Fractures in Older People
The most common fractures in older people are of the hip, wrist, and humerus. Falls are the usual cause. Compression back fractures in osteoporosis and multiple myeloma must also be mentioned.
Symptoms of fractures depend of the type and location of the broken bone. For example, a fracture of the upper humerus affects shoulder joint movement. The extent of muscle damage determines the amount of swelling, bruising, and pain.
The treatment of fractures in the older patient depends on the type and location of the broken bone, as well as the overall condition and mobility of the patient.
Fractures must be reduced; that is, the bone fragments must be realigned and immobilized until they heal and function can be restored. This is accomplished using slings, immobilizers, casts, and traction, and surgical procedures to insert pins, wires, plates, and rods; for some hip fractures, the joint is replaced.
Reference :
Reference :
Farrell J : Nursing Care of the Older Person, J.B. Lippincott Company, Philadelphia, 1990.
