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Most commonly caused by:

·         Falls- due to old age or clutter

·         Trauma- due to motor vehicle accidents

·         Sports injuries- high impact during contact sports.

·         Osteoporosis- bones are already weakened.

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TREATMENT OPTIONS

Reduction = bone alignment

Closed Reduction = cast and splint

Open reduction = surgical procedure (internal with screws and plates placed) or (external with wires and pins to area for stabilization.)

Traction = pre surgical stabilization

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NURSING INTERVENTIONS:

Pain Management

Stabilization (hip abduction wedge)

Monitor for s/s of infection

Blood clot preventions (SCD, compression stockings)

Fall prevention – assist with transfers

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PATIENT EDUCATION

Communication of pain

Adhere to weight bearing restrictions

Exercises

Fall prevention – home free of clutter

Signs of infection to look for

Keep follow up appointments