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A 85-year-old man has fallen and broken his hip.  He is in radiology and will be...

A 85-year-old man has fallen and broken his hip.  He is in radiology and will be coming to the OR immediately for repair of his fracture.  What will be some of the considerations for the OR team on arrival of the patient and what will we consider in relation to this patient as we prepare him for surgery?

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Answer #1

Ans) Consideration:

› Ensure that surgical stabilization of hip fracture is performed as soon as possible—ideally within 48 hours of injury.

› To reduce the risk of delirium, orient the patient frequently; get her out of bed as soon as possible, and avoid prolonged catheter use.

› Order protein supplements for patients recovering from hip fracture and take steps to facilitate an early return to eating.

Strength of recommendation (SOR)

A. Good-quality patient-oriented evidence
B. Inconsistent or limited-quality patient-oriented evidence
C. Consensus, usual practice, opinion, disease-oriented evidence, case series

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