What is the rehabilitation timeline for an 87-year-old patient with dementia following a partial hip replacement (hemiarthroplasty)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: February 7, 2025 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

There are no official guidelines to assist in answering this question. I will search for relevant research papers instead.

From the Research

Rehabilitation Timeline

The rehabilitation timeline for an 87-year-old patient with dementia following a partial hip replacement (hemiarthroplasty) can be influenced by several factors, including the type of rehabilitation received and the patient's overall health status.

  • Studies have shown that early and intensive inpatient rehabilitation is associated with improved postoperative outcomes in patients with dementia 1.
  • A prospective, observational cohort study found that patients with cognitive dysfunction who received geriatric rehabilitation after hemiarthroplasty had better outcomes, including a lower likelihood of being confined to a wheelchair or bedridden at the 1-year follow-up 2.
  • Another study found that home-care based rehabilitation (HCR) and inpatient rehabilitation (IPR) were associated with less risk of long-term care admission after discharge from hospital than no rehabilitation 3.

Factors Affecting Rehabilitation

Several factors can affect the rehabilitation timeline for patients with dementia after hip fracture, including:

  • The severity of dementia: patients with mild to moderate dementia may show improved function and ambulation after rehabilitation, similar to those without dementia 4.
  • The type of rehabilitation received: geriatric rehabilitation, HCR, and IPR have been shown to be effective in improving outcomes for patients with dementia after hip fracture 3, 2.
  • The presence of other health conditions: patients with multiple health conditions may require a longer rehabilitation period.

Challenges in Rehabilitation

There are several challenges in rehabilitating patients with dementia after hip fracture, including:

  • Therapeutic nihilism: some healthcare professionals may assume that patients with dementia cannot be rehabilitated, leading to a lack of access to rehabilitation services 5.
  • Limited access to rehabilitation services: patients with dementia may face barriers in accessing rehabilitation services, including a lack of availability of services and transportation issues.
  • The need for person-centered care: patients with dementia require person-centered care that takes into account their individual needs and preferences 5.

References

3
Research

Rehabilitation of Older Adults with Dementia After Hip Fracture.

Journal of the American Geriatrics Society, 2016

Related Questions

What is the appropriate management for an 87-year-old patient with advanced dementia, history of shoulder and hip fractures with partial hip replacement, and Catheter-Associated Urinary Tract Infection (CAUTI), presenting with severe hypotension?
What is the best treatment approach for an elderly patient with Lewy Body dementia and severe osteoporosis who has suffered a hip fracture?
What is the appropriate discharge plan for a 68-year-old Aboriginal woman with a history of hypertension, type 2 diabetes, recent transient ischemic attacks (TIAs), and vascular dementia, who was admitted to hospital after a hypoglycemic event resulting in a fractured right hip?
What is the prognosis for an 87-year-old with advanced dementia, post shoulder fracture, hip fracture, and subsequent partial hip replacement, complicated by a Catheter-Associated Urinary Tract Infection (CAUTI)?
What are nursing considerations for an 87-year-old patient with dementia post-operatively following a partial hip replacement (hemiarthroplasty)?
Is face recognition impairment in a dementia patient post partial hip replacement and opioid therapy due to medication or dementia progression?
What are nursing considerations for an 87-year-old patient with dementia post-operatively following a partial hip replacement (hemiarthroplasty)?
What S/D ratio indicates absent or reversed diastolic flow in fetal umbilical artery Doppler?
What are the ranges for an oral glucose challenge test?
What does an elevated Carcinoembryonic Antigen (CEA) level indicate?
What is the scoring tool for outpatient versus inpatient admission for a patient with pulmonary embolism (PE)?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.

Ask Question