6/13/2023 0 Comments Hip fractureQualitative interviews from healthcare providers and patients identified two main categories of themes themes external to the person and themes unique to the person. Median upright time was 24 min, and median number of steps taken was 30. ResultsĪctivity monitor data from eighteen participants demonstrated a mean sedentary time of 23.18 h. Data from multiple sources provided an understanding of mobility activity initiation and patient participation. In this study, the main case was one post-operative unit with a history of recommendation implementation, and the embedded units were patients recovering from hip fracture repair. MethodsĪ descriptive mixed method embedded case study was selected to understand the phenomenon of early mobility after fragility hip fracture surgery. We do not fully understand why there continues to be such high rates of sedentary times, given that evidence demonstrates functional decline is preventable and early mobility recommendations have been available for over a decade. Recent studies demonstrate that this older adult population spends greater than 80% of their time in bed during hospitalization, despite being ambulatory before their fracture. For hospitalized older adults, the deconditioning effect of bedrest and functional decline has been identified as the most preventable cause of ambulation loss. Following a hip fracture up to 60% of patients are unable to regain their pre-fracture level of mobility.
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