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re: Father-in-law fell and broke his hip
Posted on 10/16/21 at 12:41 pm to gizmothepug
Posted on 10/16/21 at 12:41 pm to gizmothepug
So sorry. For context the 1 year mortality for the elderly after hip fracture is roughly 20%. Make he's treated with meds to help prevent leg blood clots that could migrate to the lungs.
0
Posted on 10/16/21 at 12:42 pm to moontigr
quote:
He's very active for his age. He's not the type to just lay around
Make sure he stays that way after whatever rehab he has to do. It's vitally important for him to stay active once he is allowed to by Doctors or he might go down really quickly.
Posted on 10/16/21 at 12:52 pm to moontigr
A nursing home rehab will keep him for 100 days minus the time in the hospital. Nursing homes suck right now. I would do home health if he has help during the day and he is reasonably able to help with his care.
Posted on 10/16/21 at 12:53 pm to moontigr
Was he wearing a mask?
Posted on 10/16/21 at 12:53 pm to Bamboozles
quote:
You can hope it's a hairline crack and no surgery required. Then maybe 6-8 weeks of pain management vs mobility.
Its 6 weeks non weight bearing too.
This post was edited on 10/16/21 at 12:55 pm
Posted on 10/16/21 at 12:59 pm to moontigr
Falling is very devastating for elderly people. We moved my in-laws down the street from us last year to better take care of them. As opposed to toddler proofing a home, you have to elderly proof it. It was a struggle to remind my mother-in-law not to leave dog food bowls, extension cords, and other tripping hazards in walk areas. Pets are great companions for the elderly, but they seem to provide all kinds of opportunities for them to fall and injure themselves. When they start using a walker, you wonder why bathroom doors are so narrow. We had to modify my father-in-laws walker so it would fit through the bathroom door.
On another note, it is great that you are taking care of your father-in-law. We lost my 94 year old father-in-law early this morning. He was very active until a few years ago and then he had a stroke. He was still able to walk around the house with his walker until a couple of weeks ago and then became bed ridden. It was very sad to see him so helpless, having to wear diapers and such. Make the most of the opportunities that you have to take care of him. You will learn a lot about the important things in life.
On another note, it is great that you are taking care of your father-in-law. We lost my 94 year old father-in-law early this morning. He was very active until a few years ago and then he had a stroke. He was still able to walk around the house with his walker until a couple of weeks ago and then became bed ridden. It was very sad to see him so helpless, having to wear diapers and such. Make the most of the opportunities that you have to take care of him. You will learn a lot about the important things in life.
Posted on 10/16/21 at 1:00 pm to tiger91
quote:
tiger91
30 minute visits started back last week, last time we were allowed in was May or June
They have stopped testing from what I understand…if parish % is over 10% staff gets tested, if staff tests positive then residents are tested
2 weeks with no positives before visits can start again
I feel awful for people like OP who are caught off guard by all the BS
Being kept from family hinders recovery imo
Posted on 10/16/21 at 1:00 pm to moontigr
Your father-in-law will be fine as long he has the Lord on his side.
Posted on 10/16/21 at 1:01 pm to Pelican fan99
quote:
Falls are bad news at that age
My doctor told me broken hips have a 40% mortality rate in the elderly. I was shocked by that. My dad’s knees are shot. Refuses to use a walker and doesn’t even use his cane sometimes. He almost falls every time I see him. Matter of time.
Posted on 10/16/21 at 1:02 pm to Ramblin Wreck
Very sorry for your loss
Posted on 10/16/21 at 1:09 pm to moontigr
quote:
Just turned 86... anyone have any experience with this? How long will he be hospitalized?
Depends on the fracture
But most hip fractures actually have you weight bearing the day after surgery and home soon after with daily PT if functional status is OK
Posted on 10/16/21 at 1:13 pm to moontigr
I’m a PT in a hospital. A lot of it depends on WHERE the fracture is in the hip and what surgical procedure is then performed. This will then determine how much weight he can put on the leg.
