Nursing Care for Falls Patients

Running head: NURSING CARE FOR FALLS PATIENTS 1
Nursing Care for Falls Patients
Student’s Name
Institutional Affiliation

NURSING CARE FOR FALLS PATIENTS 2
Pathophysiology
The following write up analysis Ms. Marley’s case scenario to provide her quality and
safe health care. This involves a detailed description of osteoporosis, neck of femur fracture, and
wound healing. Ms. Marley experienced a fall which led to a fractured Right Neck of Femur. She
has a history of osteoporosis which is a risk factor for fall patients. Osteoporosis is a
complication that reduces the density of bones leading to their weakening and breakage (Binkley
et al., 2017). Failure to prevent or treat osteoporosis in an appropriate time lead to bone fractures.
The condition always develops without symptoms or pains. Fractures due to osteoporosis require
an extended period to heal and can lead to permanent disability. Osteoporosis leads to weakening
of bones; hence increasing the chances of falls (Cox, Roggenkamp, Bernard, & Smith, 2018).
The condition is common in women above the age of fifty years. The patient is a woman of
eighty years and is vulnerable to the situation. The breakage of bones due to falls limits the
physical activities of an individual. Therefore, Ms. Marley should reduce her actions to create
adequate time for the healing of her wounds. Patients with osteoporosis have high chances of
falling than those without the bone disease.
The case study indicates that the patient fractured her Right Neck of Femur due to the
fall. Neck injuries are common in elderly patients due to the reduction of their bone density.
Furthermore, the advanced age of Ms. Marley makes her gait to be unsteady; thus increasing her
chances of falling. Osteoporosis is another risk factor for neck fracture after a fall. The patient
has a history of osteoporosis; therefore is vulnerable to the rupture. Additionally, the condition is
rampant in women as opposed to the men. The patient in the case study is a woman and has high
risks of suffering from the neck fracture. Recent research has shown that femur fracture is
common in patients between the ages of sixty-five and ninety-nine (Bliuc, Alarkawi, Nguyen,

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Eisman, & Center, 2015). The patient is in the age bracket; thus her condition should not shock
the caregivers. The most dominant cause of Neck of Femur fractures is falls recorded in an
elderly patient.
The patient experienced a fall that left her with painful wounds. Therefore, Ms. Marley
requires an extended period of rest to allow for the process of wound healing. Wound healing is
the auto repair of the skin's epidermis, dermis, and other underneath tissues (Finlayson et al.,
2017). The dermis and the dermis protect the delicate layers from chemical and mechanical
damages before the fall of the patient. The fall results in the development of a wound and
damaging of the two layers of the skin. Therefore, the body has a sequential mechanism of
repairing itself after a mechanical injury.
Communication and Person-Centered Care
Effective communication enhances Person-centered care in health facilities. Nurses have
the responsibility of assessing the condition of the patient and suggesting actions that improve
the welfare of the patients. The caregiver-patient interaction should involve the patient in the
recovery process (Newell, & Jordan, 2015). Firstly, the patient indicates that she fell when
feeding her dogs due to osteoporosis. The nurse should appreciate the information from the
patient and encourage her to continue taking care of the pets. However, the nurse should assist
the patient to head the words of her GP on osteoporosis. The caregiver should urge the patient's
daughter to help her mother by taking care of the dogs.
The patient is keen to get back home to attend to the pets and her garden although she is
worried about falling again. The caregiver should respect the urge of the client to resume work
back at home (Tobiano, Marshall, Bucknall, & Chaboyer, 2016). However, the nurse should urge
Ms. Marley not to worry about falling again. The care provider should also educate the patient on

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the strategies for avoiding future falls such as wearing eyeglasses. Furthermore, the caregiver
should take time out of the busy schedule to help the patient with her chores as she recovers.
The operation on the patient has left her with pain making her day to be a bad one. The
caregiver should inform the patient that pain is common after a surgical operation. Furthermore,
the nurse should give painkillers to the patients to relieve her pain. Caregivers have a duty of
alleviating anxiety and fear from the patients (Czerwonka et al., 2015). The care providers
should also provide emotional support to the patient. In the case study, the nurse should educate
the patient about pain management strategies. The nurse should also inform Ms. Marley that the
pain is temporary.
The patient finds it hard to sleep in the hospital due to the noise from the facility. She
admits that her hearing troubles cannot prevent her from perceiving the sound within the health
center. The nurse should appreciate the patient's sense of hearing. The caregiver should also
implement measures to minimize the noise. Furthermore, the care provider should urge the
patient to wear her bilateral hearing aids to enhance her hearing capacity (Vaisbuch, & Santa
Maria, 2018). The caregiver has a duty of supporting the client on the path to recovery. The
nurse should regularly visit the patient to ensure that she wears the hearing aids.
Ms. Marley is very active and wants to resume her busy schedule at home. The caregiver
should applaud her for the hard work and encourage her to continue with her chores. However,
the nurse should seek the opinion of the patient and the family members on critical care issues
(Newell, & Jordan, 2015). Firstly, the caregiver should urge the daughter of the patient to help
her with her daily chores. Secondly, the nurse should advise the patient to take time for recovery
before resuming her duties. Finally, the caregiver should help the patient with her chores.