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Hairline fracture of rib

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by Lovely Lovely (New) New Student

Lovely has 2 years experience and specializes in Personal support worker.

106 Profile Views; 5 Posts

What should I do? 6 months ago my 96 years old resident fell while I was providing him care and got hairline fracture of the rib.should I still get him checked with x-ray. I am worried he ll get pneumonia and die.

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Pixie.RN has 12 years experience as a MSN, RN, EMT-P and specializes in EMS, ED, Trauma, CNE, CEN, CPEN, TCRN.

8 Followers; 32 Articles; 13,374 Posts; 130,925 Profile Views

Consult the patient's physician. If it has been 6 months, what is your concern now? 

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Daisy4RN has 20 years experience and specializes in Travel, Home Health, Med-Surg.

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How do you know s/he had a fracture if there was no x-ray? 

 

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Lovely has 2 years experience and specializes in Personal support worker.

5 Posts; 106 Profile Views

They did xray 6 months ago .Now his son says there is no point in doing another xray as there is no treatment for hairline fracture. 

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Daisy4RN has 20 years experience and specializes in Travel, Home Health, Med-Surg.

1 Follower; 1 Article; 1,414 Posts; 8,597 Profile Views

Is the MD wanting another x-ray for some reason? If the MD is requesting it but pt/family dont want it that is their right, and if properly documented then it shouldnt be a problem. It is a patients right to not get a test/procedure etc no matter what we think about it as long as they understand the risks involved.

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Lovely has 2 years experience and specializes in Personal support worker.

5 Posts; 106 Profile Views

They did xray 6 months ago .Now his son says there is no point in doing another xray as there is no treatment for hairline fracture. I just feel guilty that he got hurt while I was doing his care. I am worried if he still has that crack he may catch pneumonia 

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Daisy4RN has 20 years experience and specializes in Travel, Home Health, Med-Surg.

1 Follower; 1 Article; 1,414 Posts; 8,597 Profile Views

Sounds like you do in home care (non medical) and the pts son is in charge of his/her care. If so, you have made your concerns known and it is up to them how to proceed. I would not worry yourself about this situation any further. People fall and especially elderly people, the son obviously doesnt hold you responsible if you are still working there. The son said there is not a treatment bc usually the fracture will heal itself and the treatment they used to use (wrapping with ace etc) actually caused pneumonia in many cases. Sounds like you are a caring person but you just need to realize that sometimes these things happen and let your self off the hook. Sounds like there is nothing to worry about any further. IMO it is highly unlikely the pt would get pneumonia 6mo after the fact.

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Lovely has 2 years experience and specializes in Personal support worker.

5 Posts; 106 Profile Views

He lives in the retirement home.

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Daisy4RN has 20 years experience and specializes in Travel, Home Health, Med-Surg.

1 Follower; 1 Article; 1,414 Posts; 8,597 Profile Views

19 hours ago, Lovely said:

He lives in the retirement home.

This doesn't change my previous opinion. Not sure what kind of retirement home but if it is an assisted living/SNF that there should be a Doctor overseeing all the pts. So either way, I wouldn't worry about it!

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