Study Shows Health Care Workers Can Be Trained For Cognitively Impaired Hip Fracture Patients

The purpose of a recent study was to evaluate patient and system outcomes regarding older community-residing (nursing home, assisted living facility) adults who participated in a rehabilitation program following hip fracuture surgery.

The health care professionals on the rehabilitation unit in this feasibility study had never cared for such patients who were so frail, with multiple co-morbidities including cognitive impairment. After an innovative model of care was developed and the staff trained in the novel approach to care, the unit opened for all patients living within the community who had fractured their hip, regardless of their cognitive impairment.

Of the 31 elderly patients consecutively admitted post-hip fracture in this retrospective study, 18 were found to have cognitive impairment postoperatively. There were no differences in length of stay, rehabilitation efficiency, and motor gain scores between the two groups of patients.

This feasibility retrospective study suggests that staff can learn how to care for patients with cognitive impairment in rehabilitation settings, and that such clients can achieve outcomes comparable to those without cognitive impairment in a setting dedicated to caring for patients with a hip fracture. For more, see the study.


Robert W. Carter, Jr. is a Virginia attorney whose law practice is dedicated to protecting the rights of the victims of nursing home and assisted living neglect and abuse in Richmond, Roanoke, Norfolk, Lynchburg, Danville, Charlottesville, and across Virginia. 



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