周全性老年評估個案報告：髖部骨折術後併老年失能

Comprehensive Geriatric Assessment of a Disability Case after Hip Fracture

蕭淑芬(Shu-Fen Siao) ； 林純如(Chun-Ru Lin) ； 王佩琮(Pei-Tsung Wang)

《台灣老年醫學暨老年學雜誌》 10卷4期 (2015/11) Pp. 254-264

https://doi.org/10.29461/TGG.201511_10(4).0005

摘要

台灣隨著老化人口增加，髖部骨折的發生率逐年提高，術後患者常見身體功能退化，造成失能與依賴人口增加，加重後續長期照護醫療成本。本文個案為80歲女性，因髖部骨折術後活動功能受限，喪失自我照顧能力，出現憂鬱傾向而退縮、拒絕復健，透過周全性的老年評估，協助個案重建信心，藉由跨團隊合作銜接急性與後續居家照護，讓此類髖部骨折病人成功回歸自主生活。

關鍵字

周全性老年評估 ； 髖部骨折 ； 失能

並列摘要

In Taiwan, population aging has triggered a constant rise in the incidence of hip fracture in the elderly. Postoperative physical function decline often results in disability that in turn leads to escalating costs of subsequent long-term care. The paper reports a case in which an 80-year-old woman appeared melancholic, withdrawn, and adamant against rehabilitation due to limited lower extremity function and loss of self-control after a hip fracture surgery. With comprehensive geriatric assessment and further interventions, we adopted simple tools and developed an active rehabilitation program to rebuild her self-confidence, testifying to the need of integrated medical team resources in helping the elderly adapt to post-fracture life successfully.

並列關鍵字

comprehensive geriatric assessment ； hip fracture ； disability