The aim of this book is to develop the reader′s knowledge and skills in both theory and practice and to encourage readers to apply this knowledge when caring for people who have fractured their hip. The book emphasizes the importance of collaborative working to promote effective rehabilitation and improve outcomes.
This book will serve as a comprehensive resource for any nurse or allied health professional whose working life brings them into contact with people who have sustained a femoral neck fracture, and assist nurses them to meet the complex needs of this client group.
Chapter 1. Epidemiology, morbidity and mortality.
Sex and race.
Gynaecological and familial risk factors.
Mortality and morbidity.
Chapter 2. Osteoporosis.
Change in bone mass through life.
Finding those patients at risk.
Rationale for consideration for bone densitometry.
Measuring bone density.
Bone health promotion.
Dietary factors and exercise.
The role of physiotherapy in osteoporosi.
Other guidelines and information.
Chapter 3. Falls in older people.
Environmental risk factors.
Preventing a ′long lie.
Research and cooperation.
Falls in the hospital environment.
Chapter 4. Anatomy and physiology of the hip joint.
Anatomy of the hip join.
Conservative and non–operative management.
Chapter 5. Assessment.
Pressure sore risk.
Nutrition and hydration.
Chapter 6. Journey of care.
Accident and emergency department.
Consent for surgery.
Early postoperative management.
Further postoperative management and care.
Chapter 7. Standardizing and streamlining hip fracture care.
Fast track admission from A&E .
Review by orthogeriatric liaison team.
Anaesthesia for hip fracture patients.
Traffic light system.
Appendix: A–Z of anaesthesia for hip fracture patients.
Chapter 8. Developing an orthogeriatric liaison service.
Establishing the need for a service.
Members of the orthogeriatric liaison team.
Service activities and impact on patient care.
Barriers to developing and maintaining a service.
Chapter 9. Rehabilitation and discharge planning.
Rehabilitation and discharge planning.
Chapter 10. Impact of policy on the care of the patient with a hip fracture.
Essence of Care.
National Service Framework.
Chapter 11. Future Developments.
Investigation of the principle cause of the fall.
Implementation of falls prevention strategies.