You, or a loved one, were recently admitted to the hospital with a hip fracture. Following the diagnosis it is normal to have questions and concerns. The following patient information was developed to help you better understand hip fractures: the different types, treatment options, risks, recovery and future fracture prevention.
Types Of Hip Fractures
Review of your recent x-ray or CAT scan confirmed that you have a fracture of your hip. There are three common broad categories of hip fractures based on the location of the fracture
- Femoral neck fractures (sub capital, transcervical),
- Intertrochanteric fractures, and
- Subtrochanteric fractures.
Less common are the subtrochanteric fractures, greater trochanter fracture, and less trochanter fracture. Pictures of each of these fractures are illustrated in the figure to the right. The location of the fracture, and whether or not the fracture is displaced, or separated, can effect the recommended treatment.
Treatment Options And Risks
Surgery may be suggested as a treatment option. Surgical repair or replacement is sometimes suggested for femoral neck and intertrochateric fractures. While surgery has risks, there are also risks associated with laying immobilized for long periods including: blood clots, atelectasis (lung scarring), pneumonia, bed sores, urinary tract infections, and muscle wasting. While the surgical risks include those of immobilization, you are able to get up and start moving after surgery, thereby reducing some of the risk associated with prolonged bed rest.
We will attempt to reduce these risks before, during and following surgery. You will be given antibiotics to help reduce the risk of infection at the time of surgery. You will be wearing compression stockings to reduce the risk of blood clots in your legs. Following surgery we will also begin an injectable medication to reduce your risk of blood clots.
The type of procedure the doctor recommends for you is based upon your fracture type, age, activity level, prognosis for recovery, and other illness you have. These treatment options are summarized below.
Femoral Neck Fractures
- Cannulated Screw Fixation: If the fracture leaves the bone well aligned, and the surgery can be performed in a timely manner, screws may be placed across the fracture site to hold the bone in place while it heals. This is done through a small incision where a guide wire is passed. Over this guide wire, screws are placed hence the term cannulated screw fixation.
- Hemiarthroplasty: Literally, this means partial hip replacement. If the fracture is displaced (or separated) it will sever the blood supply to the head portion of your femur. In this case a partial hip replacement may be recommended. The head and neck of the femur are removed and replaced with a brand new ball placed into the middle of your thighbone.
- Total Hip Replacement: If you are a candidate for a partial hip replacement, but in addition you have known arthritis of your hip, a complete hip replacement may be recommended. The cup, or socket, of your pelvis is replaced with new ball and socket replacement.
Intertrochanteric And Subtrochanteric Fractures
- Open Reduction Internal Fixation: A compression screw is inserted up the femoral neck and into the femoral head. This is either cross linked through a large nail that extends down the inside of the femur or to a plate that runs down the side of the femur and is attached using screws.
Greater Or Lesser Trochanter Fractures
Surgical treatment is typically not necessary. If you have a fracture of the greater trochanter the doctor may ask you to be non-weight bearing for a period of time, followed by a progression of gradual weight bearing. With stress, these fractures can extend to become an intertrochanteric fracture.
Hospital stay following a hip surgery is generally 3 days. Occasionally this will extend slightly longer. The nurse and therapist with review precautions that you may have. If your hip was partially or totally replaced you will be warned of hip precautions. These will extend 6 weeks postoperatively. During the first postoperative day, you will begin therapy and take a few steps to sit up in a chair next to your bed. You will be receiving antibiotics and IV pain medication as needed. We will begin your daily injections to prevent blood clots. On the second postoperative day, you will continue therapy and walk a bit further. You will likely switch to oral pain medication. We will continue your daily injections to prevent blood clots. On the third day you will continue therapy, typically walking a few steps prior to discharge. We will continue your daily injections to prevent blood clots.
