RISK FACTORS OF PRESSURE ULCER IN ELDERLY NON-OPERATIVE FEMUR FRACTURE PATIENT

Abstract

Background: Pressure ulcers are skin and tissue alterations that develop in a specific area because of friction and shared force. They may also happen when both things happen at the same time. All damage caused by continuous pressure on a body surface, such as a hard bed surface, wheelchair sitting, or an improperly fitted lower limb prosthesis, results in increased pressure on the body's bone structures. Individuals over the age of 65 with a non-operative femur fracture should have their risk factors treated to avoid getting a pressure ulcer.
Objective: The goal of this research is to find out what causes pressure ulcers in elderly people who have a non-operative femur fracture.
Methods and components: In this example, a case control study was carried out utilizing questionnaires developed by the respondents. The information was gathered at the Chaudhry Muhammad Akram Teaching & Research Hospital in Lahore, the Jinnah Hospital in Lahore, the Sheikh Zayed Hospital in Lahore, and the Mayo Hospital in Lahore. The study was carried out three months after the summary was approved. A non-probability sampling approach was used to acquire the data. The sample size was determined using "Rao soft," with a total sample size of 113.
Results: According to one research, 65% of 138 patients experienced faecal incontinence; 27% spent more than two weeks in the hospital; 39% had wet skin owing to urine incontinence; 55% were impacted by mattress pressure; 46% had poor nutrition; and 50% had trouble shifting positions. Shear force and frict were also shown to be important factors. Pressure ulcers are common in elderly people who have fractured femurs. Individuals who have faecal incontinence, stay in an intensive care unit for more than two weeks, have moist skin owing to urine incontinence, have items pushing on the bone, are malnourished, or have friction acting on their body are all at risk of acquiring one.
Conclusion: Patients with femoral fractures are more likely to develop a pressure ulcer if they have faecal incontinence, spend more than two weeks in the intensive care unit, have moist skin due to urine incontinence, the mattress puts pressure on bony prominences, the patient is malnourished, and the friction is greater than 1.00.