Impact of Fractures on Future Nursing Career and Physical Limitations - Orthopedics

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Effects After a Fracture


On October 19, a car accident occurred, resulting in a splenic and renal laceration, as well as fractures of the left femur, left humerus, and a closed fracture with lateral displacement of the left tibial plateau.
Surgery was performed to place screws and plates.
Currently, the patient is unable to bear weight.
Since the future profession is nursing, the patient would like to inquire whether the fractures could lead to issues affecting nursing work, such as the inability to move patients, lift (or push) heavy objects, or stand for prolonged periods.

ling, 20~29 year old female. Ask Date: 2022/01/05

Dr. Chen Yongxue reply Orthopedics


Hello, it seems that the injury is quite severe.
In principle, if the fractured area is not a joint surface and the surgery heals successfully, it should not hinder nursing work.
However, about 40% of fracture patients may experience localized soreness or discomfort due to changes in weather (temperature, barometric pressure, etc.) after healing.
If this occurs, please apply a warm compress to the affected area, as it can help alleviate the symptoms.
If necessary, pain relief medication can be used.
Thank you.

Reply Date: 2022/01/05

More Info


The impact of fractures on your future nursing career can be significant, especially considering the physical demands of the profession. As a nurse, you will be required to perform various tasks that involve lifting, moving, and supporting patients, as well as standing for extended periods. Given your recent injuries from the car accident, including multiple fractures and the surgical interventions you underwent, it is understandable to be concerned about how these will affect your ability to perform your nursing duties.

Firstly, the healing process for fractures can vary widely among individuals. Factors such as age, overall health, and the specific nature of the fractures play crucial roles in recovery. In your case, you have sustained fractures to the femur, humerus, and tibia, which are significant weight-bearing bones. The fact that you currently cannot bear weight indicates that you are still in the early stages of recovery. Typically, after such injuries, it may take several months for the bones to heal sufficiently to allow for normal function.
Once the fractures have healed, many patients report some level of discomfort or limitations in mobility, especially in the first few months post-recovery. It is not uncommon for individuals to experience residual pain, stiffness, or weakness in the affected limbs. Approximately 40% of fracture patients may experience discomfort due to changes in weather or pressure, which can lead to feelings of soreness or weakness in the affected areas. This is particularly relevant for nursing, where physical stamina and strength are essential.

Regarding your specific concerns about lifting patients and moving heavy objects, it is crucial to follow your physician's recommendations closely. If your fractures heal properly and you engage in a structured rehabilitation program, you may regain much of your strength and mobility. However, it is essential to be aware that some individuals may experience long-term effects, such as decreased range of motion or chronic pain, which could impact their ability to perform physically demanding tasks.

Physical therapy will likely be a critical component of your recovery. Engaging in rehabilitation exercises can help restore strength, flexibility, and function to the injured areas. It is advisable to work closely with a physical therapist who can tailor a program to your specific needs and monitor your progress. They can also provide guidance on safe lifting techniques and body mechanics to minimize the risk of re-injury.

As for standing for long periods, many nurses experience fatigue and discomfort due to the nature of their work. If you find that your recovery leads to persistent issues with standing or mobility, you may need to discuss accommodations with your employer. This could include taking regular breaks, using supportive footwear, or even exploring roles within nursing that are less physically demanding while you continue your recovery.

In conclusion, while your fractures may pose challenges to your future nursing career, with proper healing, rehabilitation, and possibly some workplace accommodations, many individuals successfully return to their nursing roles. It is essential to maintain open communication with your healthcare providers and your future employer about your recovery process and any limitations you may experience. Remember, prioritizing your health and well-being is crucial as you navigate this journey back to your nursing career.

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