigation of falls, falls risk factor modification, osteoporosis management and other outstanding medical issues
3. Pain management: rationalize analgesia
4. DVT prophylaxis: in conjunction with Orthopedic surgeon
5. Hip precautions
6. Equipment review: chair, toilet, mobility aids
7. Blood investigation review: electrolytes, inflammatory markers, calcium, Vitamin D and B12, folate, bone metabolic markers
8. PT: ROM exercises (within limits of hip precautions), mobility, balance, transfer practice
9. OT: equipment (chair, toilet aids, mobility aids), home environment review & modifications
10. Social work review: services, finances
11. Discharge planning: home/respite/placement, services, caregivers, equipment, transportation, transfers

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.