At his age being able to walk and bear weight post surgery is CRUCIAL. Be an advocate for him and ask the surgeon if it’s possible to perform a procedure that will allow as close to full weight bearing as possible. It could be the difference between him recovering and just wasting away.
ETA: Good surgeons will almost always give the patient the best chance but there are some butchers out there who will throw in some pins and say non weight bearing for 6(+) weeks which is far from ideal in that population.
At his age being able to walk and bear weight post surgery is CRUCIAL. Be an advocate for him and ask the surgeon if it’s possible to perform a procedure that will allow as close to full weight bearing as possible. It could be the difference between him recovering and just wasting away.
ETA: Good surgeons will almost always give the patient the best chance but there are some butchers out there who will throw in some pins and say non weight bearing for 6(+) weeks which is far from ideal in that population.
This post was edited on 10/16/21 at 1:16 pm
Posted on 10/16/21 at 1:13 pm to moontigr
quote:what kinda will are we working with?
Father-in-law fell and broke his hip
Posted on 10/16/21 at 1:39 pm to moontigr
quote:
He has been living with us and all his stuff is here
Another thing to talk to the doctor about is whether you’ll need to install things like rails in the bathroom, make changes to accommodate a walker or wheelchair, etc.
An elderly relative of mine fell and had a break, too. The reason she fell was because she was an alcoholic and was drunk at the time. She went through rehab for that in the hospital while recovering. The reason I add this detail is that the doctor put her on some pretty strong meds to deal with that and it was up to us to suggest not taking certain meds once she was out of the hospital. Once she got off those, her mind seemed to clear up, her attitude improved, and she became interested in PT. She walks okay now but still carries a cane that she uses occasionally.
Posted on 10/16/21 at 1:40 pm to moontigr
quote:
Father-in-law fell and broke his hip
quote:
Just turned 86... anyone have any experience with this? How long will he be hospitalized?
I don't want to worry you or your wife but 2 of my 4 grandparents died due to complications from falling.
ETA: On the flip side my wife's grandmother is 90 has fallen like 5 times in the last few years and she's still going. She's a tough stubborn bird.
This post was edited on 10/16/21 at 2:17 pm
Posted on 10/16/21 at 1:57 pm to moontigr
Sadly, that injury is often the beginning of the end. Sorry
Posted on 10/16/21 at 2:04 pm to moontigr
quote:
Just turned 86... anyone have any experience with this? How long will he be hospitalized?
My grandfather fell and broke his hip, hospital sent him home because they missed the break. He was dead 7 days later. So just make sure he gets good care. It's survivable, it's just tough because losing movement is rough on an older person's body.
FTR, my grandfather also had alzheimers and only 1 kidney, and that kidney had already been starting to fail, but he was healthy otherwise.
Again, just get him at least adequate medical care.
Posted on 10/16/21 at 2:06 pm to moontigr
Is the fracture at the femoral head/ neck or intertrochanteric/subtrochanteric? If it’s the former, they can do a hemiarthroplasty (half a hip replacement, replacing the “ball” but not the socket). Those patients can weight bear on the operative leg as tolerated and do reasonably well. If it’s the latter, you’re looking at pins/screws and weight bearing may be limited.
Ask for acute inpatient rehab before going home. Don’t settle for a SNF or subacute Rehab.
Ask for acute inpatient rehab before going home. Don’t settle for a SNF or subacute Rehab.
Posted on 10/16/21 at 2:13 pm to Walt OReilly
quote:
It’s all down hill from here unfortunately They just never fully recover
I think that the prior level of function prior to the fall is probably the best predictive value. Did they tripped over their dog while taking their dog on a one mile walk, or were they already using a walker and fell in the bathroom. A relative of mine broke hip at 90, and lived to be 100. That’s more of the exception than the rule (active, no medical comorbidities)
Posted on 10/16/21 at 2:16 pm to moontigr
Grandfather did the same at the same age. He never made it out of the hospital unfortunately.
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