$Unique_ID{BRK01406}
$Pretitle{Accidents, Poisoning, and Violence, Mental and Emotional Conditions}
$Title{Depression After a Hip Fracture From a Fall}
$Subject{fracture surgery depression}
$Volume{O-17, E-17}
$Log{}

Copyright (c) 1991   Tribune Media Services, Inc.


Depression After a Hip Fracture From a Fall


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QUESTION:  My mother has just returned home from the hospital having suffered
a hip fracture after a fall.  Though the surgeon claims the surgery went very
well, mother has not made the progress we expected from her.  She was a vital
woman before the accident, but now refuses to try even the slightest effort.
She isn't complaining of pain, but just seems so defeated by it all.  Isn't
there something to be done to help her?

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ANSWER:  An accident, a sudden fall and then a serious fracture can be more
than enough to unsettle anyone.  The subsequent surgery, and the unusual and
sometimes demanding routines of a hospital stay are a violent attack on our
emotional and mental state that equals the physical trauma of the fracture.
Even after returning home, the fear of another fall, and the realization of
the new physical obstacles to freedom of movement that must be overcome, are
situations that must be dealt with.  Your affectionate letter tells of a warm
and caring home environment which is of great assistance in overcoming the
hurdles that still lie before you.  However some recent research may have a
bearing on your problem.  Older women who suffer hip fractures also are
susceptible to depressive states, in themselves disabling illnesses.  When
this depression is suspected, diagnosed and then treated, the ability to walk
independently, and return to the prefracture status is greatly improved.
Though the surgeon has done his job, it is now time to consult your mother's
medical doctor for help, consisting of an evaluation and appropriate
medications if indicated.
ÿ
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The material contained here is "FOR INFORMATION ONLY" and should not replace 
the counsel and advice of your personal physician.  Promptly consulting your 
doctor is the best path to a quick and successful resolution of any medical 
problem.
