International Journal of Clinical Case Reports, 2025, Vol.15, No.4, 148-158 http://medscipublisher.com/index.php/ijccr 155 problems and promote recovery (Said et al., 2021; Catalano-Nadakhovskaia et al., 2025). Incorporating patient feedback and preferences into the care plan also helps to enhance participation enthusiasm and satisfaction (Beer et al., 2021). Combining intelligent technologies, such as digital monitoring tools and intelligent assistive tools, can promote the development of individualized care. These new methods can help nurses track patients' progress, identify problems in a timely manner, and flexibly adjust assistance measures, thereby supporting safer and more effective activity strategies (Beer et al., 2021; Catalano-Nadakhovskaia et al., 2025). 8.3 Optimize multidisciplinary collaboration and promote the concept of ERAS Effective early activities require close collaboration among nurses, physical therapists, doctors and other healthcare workers. Optimizing multidisciplinary team collaboration can ensure comprehensive assessment, coordinated intervention and unified patient education, all of which are associated with better outcomes and shorter hospital stays (Sallehuddin and Ong, 2020; Purcell et al., 2021). Advanced trainee nurses can play a key role in nursing coordination, education and discharge planning, further improving the quality of hip fracture care (Allsop et al., 2020). Promoting the concept of enhanced recovery after surgery (ERAS), such as early activity, multiple ways to control pain and recovery that takes into account the needs of patients, should be the focus of future work. Incorporating ERAS principles into routine care procedures can unify best practices, enhance compliance with early activity guidelines, and ultimately lead to better recovery and fewer morbidity in elderly patients with hip fractures (Sallehuddin and Ong, 2020; Zuelzer et al., 2023). 9 Concluding Remarks There is ample evidence that early activity - typically carried out within 24 to 48 hours after hip fracture surgery - can significantly reduce the risk of short-term death and the probability of complications, including infection, delirium and other adverse conditions. Early activity is also associated with better functional recovery, such as more people being able to walk independently, being discharged from the hospital earlier, and not increasing the risk of pain or implant failure. These benefits can be observed in different patient groups, including those with cognitive impairments, which indicates that early activity is widely applied and very important in postoperative care. Nursing measures, such as explaining knowledge to patients, managing pain, providing psychological support and close observation, are crucial for the successful implementation of early activity programs. Nurses play a significant role in determining whether patients are suitable for activities, preventing complications and encouraging patients to participate in activities. Working with a multidisciplinary team, effective care can ensure that activities are safe and timely, and arranged according to the individual needs of patients, thereby maximizing the rehabilitation effect and shortening the hospital stay. Although the benefits are clear, difficulties still exist, such as inconsistent activity arrangements and insufficient patient cooperation. More high-quality evidence-based research is needed to refine best practices. Future work should focus on establishing unified and individualized nursing approaches and conducting large-scale strict controlled experiments to enhance evidence support. Optimizing the collaboration among multiple specialties and incorporating the concept of enhanced recovery will better promote the recovery of elderly patients with hip fractures. Acknowledgments I would like to thank Mrs Fang continuous support throughout the development of this study. Conflict of Interest Disclosure The author affirms that this research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest.
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