The Long Road of Hip Replacement Recovery in Older Adults

Angie Szumlinski
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July 30, 2025
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Ever thought about how tough hip replacement recovery in older adults can be? Half of the older adult population worldwide is expected to undergo surgery at least once in their lifetime, with hip and knee replacements among the most common. Recovery after surgery is particularly challenging for older adults due to age-related physiological changes, a higher risk of complications, and the need for self-management at home following short hospital stays. Emotional hurdles like fear, anxiety, and the loss of independence further complicate recovery, yet these factors often go unnoticed in clinical care.

A study published in BMC Geriatrics described recovery as “the bumpy road to recovery,” highlighting physical, cognitive, emotional, and social challenges that can last for months. Many participants reported cognitive difficulties, such as memory issues and trouble concentrating, making simple tasks like reading or solving puzzles more difficult. Interestingly, the study found that those with active social lives or prior work commitments returned to activities more quickly, while less active participants experienced longer recovery periods. You can also read more about these findings in McKnight’s Long-Term Care News.

The real lesson? Prevention! While there is no guaranteed way to prevent every fall—some falls happen despite the best interventions—staying proactive can reduce risks that lead to hip replacement recovery in older adults. Follow policies and protocols for assessing fall risk, involve restorative nursing and skilled therapies, and develop resident-specific fall prevention plans. Regularly review fall logs at safety or QAPI meetings, paying attention to repeat falls, patterns by unit or shift, and falls with injuries. Need a hand? Check out the Falls Tool Kit for practical strategies. And remember, if it was easy, everyone would be doing it!

Stay well and stay informed!