Experiences of Older Adults After Hip Fracture: An Integrative Review

Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses
Monica M EhlersMerete B Bjerrum

Abstract

The aim of the study was to identify and synthesize scientific evidence on older adults' experience after hip fracture in relation to their physical and mental health, functional performance, and participation and to determine which personal or social factors influence functional capacity after hip fracture. Integrative review. Eleven qualitative or quantitative papers published between 2001 and 2015 were analyzed using integrative review methodology as described by Whittemore and Knafl. Older adults experienced pain and decline in personal and instrumental activities of daily living and used adaptation strategies to cope with the hip fracture. Hip fracture affected the older adults' mobility, body image, mental health, and capacity for participation. Pain measurement tools focusing on various perspectives of health as well as rehabilitation programs focusing on changes in body function and body image and increased awareness of vulnerability in older adults may promote functional capacity after hip fracture.

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