A.

Discharge Plan (METHODS)

BVP with the help of significant others will adhere to the following
instructions:

M-EDICATION BVP and his daughter were instructed to take home

medications and were provided with list including the
dosage and time to be taken.

- Emphasized to the significant others the importance of

strict compliance to drug therapy as this will help prevent
progression of his injury.

- Encouraged BP and significant others to religiously

follow scheduled time of taking the medicines.

 Ascorbic Acid 500 mg tab 1 tablet once a day

(0800H)

 Calcium +Vitamin D3 tab 1 tablet three times a day

(0800H – 1300H -1800H) to be taken after meals

 Cefuroxime 500 mg tab 1 tablet twice a day for 3

days (0800H -1800H) to be taken after meals

 Tramadol + Paracetamol 3.5mg/325mg 1 tablet

every 8 hours AS NEEDED FOR PAIN

 Carvedilol 12.5 mg tab 1 tablet twice a day

(0800h-1800H)

E-XERCISE/ - Advised to avoid internal rotation and adduction of left

ACTIVITY thigh and strenuous activities.

- Instruct significant others to provide safe and hazard

free environment and assist the client in doing activities
 of daily living that he cannot fully perform.

T-REATMENT - Encouraged early ambulation and to do deep breathing

exercises.

H-EALTH - Educate the patient and significant others the

EDUCATION importance of personal hygiene and proper wound care
with aseptic technique.

O-UT PATIENT - Instructed for follow up at Ortho OPD Team Alpha on 27

August 2019 for removal of sutures and follow up
checkup.

D-IET

- Encouraged to eat foods rich in proteins and Vitamin C

for faster wound healing.

S-PIRITUALITY - Uplifted BVP’s feeling by reminding her that God is our

/ SEXUALITY Creator, His plans are not to harm us but to teach us

lessons.

- Encouraged to still attend Sunday mass whenever

schedule permits.
A. Problem List

Nursing Problem Date Identified Date Resolved

Acute pain related to 31 2400H July 2019 01 0100H August 2019
Fracture at (L) hip

Impaired physical mobility 31 2400H July 2019

related to presence of limb
immobilizer
Hyperthermia related to 04 1630H August 2019 04 1830H August 2019
inflammatory response
secondary to fall.
Risk for fall 31 2400H July 2019

Risk for infection related to 13 1600H Aug 2019

site for organism invasion
secondary to surgical
intervention.

B. Long Term Objective:

Upon discharge, after three to six months, BVP with the help of significant
others, he will achieve optimum level of functioning through dependent and independent
nursing care.
CONCLUSION

Elderly people are at high risk for falling, which can lead to hip fractures. They fall
due to loss of coordination, they have difficulty with their eye sight and balance and they
become frail. So when they fall, they are at risk of fractures primarily due to
osteoporosis and weaker bones.

From surgical point of view, surgery itself is associated with some risks but these
are relatively minor compared with the morbidity and mortality of hip fracture patients
experience without passing through the procedure. It is typically better if surgery is done
within 2hours of fall.

Recovery after surgery is a very long process. Healing from fracture takes time
and patience. Others experience loss of morbidity and independence. During this
process, it is important to take steps to prevent another hip fracture in the future. Early
ambulation is a great help. Aggressive physical and occupational therapy is also
substantial and it may get our patients close to their prefracture functional level of
morbidity and independence within three to six months.

In this case study, the whole process has touched every part of nursing
profession even the smallest things like history taking and establishing a good patient
rapport which made them more easeful in opening themselves, being carefree and
telling us whatever they are feeling. With this, it would help us to reach towards patient’s
condition.

This study has helped the author to become more aware of which part of the
process should we be focusing more, enhancing the quality of care and enhancing the
competency in handling elderly with hip fracture, educating the client and their
significant others of their condition and emphasize the importance of strict compliance in
the plan of care to prevent complications, another fracture and aid in healing.