Question

When following up on a client's report of hip pain during an admission assessment, the most nursing conclusive observation would be:

1. The client tearing when being ambulated to the chair
2. A report from the ancillary staff that the client is reporting pain
3. The client observed grimacing when positioning self in the bed
4. Overhearing the client discuss hip pain with family on the phone

Answer 1

The most nursing conclusive observation of hip pain would be seeing the client grimace when moving, as this directly shows discomfort. Hip pain, often due to osteoarthritis, can lead to serious complications in the elderly, especially after hip fractures.

Step-by-step explanation:

Following up on a client's report of hip pain during an admission assessment, the most nursing conclusive observation would likely be the client observed grimacing when positioning self in the bed. This direct observation of pain behaviors provides the most reliable evidence that the client is experiencing discomfort. Comparatively, a client tearing when being ambulated or overhearing the client discussing pain with family provides indirect evidence and requires further assessment for confirmation. A report from ancillary staff is also useful but less direct than witnessing the client's behavior during movement.

Hip pain in elderly individuals can be severe due to conditions like osteoarthritis, which is the most common cause of hip disability. A hip fracture or a broken hip, often a result of weakened bones from osteoporosis, can be especially serious in the elderly, leading to complications such as blood clots, pneumonia, pressure sores, and urinary tract infections. After a femoral fracture, prolonged bed rest following surgery may lead to life-threatening complications, increasing morbidity and mortality rates substantially.