Why are hip fractures so dangerous in the elderly?
WILLIAM BULMAN, MD: There is a very high mortality rate associated with hip fractures. It can cause blood clots and cardiac problems. Hip fractures are a major source of disability and there are very simple things that you can do to prevent the, like promoting strong bones early, to prevent osteoporosis.
But preventing fractures once an older person is in your home is often simply a matter of making your home safe by making it trip-free and fall-friendly.
What are some of the assessments you make in determining whether or not a house is safe?
CHRISTINA BALDASARI, LPT: The first thing I consider is whether the patient can get in and out of bed safely. Is a railing needed to help them roll over and sit up in bed? Sometimes we recommend putting a grab bar right on the wall next to the bed so that they can pull up onto the rail and then stand. Is the path from the bed to the bathroom clear and free of obstacles? This is especially important for nighttime trips to the bathroom. Is the rug in the bedroom too fluffy? Is it a shag carpet, which can lead to tripping? If they have a rolling walker, will they be able to navigate across the rug? We look at all these things in the bedroom.
