Question

An elderly client fractured his hip as a result of a fall at home. Because of his extensive cardiac history and chronic obstructive pulmonary disease, surgery isn't an option. The client tells the nurse he doesn't know how he's going to get better. Which response is best?

a) "You're doing fine."
b) "What is your biggest concern right now?"
c) "Give it some time and you'll be OK."
d) "You don't believe you're doing well?"

Answer 1

The best response to an elderly client with a fractured hip and health complications is "What is your biggest concern right now?" to address the individual's specific worries. Hip fractures can lead to serious complications due to immobility, making supportive and personalized care essential.

Step-by-step explanation:

When an elderly client fractures their hip and has concomitant health issues that preclude surgery, such as extensive cardiac history and chronic obstructive pulmonary disease (COPD), the treatment approach must be tailored to the individual's needs and the focus shifts primarily to non-surgical management and support. Since the client expressed uncertainty about his recovery process, the best response from a nurse would be "b) 'What is your biggest concern right now?'" This open-ended question invites the client to share his specific worries and allows for a more personalized and supportive conversation. It acknowledges his concerns and places importance on his perspective on the situation.

Hip fractures in the elderly can lead to various complications, such as blood clots, pneumonia, pressure sores, and urinary tract infections, due to the immobility that often accompanies the healing process. It's vital that a healthcare provider offers empathetic communication and reassures the patient about the management of these potential risks in the absence of surgical intervention.