Nursing Care for Multisystem Complication Risk Prevention and Control After Hemiarthroplasty in an Elderly Patient with Femoral Neck Fracture: A Case Report

Abstract

This case report summarizes the nursing care used to prevent and control multisystem complication risks after hemiarthroplasty in a 75-year-old patient with a Garden type IV femoral neck fracture. Perioperative assessments included pain, fall, thrombosis, pressure injury, anxiety, and activities of daily living. Individualized interventions addressed pain control, infection prevention, thromboprophylaxis, pressure injury and fall prevention, nutritional support, psychological care, staged rehabilitation, and discharge follow-up. No pulmonary infection, urinary tract infection, deep vein thrombosis, pressure injury, fall, or prosthetic dislocation occurred during hospitalization. The postoperative pain score decreased from 3 to 0--1, the Self-Rating Anxiety Scale score decreased from 62 to 40, and the patient walked 50--100 meters with a walker under protected weight-bearing conditions on postoperative day 14. At 3 months, the Barthel Index was 85 and no long-term complication was observed. This case suggests that dynamic multisystem risk assessment combined with staged nursing interventions may support perioperative safety and functional recovery in older adults after hemiarthroplasty; its effectiveness requires validation in larger case series or controlled studies.