For professionals

Abstract

Purpose
This case report shows how recurrent bone fractures can increase the tension in the family-caregiver relationship in the long-term care of a patient in a vegetative state (USA). The purpose of this report is to prevent conflict situations elsewhere by informing the family in a timely manner about the risk of fractures in a situation of severe osteoporosis.

Results
A second opinion and a bone tightness test contributed to the family's acceptance of that risk in daily nursing care, after all adjustments to prevent fractures and modify the environment had been made.

Conclusions
The registration of immobility and fracture risk 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.

Keywords
Vegetative state, bone fracture, long-term care, nursing home