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Cognitive Impairment Level and Elderly Hip Fracture

Implications in Rehabilitation Nursing

doi: 10.1097/RNJ.0000000000000270
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  • Read the article on page 147.
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Registration Deadline: June 3, 2022

Disclosure Statement: The authors and planners have disclosed that they have no financial relationships related to this article.

Provider Accreditation:

Lippincott Professional Development will award 1.0 contact hour for this continuing nursing education activity.

Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida CE Broker #50-1223.

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Purpose: To provide information about the influence of cognitive impairment on various factors related to older adults with hip fractures.

Learning Objectives/Outcomes: After completing this continuing education activity, you should be able to:

1. Discern the lengths of stay before surgery and comorbidities related to cognitive impairment levels of adults with hip fracture.

2. Recognize the frequency with which pharmacological treatments are associated with cognitive impairment levels in adults with hip fracture.

3. Identify complications, destination at hospital discharge, and ambulation assistance associated with various cognitive impairment levels in adult patients with hip fracture.

  1. Compared with a mean length of stay of 5.57 + 4.19 days before surgery for the no impairment cognitive group, what was the mean length of stay before surgery for the slight cognitive impairment group?
    1. 5.45 + 4.01 days
    2. 6.96 + 3.62 days
    3. 7.02 + 3.44 days
  2. Compared to patients with other levels of cognitive impairment, those in the moderate/severe cognitive impairment level group had a lower presence of
    1. cardiomyopathy.
    2. peripheral vascular disease.
    3. cancer.
  3. A lower presence of which comorbidity favored patients in the no impairment cognitive group in this study?
    1. Parkinson’s disease
    2. osteoarthritis
    3. diabetes
  4. There was statistically significant higher use of which medication in favor of the moderate/severe cognitive impairment level group?
    1. analgesics
    2. bronchodilators
    3. antiplatelets
  5. There was lower use of which medication that was statistically significantly in favor of the no impairment cognitive group?
    1. antiosteoporosis
    2. antidepressants
    3. anticoagulants
  6. What other pharmacological treatment was higher in the moderate/severe cognitive impairment level group and lower in the no impairment cognitive group?
    1. insulin
    2. home oxygen
    3. neuroleptics
  7. There was a lower presence of what complication in favor of the moderate/severe cognitive impairment level group?
    1. constipation
    2. urinary tract infection
    3. thromboembolism
  8. Results from this study revealed a higher presence of which complication in favor of the mild cognitive impairment level group?
    1. ischemic heart disease
    2. surgical wound infection
    3. respiratory insufficiency
  9. The most frequent destination at hospital discharge for older adults with hip fracture in the mild cognitive impairment level group was
    1. nursing homes.
    2. concerted care centers.
    3. their own homes.
  10. Ambulation assistance with a walker or 2 sticks was more frequent in the
    1. no impairment cognitive group.
    2. mild cognitive impairment group.
    3. moderate/severe cognitive impairment group.
© 2020 Association of Rehabilitation Nurses.