Evidence-based management of patients with Colles’ fractures in emergency departments: a case-based critical reflection

Application Effect of Case Management Mode Combined with ERAS in Elderly Patients with Hip Fracture

“…In clinical practice, the conventional nursing mode is usually performed for patients with hip fracture, which has a certain nursing effect, but its intervention items are relatively simple, unable to provide patients with all aspects of nursing services, and fail to achieve the desired nursing effect. The professional medical staff of the case management mode, through the establishment of the case management team, the establishment of patients' personal files, and regular return visits after discharge and other channels, the nursing management, tracking, and recording of the patient's operation, before discharge, and after discharge are carried out; it can timely understand the patient's rehabilitation situation, supervise the patient's rehabilitation exercise, and provide patients with individuality and dynamics rehabilitation plan to reduce the incidence of patient complications [ 19 , 20 ]. In addition, ERAS implements comprehensive interventions for patients with hip fracture.…”

“…Evidence-Based Complementary and Alternative Medicine patients with hip fracture, which has a certain nursing effect, but its intervention items are relatively simple, unable to provide patients with all aspects of nursing services, and fail to achieve the desired nursing effect. e professional medical staff of the case management mode, through the establishment of the case management team, the establishment of patients' personal files, and regular return visits after discharge and other channels, the nursing management, tracking, and recording of the patient's operation, before discharge, and after discharge are carried out; it can timely understand the patient's rehabilitation situation, supervise the patient's rehabilitation exercise, and provide patients with individuality and dynamics rehabilitation plan to reduce the incidence of patient complications [19,20] Evidence-Based Complementary and Alternative Medicine management and exercise exercises and implement scientific education; this can enhance the self-care ability of patients, supervise the patient to take the initiative to take care of the fracture site, thereby, improving the quality of life of patients, promoting patients to recover early, and reducing the occurrence of pneumonia, infection, pressure ulcers, VTE, delirium, and other complications. ERAS optimizes the entire perioperative nursing, including strengthening preoperative education, maintaining the optimal physiological state of patients during surgery, and formulating scientific rehabilitation plans for patients after surgery.…”

Epidemiologi Dan Terapi Pada Fraktur Colles

“…Gambar 2. Dinner Fork Deformity (Chessum et al, 2018). Dari hasil beberapa penelitian menyatakan bahwa pola insiden fraktur distal radius mengalami puncaknya pada kelompok usia 20-29 tahun untuk pria, dan 60-69 tahun adalah periode puncak wanita dimana kepadatan mineral tulang yang rendah pada wanita pasca menopause.…”

“…Beberapa bukti menunjukkan bahwa dilakukan reduksi tertutup diawal dari fraktur radius distal pada pasien muda dapat menghasilkan hasil fungsional yang lebih baik, namun penelitian ini masih bertentangan dan belum ada bukti untuk pasien lanjut usia. (Arora et al, 2009;Chessum et al, 2018).…”

“…Fraktur Colles yang ditangani dengan baik bergantung pada tiga komponen, pengurangan fraktur yang terjadi, kemampuan untuk mempertahankan kesejajaran tulang untuk meningkatkan penyatuan tulang yang tepat dan untuk pasien yaitu dapat menggerakkan bahu dan tangan mereka selama proses penyembuhan. (Chessum et al, 2018).…”