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Hip Fracture

WHAT YOU NEED TO KNOW:

A hip fracture is a break in the upper part of your femur (thigh bone). The upper part of your femur includes the femoral head and the femoral neck. A hip fracture is often caused by a fall or injury on the side of your hip.

Bones of the Pelvis

DISCHARGE INSTRUCTIONS:

Medicines:

You may need any of the following:

  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.
  • Prescription pain medicine may be given. Ask how to take this medicine safely.
  • Blood thinners help prevent blood clots. Examples of blood thinners include heparin and warfarin. Clots can cause strokes, heart attacks, and death. The following are general safety guidelines to follow while you are taking a blood thinner:
    • Watch for bleeding and bruising while you take blood thinners. Watch for bleeding from your gums or nose. Watch for blood in your urine and bowel movements. Use a soft washcloth on your skin, and a soft toothbrush to brush your teeth. This can keep your skin and gums from bleeding. If you shave, use an electric shaver. Do not play contact sports.
    • Tell your dentist and other healthcare providers that you take anticoagulants. Wear a bracelet or necklace that says you take this medicine.
    • Do not start or stop any medicines unless your healthcare provider tells you to. Many medicines cannot be used with blood thinners.
    • Tell your healthcare provider right away if you forget to take the medicine, or if you take too much.
    • Warfarin is a blood thinner that you may need to take. The following are things you should be aware of if you take warfarin.
      • Foods and medicines can affect the amount of warfarin in your blood. Do not make major changes to your diet while you take warfarin. Warfarin works best when you eat about the same amount of vitamin K every day. Vitamin K is found in green leafy vegetables and certain other foods. Ask for more information about what to eat when you are taking warfarin.
      • You will need to see your healthcare provider for follow-up visits when you are on warfarin. You will need regular blood tests. These tests are used to decide how much medicine you need.
  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Call 911 for any of the following:

  • Your leg feels warm, tender, and painful. It may look swollen and red.
  • You feel lightheaded, short of breath, and have chest pain.
  • You cough up blood.

Return to the emergency department if:

  • You have severe pain, even after you take pain medicine.
  • Your legs are numb.
  • You cannot move your leg or foot.

Contact your healthcare provider if:

  • You have a fever.
  • You have a blister or open sore.
  • You have a sore that is red, swollen, or draining pus.
  • You have increased pain, numbness, tingling, or leg swelling.
  • You have worsening function or deformity.
  • You have questions or concerns about your condition or care.

Follow up with your healthcare provider as directed:

You will need to return for more x-rays. Your healthcare provider may also want to check you for osteoporosis. Osteoporosis is a condition that causes bones to become brittle and break easily after a fall. You will need treatment if you develop osteoporosis. Write down your questions so you remember to ask them during your visits.

Prevent falls:

  • Talk to your healthcare provider about all of the medicines you take. Some medicines can cause dizziness or drowsiness and increase your risk for falls.
  • Have your vision checked regularly. Your vision may worsen over time and increase your risk for falls.
  • Use walking devices , such as canes or walkers, if you have trouble keeping your balance.
  • Make your home safe:
    • Improve the lighting in your home so that you can see where you are walking better.
    • Add grab bars to the inside and outside of your tub or shower and next to the toilet.
    • Add railings to both sides of your stairways.
    • Remove throw rugs and other objects that can cause you to trip and fall.

Manage your hip fracture:

  • Eat foods that are high in calcium and vitamin D. Your healthcare provider may tell you to eat more dairy products, such as milk and cheese, for calcium. Spinach, salmon, and dried beans are also good sources of calcium. Cereal, bread, and orange juice may be fortified with vitamin D. You also get vitamin D from exposure to sunlight. Your healthcare provider may also suggest a calcium or vitamin D supplement. Do not take supplements unless directed.
  • Rest as directed. You may need a brace or pillow between your legs while your fracture heals.
  • Go to physical therapy as directed. A physical therapist will teach you exercises to help improve movement and strength, and to decrease pain during recovery.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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