Following discharge from the hospital it will be important that you have someone to help you until you are independent. We estimate a minimum of a 3-week period. Many patients prefer to go to rehab during this time. This is recommended for safety reasons and allows patients to have daily therapy in a gym type setting. If you plan to go home with a family member or friend, you need 24-hour care for this 3-week period. You will be required to give yourself an injection to prevent blood clots once daily for at least the first 5 days after discharge. Home care (therapy) can be arranged to come into the house approximately 2-3 times per week.
You can take steps to prevent a future fracture by treating the underlying cause of your fracture.
- Get Tested for Osteoporosis: If you have not been tested for osteoporosis with a DEXA test, within the past 24 months, please discuss this with your doctor. We can schedule this test to be performed in the next 6-8 weeks at our office. (Due to positioning, it is typically not recommended sooner following hip surgery.) Knowing what your bone density is can allow steps to be taken to reduce a future fracture.
- Stop Smoking and do not drink excessively.
- Fall Proof Your Home: Keep home well lit and free of hazards that may cause you trip/slip and fall.
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#1 Rated Dentist in Deltona, Florida | Deltona Smiles
If you live in the Deltona area, the name Deltona Smiles probably isn’t that uncommon to you. It’s because Dr. Zerivitz and his fabulous staff have been gracing the city for a whopping 40 years now. Rated the #1 dentist in Deltona, Deltona Smiles truly puts a smile on their patients.
Dr. Zerivitz started as a US Navy Dentist, stationed in Baltimore, Maryland. Once his military service was fulfilled, he immediately moved to Deltona, Florida to continue his passion for all things dental. He started Deltona Smiles and has never looked back. Also grounded in the community, he serves as a volunteer outreach dentist, traveling to Brazil and Thailand.
He is a recipient of The Greater Orlando Business Ethics Award, which his patients know, reflects his sense of family and his giving back to the community. He prides himself on his experience and education in the dental industry as it’s ever-evolving.
His practice offers the typical routine services to maintain good dental wellness along with cosmetic dentistry and the prevention of many oral afflictions, many of us suffer from. He also treats gum disease, TMJ, extractions, crowns, dentures and the list goes on from there.
Always a friendly and professional environment, he and his staff at Deltona Smiles are continuously highly reviewed and rated by their loyal patients. New patients and children are always welcome to make Deltona Smiles their one-stop dental practice.
In the near future, Dr. Zerivitz’s practice will be adding Saturday hours for more convenient scheduling for their patients.
To request a consultation, contact them today at (386) 574-5201 or visit their website at www.deltonasmiles.com
Top 6: Best Dentists In Deltona
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The Best Pool Accessories for 2019
Making the most out of your summer might as well be a full-time job. At the very least, you’ll need the right toys for your pool, even if that means upping your game to keep up with the Jones’. Lucky for you, you don’t have to spend as much as you think on the latest and greatest pool accessories.
Technology has come full circle and made its way into your backyard paradise. Check out a few new items on the market to make your staycation a little more enjoyable and that guilty pleasure you need.
Also read: Pool Water Maintenance Mistakes
Four Great Pool Accessories
Everyone loves music while they are poolside. Now you can opt to drown out your neighbors with a set of ever-so-cool floating, wireless and waterproof speakers. And yes, we said waterproof. These bring the noise, with most offering subwoofers for perfect pitch.
For those brisk, chillier nights, consider a towel warmer for you and your guests. Don’t just limit these to inside the home anymore. The takeaway here is that your body will thank you with a warm hug, and your guests will have something to talk about, later on.
Now, possibly the best of the best pool accessories to have in 2019 is the ever-impressive giant inflatable movie screen. Impress all your friends by chilling out with a movie in the pool as you float and watch the latest and greatest summer flick, you may just want to hold off on a screening of Sharknado.
And this might not be the coolest, hip accessory of the season although our amphibian friends would think so, the critter escape ramp. This is easily placed anywhere in the pool and it allows squirrels, frogs, rabbits to easily save themselves. But buyer beware: you’re on your own when it comes to those Florida alligators.
