Hip fractures and dementia: clinical decisions for the future

Eswaran Waran , Leeroy William

Research output: Contribution to journalArticleOtherpeer-review

Abstract

Severe dementia is a life-limiting condition; hip fractures are more common in patients who have dementia. This study outlines the case of a 92-year-old female with severe dementia who sustained a hip fracture. Despite having a terminal diagnosis (severe dementia and hip fracture) and poor premorbid quality of life, she had a life-prolonging surgery. The report outlines issues around treatment options in such circumstances, informed consent and substitute decision-making. The authors propose a ‘goals of care’ approach to manage patients in whom the best treatment is unclear, during their attendance to the emergency department. It is suggested that utilization of such a model may help with substitute decision-making and true informed consent.
Original languageEnglish
Pages (from-to)19-21
JournalOxford Medical Case Reports
Volume2016
Issue number2
DOIs
Publication statusPublished - 11 Feb 2016

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