Ms. R, an 86-year-old, thin, osteoporotic woman,

Ms. R, an 86-year-old, thin, osteoporotic woman, got up onto a stepstool to reach something on the top shelf of her cabinet. She lost her balance and fell onto her left side. She found that she could not sit up without pain. Her daughter later found her and called an ambulance to take her to the emergency department. She was found to have the left femoral fracture. Surgery was scheduled for open reduction internal fixation (ORIF). Blood clot prevention injections and pain medications were prescribed. Later, the patient was monitored for post-operative anemia and infection. After discharge, Ms. R was transferred to a skilled nursing facility for rehabilitation. She was just discharged to her daughter’s home with home health and assistive equipment. Today’s visit: Chief Complaint: “I am still recovering from my fall last month and now am staying at my daughter’s but want to go home.” Concerns: Recent fall with osteopenic condition, new living situation, rehabilitation, possible hypotension. Are there any national guidelines you want to refer to for the post-operative and rehabilitation care of this patient? Discuss the long-term treatment plan for this patient. Please include evidence-based practice, peer-reviewed studies, and/or reliable electronic sources to support your arguments.

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