Bring Out The Best In Your Pool
You’ll be the talk of the neighborhood, even if you don’t like all the neighbors. You’ll have a smile on your face and a few dollars left in your pocket with these pool accessories. In the market for your own backyard pool? Let Artesian Pools take care of all your custom pool needs, today.
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Pool Water Maintenance Mistakes
Owning a swimming pool is a lot of fun things, but it’s also a commitment. There’s cleaning that needs to be done, consistently and regular maintenance that also needs to feature.
And the biggest pressure of all? Knowing you could be messing something up without even realizing it. After all, a swimming pool is a delicate balance of chemicals, cleaners, and bacteria. Throw any of those things out of whack, and the whole system becomes compromised.
Join us today for a closer look at three of the most common pool maintenance mistakes most pool owners make.
Shocking Pool Water Directly
Treating your pool water with chemicals is more commonly known as “shocking” it, and typically involves flushing it with concentrated chlorine. As you may know, chlorine bleaches things and that applies to everything that goes into your treated pool water, as well. If your concentrations are off, it can ruin your clothes, turning them from black to pink and white to yellow.
Also read: Five Pool Safety Tips
Of course, how concentrated your chlorine is is completely within your control, and you actually can’t over shock your pool. Directly shocking your pool water can compromise the integrity of your pool liner, as well, bleaching it to the point where it becomes extremely brittle.
Dissolve whatever chemicals you’re shocking your pool with in a bucket before adding them to your pool water. This distributes the shock more evenly, protecting your liner and producing a more even shock.
Forgetting To Brush
We all know brushing is important, but when was the last time you brushed your swimming pool? Regular vacuuming is a standard when it comes to cleaning your pool, preventing gunk and debris from accumulating and spoiling your swimming experience. Brushing adds to this cleaning process, lifting dirt and mossy build-up.
The process is simple. Simply scrub at any accessible areas with the pool brush until they’re clean. Remember to get into the tighter areas you may not think of at first:
- Behind and around the ladder
- On and around the stairs
- Up to the water-line
- Any and all corners and crevices
A simple brush, once a week or more often, is all you’ll need for a healthier, cleaner swimming pool experience.
Automatic Pull Cleaners For An Algae Problem
Pool algae is a big enough problem, even if you’re doing a good job at it. You may be tempted to invest in an automatic pool cleaning unit in order to save yourself some time and trouble. You’re going to want to resist this urge, however, as these pressure-based cleaners don’t typically clean very well.
Automatic pool cleaners use pressure to push pool debris around the circumference of your pool and back through a mesh bag for collection, later on. This might sound ingenious, but more often than not it just means your algae is traveling around your pool, depositing at different points and not cleaning much of anything at all.
This is a pool management issue that’s actually pretty straightforward to solve. Get a manual pool vacuum and switch the filter to before removing the drain plug. This will lead to a nominal amount of water loss but the algae will leave along with it.
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Introducing: The Desert Rose Kitchen Installation
A kitchen installation is about more than just slapping a new coat of paint or a few cupboards on the room itself. It’s about reinventing your home. Bringing out something special with a few well-thought-out items and accessories. It’s about taking a space you already know and making more out of it.
Today’s kitchen installation hits that balance of decor and comfort just right. So, without any further ado, we’d like to introduce you to the Desert Rose, from Cabinetry Creations, Inc.
Warm and Comfortable
One of the best parts of being at home is feeling like you’re at home. And, while a gorgeous, expensive home installation full of new devices and furniture is great, the truth is nothing beats a warm, inviting home space.
Desert Rose is exactly that home installation. Featuring warm, comfortable wood cabinetry flanking an offwhite kitchen island and wicker-backed furniture, this is a place for making happy memories. Whether you’re cooking dinner for the family or enjoying a good book while the kids are away for the weekend, the dark wood shelving and muted walls of this installation give it that classic home feeling.
