Nursing care for elderly patients with hip fractures and comorbidities: 2 case study

Abstract

A comparative study of nursing care for monitoring complications in elderly patients with hip fractures and comorbidities admitted to the male orthopedic surgery ward, Mahasarakham Hospital. The study instruments consisted of a data recording form, the Gordon Health Model Assessment Form, and the Orem Self-Care Assessment Form. Review and compile patient medical records, study patient history. Data analysis, comparative analysis, risk factors for complications in elderly patients with hip fractures and comorbidities. Different problems of complications are found as follows: Case study 1 found physical problems including oxygen deficiency, urinary tract infection, waste accumulation from chronic renal failure, diabetes, high blood pressure, complications from prolonged bed rest, discomfort from hip pain, and mental problems from anxiety. The cause is due to the pathology of the disease from this injury together with the existing comorbidities. Case study 2 found physical problems including septic shock, oxygen deficiency, cardiac contractions, complications from prolonged bed rest, discomfort from hip pain, and psychological problems from anxiety. The cause is the same. This study highlights the crucial role of nurses in the early detection and prevention of complications, enabling timely medical intervention and enhancing patient safety. Furthermore, the findings support the development of nursing competency in providing effective care for elderly patients with hip fractures and comorbidities.