Case study

Clinical case scenario

Mr. Williams is a 80 year old male who has had a fall at home and was admitted to your acute care facility for ongoing investigations and pain relief for left sided hip pain. His wife stated that she was not at home at the time of his fall and it was some hours before she returned and found him on the kitchen floor. Mr. Williams remembered the fall and all events afterwards, stating, "I couldn't get up afterwards because of the pain and was calling for help but no one heard me".

PMH:

• Hypertension
• Osteoarthritis
• Diabetes

He lives with his wife, has a moderate hearing deficit, wears glasses and is usually on multiple medications. An array of investigations are ordered by the admitting medical team.

Admission physical:

BP 160/85; Pulse 76 regular; Respiratory rate 20; Temperature 36.60C; Chest is clear. He is alert and answers questions appropriately and his MMSE is 28/30.