Bright and New
Of course, a brand new kitchen installation should look at new, and Desert Rose has new looks to spare. Modern and spacious, you’ll be able to take in all corners of your open-plan home, from the gleaming island sink to the recessed lighting, dishwasher flush with cabinets and gas stovetop.
An Open Living Space
This kitchen installation is ideal for smaller living areas, owing to its open plan design. Installing a kitchen island and opening up your kitchen area is a great way to use limited space. It also looks great, creating a more welcoming and open living space.
Get the family over for dinner and enjoy a great evening in the “Desert Rose Kitchen”, designed and installed by Cabinetry Creations Inc.
For a home to be both comfortable and attractive, you need to know how to balance colors with comfort elements. With its warm colors and elegant simplicity, the Desert Rose embodies that balance perfectly.
Dogs For Elderly People: Three Top Breeds
Dogs are one of mankind’s most beloved companions, spanning cultures, genders, income brackets, and, especially, ages. Elderly people derive a lot of love and affection from their pets, keeping them company and preventing loneliness. Dogs help their owners stay healthy, keep a schedule, and find the motivation to go about their daily lives. Studies have shown they help to improve moods, reduce stress, and aid in their owners’ overall cognitive ability.
But what factors should you consider when buying dogs for elderly loved ones in your life? Join us today as we unpack several of the best breeds out there, and learn why they’re the perfect fit.
What To Look For
Finding the right dog to match an elderly lifestyle is a balancing act. You want a dog that is small enough to not worry about it injuring the owner, but large enough that they won’t trip over it.
An overly powerful dog could easily pull or push their owners over if they get excited and that can lead to serious injuries. Avoid pets that were bred to do work, guard or fight because their size and strength will not be appropriate.
Lastly, be sure to look for a breed with fewer known health problems. Specific dog breeds have more common health issues than others, so avoid breeds with hip dysplasia or early blindness for best results.
Poodles are the classic “elderly” pet, owing in no small part to their small size and “permed” hairstyles. Available in small, medium and large sizes, this is a dog for all occasions, with their calm and loyal sensibilities. Unquestionably smart and trainable, they also score points for being completely hypoallergenic.
The pug may be one of the goofier pets on the market, but they are also a wonderful pet for the elderly. This dog enjoys being around people and does not require a lot of exercise, which is a bonus for somebody with a hip problem.
They are also extremely affectionate, making them an ideal companion. Add to that their small size, ideal for apartments, and you’ve got an adorable pet with a winning personality, perfect for grandma.
One of the easiest companions anywhere in the dog world, the French Bulldog brings a playful and obedient element to any home. You’ll enjoy a mostly-quiet experience, with easy obedience and very little need for trimming and maintenance.
Dogs For Elderly: Now You Know
When it comes to choosing dogs for elderly companionship, it’s important to know what you’re looking for, and why. Find a dog that is physically the right size, as well as the right temperament and volume, for improved elderly health. Remember to take your time during your search and find an animal that really speaks to you.
Stages of Grief: Can We Really Know That Much?
Elizabeth Cooler Ross’s “five steps of grieving” framework has been the go-to method recommended to grieving families and loved ones for many years. It’s a famous breakdown of the process, dividing into five individual stages. These steps proceed in the same order almost every time, after which the person in question can achieve resolution on their grief.
But is it accurate? Are the five stages of grief a myth or a convenient story we tell ourselves to help make dealing with the passing of a loved one easier. Join us today as we break down the 5 steps of grieving, their efficacy, and how the process holds up in the light of day.
Also read: Introducing: The Death Positive Movement
What Are The Five Stages?
The traditional five stages of grief include:
It’s safe to say these stages are applied across the board when people are obviously processing grief. These are a standard by which most of us navigate these turbulent waters, but what’s interesting is that newly published studies have indicated this might not be true.
