Hip fractures at a nursing home often occur to elderly residents due to understaffing and poor care. The Joint Commission considers hip fractures a “sentinel event.” This means that hip fractures are a patient safety event that can result in death, permanent harm, or severe temporary harm. These events are significant because they are debilitating to residents, and they are often preventable. A resident who suffers hip fractures at a nursing home should know their rights under Pennsylvania and federal laws.
Hip fractures require immediate medical attention and often require surgical repair. Residents who fracture a hip frequently have an expensive hospital stay. Residents can suffer from a negative surgical outcome, and the hospital stay can put them at a higher risk for infections.
Surgical site infections can require antibiotics and extend hospital stays. Sepsis, or the body’s life-threatening response to an infection, occurs in about 1 in 40 residents after geriatric hip fracture surgery. According to a 2017 article in the Journal of Arthroplasty, sepsis after hip fracture typically develops from urinary tract infections, pneumonia, or surgical site infections.
Residents can experience loss of their ADLs, or activities of daily living. This means that the hip fracture can impair their ability to walk, transfer, and take care of themselves. It can take weeks or months for a resident to regain their physical function, and many residents never regain full-function.
Residents who suffer a hip fracture at a nursing home experience a negative impact on their quality of life. The injury may result in depression or the resident having a negative self-image. Loss of their physical function can limit their ability to participate in activities they used to enjoy.
The American College of Chest Physicians classifies hip fracture surgery in the highest risk category for blood clots. These blood clots can develop in the legs after a hip fracture surgery. Sometimes these blood clots will break off and travel to the lungs, causing a pulmonary embolism.
In a study of over 60,000 long-term nursing home residents, hip fractures were associated with substantial mortality, with 1 in 3 residents dying within the first 6 months.