Bone fractures in the long-term care of a patient in a vegetative state: a risk to conflicts
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Published on: November 8, 2024
Jan Lavrijsen1, Hans van den Bosch, Joost Vegter
1Nursing Home Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. j.lavrijsen@vphg.umcn.nl
Purpose:
This case report shows how recurrent bone fractures can increase the tension in the relationship between family and caregivers in the long-term care of a patient in a vegetative state (VS). The aim of this report is to prevent conflict situations elsewhere by informing the family in time about the risk of fractures in a situation of severe osteoporosis.
Results:
A second opinion and a density test of the bone contributed to the acceptance of the family of that risk in the daily nursing care, after all adjustments to prevent fractures and to adapt the environment were undertaken.
Conclusions:
The registration of immobility and the risk of fractures in the problem list is recommended, particularly in the emotional context of the long-term care of a vegetative state. This should be part of the multidisciplinary care plan, in which regular evaluations and communication with family are essential.
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