A patient with osteoporosis is post-op day two in the hospital after a hip fracture. Which of the following would improve her outcomes?

Encouraging ambulation
Involving and educating the patient''s significant other in care
Working with the patient to develop a care plan that will meet her discharge goals

Explanation

• The patient should be involved in developing the care plan. This involvement will improve compliance and outcomes.

• Involving the patient's significant other is important in developing the care plan and ensuring a smooth transition to discharge.

• It is important to encourage ambulation post-op, and bed rest is generally discontinued by day two. Early ambulation is associated with lower mortality and improved outcomes.

• Arranging visiting hours around the staff's schedule does not help improve patient outcomes.

• The biggest risk factor for a catheter-associated UTI (CAUTI) is prolonged use of a urinary catheter. Foley catheters should be removed as soon as they are no longer needed and never left in for caregiver convenience.

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