New research describes the sadness of mourning as more of a stress response than something we can plot out and create standard rules for. Every person is unique, and no two people experience sorrow in the same way. So, with that said, how could we claim that everyone would have the same standard set of recovery steps as each other?
Taking it a step further, there are claims that actually sticking to these five steps can have the opposite effect, robbing you of your peace because you’re not reaching each step “on time”. Or even in order. Because it’s completely possible to experience a different order of emotions or even none of these emotions and be completely normal.
Sadness is a 100% natural experience following the loss of family or a loved one. You don’t need to worry about processing it “properly”, so long as you are being good to yourself during the process. Reach out, ask for counseling or support, and lean on the people around you if you need. And, if you need assistance with an upcoming funeral, visit Woodward Cremation and Funeral Services.
Winter Pool Equipment Check List
With fall approaching and fewer reasons to get in the pool, this is the perfect time to check your pool equipment ahead of next Summer. Because the truth is, we all have the best intentions but most summers we’re too busy enjoying the pool to keep up with maintenance.
So join us, today, for a super quick roundup of what pool equipment to check and why, and get ready for a great summer.
Also read: Pool Water Maintenance Mistakes
Pool Water Maintenance Mistakes
Pool Equipment: Check and Check
The whole point of a swimming pool is being able to enjoy it when and where you want to. This goes out the window, however, when Summer finally arrives and your pool isn’t working the way it should.
Your pool and equipment are the twin pillars of a safe, clean, fun-filled summer swimming experience. During the upcoming “off-season”, make sure to keep the following checks under wraps:
- Holes In Skimmers: Once the structural integrity of your pool skimmer goes out, you can’t rely on it to work 100% properly anymore.
- Compromised Leaf Rakes: Sun and weather damage over time can make a rake less effective, so it’s best to check on these while you have the time.
- Pool Vacuum Bags: Check to confirm that you have enough bags and that the bags you have aren’t degraded.
- Cracks and Damage: Weathering on the plastic components of your brushes, handles, and vacuum hoses compromises their efficacy, so replace or repair these as soon as possible.
- Clean, Functional Equipment
A swimming pool is a system with many parts, all of which need to be in working order for the system to work properly. When a cleaner, filter, or other component fails, it can let the entire system down. This is why it’s important to repair, replace, and maintain any tools and parts in order to avoid issues in the coming Spring and Summer months.
Just A Pop Of Red: A Daring Kitchen Installation
Sometimes, you’ve just got to give your home something a little…daring. It’s one thing to create a comfortable, quiet and unintimidating room. It’s another thing entirely to say something with your kitchen. And when it comes to kitchens that say things, nothing says it louder than Just A Spot Of Red.
Cabinetry Creations Inc.’s bold, vibrant kitchen installation is equal parts crisp white surfaces and elegant wood cabinets. From the recessed lighting to the electrifying red central hanging lamp, this is a captivating installation. Let’s take a closer look.
Creating a beautiful room installation is subtle work. It takes a balance of functionality with the countertops, cupboards and lighting, with boldness in the colors and decor.
With Just A Pop Of Red, Cabinetry Creations Inc. uses a balance of square and rectangular countertops, cupboards and wall panels with rounded bowls, lights, and vases. The entire space is finished off with a bright red lamp like a literal cherry on top, offsetting the room for a charming finish.
Sleek frameless cabinetry and a recessed oven keep the wall line unbroken and smooth, with wooden slats adding a rich, textured frame around everything. This kind of contrast is incredibly important to creating an authentic, gorgeous living space.
Imagine a kitchen decked out entirely in white. It might sound nice, but even in just the wrong light, it can seem sterile and uninviting. Similarly, a space covered in wood and darker decor can feel “heavy”. Contrasts like A Splash Of Red give the eye more to look at, and the kitchen installation results? Well, just take a look.
Open Plan Design
Open plan spaces aren’t anything new in the world of kitchen design, but Just A Pop Of Red makes fantastic use of this style. Elegant and understated, this kitchen opens up to the house around it, making it seem twice as big as a result.
