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  1. Home
  2. Forms
  3. Hip Fracture Questionnaire

Hip Fracture Questionnaire

Hip Fracture Questionnaire

The link you have used to access this questionnaire is incorrect, please try again or

If you have any queries or concerns please contact
Lisa Welthy
by Phone: 08 6152 1592
or
by Email: Lisa.Welthy@health.wa.gov.au

Important Information

For your convenience please complete the below questionnaire, however should you experience difficulty, wish to complete a paper version of the questionnaire, or have any queries or concerns please contact:

Lisa Welthy on Phone: 08 6152 1592 or Email: Lisa.Welthy@health.wa.gov.au

The average age of Hip Fracture patients in WA is around 85 years old. We know that unfortunately some Hip Fracture patients do not make it to 30 days after surgery and have died at the time of follow up. If you have received this text message and your relative has died, you are able to leave comments about the care you received. We also please ask you to provide the date your relative died so we can update out hospital records.

Record the patient's discharge destination at 30 days post-surgery. If the patient is discharged to live with a relative or in a community group home or boarding house code ‘private residence’. Private rehabilitation units will not be applicable in New Zealand. Residential aged care refers to a supported facility that provides accommodation and care for a person on a long-term basis. This may include multi-purpose services in Australia and private hospitals or rest homes in New Zealand.

Calcium or Vitamin D includes Calcitriol, calcium and vitamin D or Alpha-calcidol (or one alpha).

Bisphosphonates includes: Etidronate, Alendronate, Risedronate, Ibandronate, Zoledronate, Pamidronate.

Note: record the most significant procedure only.

Last Updated: 25/08/2023
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