【Case Discussion】CHAPTER 6慕课视频播放-老年护理学(Gerontological Nursing)-MOOC慕课视频教程-柠檬大学

A female patient, aged 79, is a retired worker and lives with her spouse. The chief complaint was fall-induced pain in the right hip with restricted mobility for 3h, and she was hospitalized. The patient accidentally fell on the slippery floor of the bathroom at home at 6:00 AM on February 18, 2018. She landed on her right hip, resulting in an immediate local swelling of the right hip. There was persistent pain in the right hip. The right lower limb was unable to move, and the patient could not walk. After the fall, her spouse called for help from the neighbors. The patient was lifted from the ground and sent to the emergency department of our hospital in a car. X-ray indicated a fracture of the right femoral neck. She was hospitalized through the emergency department for fracture of the right femoral neck. The patient had a history of osteoporosis for one year and a history of hypertension for five years. The highest blood pressure reached up to 170/85mmHg. Before the fall, she took one Amlodipine Besylate Tablet every morning. She reported a sleep disorder in the past month. She had difficulty falling asleep in the night and visited the outpatient clinic one week ago. After that, she took alprazolam 0.8mg before sleep each night, which improved sleep quality. Physical examination revealed: T36.7℃, P78 beats/min, R22 breaths/min, BP187/90mmHg, and clear consciousness. There was no skin rupture or bleeding, unconsciousness, nausea and vomiting, profuse sweating, chest and abdominal pain, or numbness in the two lower limbs. There was mild swelling in the right hip, but no etechia. The right lower limb presented with mild extorsion deformity in hip and knee flexion. There was apparent tenderness. Longitudinal percussion pain (+) was present in the right lower limb. The right hip had restricted mobility. No abnormalities were found in the mobility of the right knee and ankle joint. Neither were there abnormalities in blood supply and sensation of the limb endings.

After hospitalization, she received skin traction therapy in the right lower limb according to the doctor's instructions. The patient was nervous during the treatment with cold sweat. She complained of pain in the affected limb and refused skin traction therapy. She asked for analgesia first. After detailed explanations by the medical staff and the prescription of analgesic medications, the patient's emotions stabilized. The pain was soothed than before, and the patient showed more cooperation during skin traction therapy.

【Case Discussion】CHAPTER 6

老年护理学(Gerontological Nursing)课程列表：

CHAPTER 1: General Introduction to Geronological Nursing

CHAPTER 2: Elderly Health Assessment

CHAPTER3: Elderly Mental Health and Mental Health care

CHAPTER4: Elderly Daily Care

CHAPTER5：Medication Safety and Care for the Elderly

CHAPTER6：Nursing Care for the Elderly with Common Health Problems and Diseases

CHAPTER7 Hospice Care for the Elderly

【Case Discussion】CHAPTER 6笔记与讨论

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