A group of older women in an assisted living facility are talking about one of the residents who fell and fractured her hip. The women ask a nurse the following:
"It seems like so many of us fall and break our hips, and then it is downhill from there. Is this really true?" In formulating a response, the nurse considers which of the following? (Select all that apply.)
a. Hip fractures are a leading cause of hospi-talization for older people.
b. The major cause of hip fractures is falls.
c. Women have significantly higher mortality rates from hip fractures than do men.
d. Nearly all older patients who sustain a hip fracture will regain prefracture mobility status within 1 year.
e. Hip fractures are associated with very high morbidity and mortality.
ANS: A, B, E
Hip fracture is the second leading cause of hospitalization for older people. More than 95% of hip fractures among older adults are caused by falls. Older adults who fracture a hip have a five to eight times increased risk of mortality during the first 3 months after hip fracture. This excess mortality persists for 10 years after the fracture and is higher in men. Only 50-60% of patients with hip fractures will recover their prefracture ambulation abilities in the first year postfracture. Most research on hip fractures has been conducted with older women.
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A) 0.50 B) 0.53 C) 0.59 D) 0.63