The effect is also to create a “warmer” space. Have guests over for dinner or the kids watching TV in the nearby living room, and everyone in the room can talk to each other. Everyone can smell what’s cooking, without going back and forth between rooms, for a wide-open home space custom made for building happy memories.
A Pop Of Red is a kitchen installation that brings living spaces to life, with bold contrasts and innovative space usage. See more of this installation or find out more about their services, today.
Can New Windows Increase The Value of Your Home
Increasing the value of your home is something you can accomplish in various ways. Sometimes, homeowners choose to upgrade their kitchens or convert their bathrooms. They may hire a topiary designer, slap on a new coat of paint, or finish their basement.
Alternatively, replacing or adding windows may help add to bring out the best in your home. Join us today as we put home window installations under the microscope, and let’s boost that home value with a high-end window.
Does Adding Windows Add Home Value?
Installing windows in your home is, hands down, one of the most straightforward ways to increase its value. Realtors have recorded cases where, for instance, investing $ 10,000 in simple vinyl replacement windows for homes raised a home’s price to $ 8,000. This represents 80% of your return on investment.
Adding a new window to your home makes your home more valuable for a variety of reasons. Curb appeal improves almost as soon as your new windows are installed. When passersby pulll up in front of your house, and old, ugly windows greet them, what do they see?
Replacing your windows as soon as possible is a great way to enhance your home’s visibility, making it look more modern, well kept, and valuable. And as your curb appeal swells, the value of your house will increase exponentially.
A Note On Energy-Efficiency
Worried you’re spending too much money every month running heating and cooling systems? Don’t worry, you’re not alone. Many homeowners face this same problem, every year, with hundreds of dollars and their HVAC systems on the line.
Adding new vinyl windows to your home has been shown to help. These replacement windows make your home more energy efficient, helping to avoid wasted energy and skyrocketing bills. And the concept’s simple enough:
- Install a new window
- Prevent air from coming in
- Prevent warmed / cooled air from escaping
This is another great way to increase the market value of your home.
Introducing: The Death Positive Movement
Death is never an easy process, even when it follows after years of sickness. But are we as a society giving death too much negativity? Is there a more positive way, beyond funeral flowers and services, to look at this thing that comes for us all in the end?
When Did The Movement Begin?
Good Death founder, Caitlin Doughty, started the death positive movement in 2011 as a play on the “sex positive” movement. Doughty described the movement as developing a positive outlook on the culture around death.
Mostly, the idea was to lead a movement to stop seeing death as a negative thing, and not to be too embarrassed to ask about the things that confuse or scare you.
What Is This Movement?
Doughty’s Order of the Good Death was started with the goal of changing how we think about death. Through work in the public sphere, the Death Positive movement is helping people realize that the best way forward is actually to accept death and prepare for their own passing.
Their website wraps up the deeper meaning behind the movement a little more thoroughly:
- open examinations of death through discussions, art, and education
- Becoming more closely involved with burial preparations
- completing advance directives no matter your age or physical health to make things easier for those left behind
- spreading and adopting environmentally-friendly burial concepts
Why It’s Important
One of the most tragic parts of living in a society where we don’t embrace death is that we tend not to want to think about it. And, when we ignore death, we neglect to plan for it. As a result, we lose all control over our personal death experience, passing away at the hospital instead of at home as we wanted, for instance.
They say failing to prepare is preparing to fail. It’s best to face death upfront, so nobody has to guess at what you would have liked best. At the end of a long life well-lived, you’ll be happy you considered these questions.
This is not to mention the psychological benefits of being able to process death in a more healthy way. With so much of what we do every day impacted by our own lifespans, there’s a lot of personal growth to be had when we accept death as a natural part of life.
If you’re in need of funeral services from one of the industry’s most trusted names, visit Woodward Funeral Homes today!