Is my mother safe to go home alone after a hip fracture?
My mother is being discharged after hip fracture surgery and wants to return to her own home alone. I am terrified she will fall again. What should be in place before she goes home?
✓ Accepted answer
It is generally not safe for a patient to return home completely alone immediately after hip fracture surgery without a structured support system, but they can go home safely if you implement specific precautions first.
- Arrange for 24-hour assistance: The NIH and CDC recommend that homebound patients have access to medical assistance within the first two weeks post-discharge. This does not necessarily mean a live-in caretaker, but it could include scheduled nursing visits and family members on call.
- Clear the home of hazards: Before discharge, remove all area rugs, secure loose wires, and ensure bathroom lighting is bright. Install grab bars in the shower and next to the toilet if they are not already present.
- Verify mobility aids: Ensure your mother can safely use her walker or crutches for the required duration, usually three to six weeks, until cleared by physical therapy. Do not let her attempt stairs until a therapist confirms her balance and strength are adequate.
- Establish a check-in routine: Set up a daily schedule where someone checks on her, either in person or via phone, to monitor for signs of complications like blood clots or infection.
- Review medication timing: Create a clear plan for managing pain and blood thinners, as these can cause dizziness or increase bleeding risk if managed incorrectly.
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