Introduction: Pressure ulcer can be defined as the degenerative changes in localized area of skin and underlying tissue caused by pressure, shear force, friction or the combination of these factors. These usually include all lesions caused by sustained pressure applied on body surface, such as hard bed surface leading to continued pressure on bony parts of body, paralyzed patients sitting in wheel chairs and wearing not properly fitted prosthesis of lower limbs. Such risks factors should be identified and treated properly to prevent pressure ulcers among non-operative femur fracture elderly patients. Objective: The objective of this research was to determine the risk factors of pressure ulcer among elderly non-operative femur fracture patient. This study created awareness about risk factors responsible for pressure ulcer. By preventing these risk factors health status of non-operative femoral fracture patients can be improved. Material and Methods: It was case control study in which self -structured questionnaire are used. Data was collected from Surgical and Orthopedic wards of Bahawal Victoria Hospital Bahawalpur from July 2017 to June 2018.Convenient sampling (Non-Probability) was used for data collection. Sample size calculated from “Raosoft” and sample size was 138. Results: The result of this research shows that out of 138 patients 39(65%) patient were suffering from fecal incontinence; 27(62.8%) patient had more than 2 weeks stay at hospital; 39 (59.1%) patient had moist skin due to urinary incontinence; 55(64.7%) patient were affected by pressure of their mattress; 46(56.1%) had poor nutritional status; 50(47.6%) patient had difficulty in changing position; Shear force and friction were affecting 66(78.6%) patient. The odds ratio of fecal incontinence, ICU stay more than 2 weeks, moist skin due to urinary incontinence, matters exerting pressure on bony prominences, patient’s poor nutrition status and shear friction acting on body is greater than 1.00 so these are the serious risk factor of pressure ulcer in elderly with femur fracture. Conclusion: Fecal incontinence, ICU stay more than 2 weeks, moist skin due to urinary incontinence, inappropriate mattress exerting pressure on bony prominences, patient’s poor nutrition status and shear friction acting on body posed a greater risk of developing pressure ulcers. So these factors must be effectively prevented in these patients to decrease morbidity
