Hip fracture; an interruption that has consequences four months later. A qualitative study

Gesar, Berit; Bååth, Carina; Hedin, Hanne; Hommel, Ami

doi:10.1016/j.ijotn.2017.04.002

Cited by 23 publications

(39 citation statements)

References 29 publications

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“…Six studies had been conducted in Sweden, three in the UK, two in Canada; the remaining five in Denmark, Norway, New Zealand, Australia or the USA. The studies covered data gathered at admission [23, 24], two weeks [25], one month [26], two to four months [27][28][29][30] or six to 12 months after discharge from hospital [31][32][33]. One study had a time frame from three months to 22 years after fracture [34]; the remaining four studies gave no indication of the time of interviewing [35][36][37][38].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Unexpected postoperative medical or surgical complications were among the other symptoms and complications mentioned by patients as major barriers to recovery [31,33]. Complications also included hallucinating, sleeping problems, constipation, a lack of appetite and low blood count [35,36], fatigue and tiredness [26, 28,32,33] and subsequent falls [31].…”

Section: ) Symptoms and Complicationsmentioning

confidence: 99%

“…When addressing leg-specific symptoms and complications, swelling [35], stiffness [26], reduced leg length [28] and problems with balance, strength and speed were pinpointed [28,32,33]. The patients saw these factors, or pre-existing health issues, combined with hip fracture, as impediments to recovery [31,38].…”

Section: ) Symptoms and Complicationsmentioning

confidence: 99%

“…The patients' mobility was reduced, and they felt restricted by both the fracture and the physical symptoms and complications listed above [26,28,32,35,37].…”

Section: ) Physical Healthmentioning

confidence: 99%

“…Everyday functions that had earlier been taken for granted, such as walking freely, had suddenly become difficult. The patients were thus wary of performing common daily activities, such as using a low armchair, worrying that they might not be able to rise from it, or cleaning, doing the laundry, shopping, going for a walk outdoors, driving a car or using public transportation [26, 28,38]. Overall, the unreliability of their body and their sense of fragility left them feeling vulnerable [23,26,27,29,30,37].…”

Section: ) Physical Healthmentioning

confidence: 99%

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Patient perspectives on treatment, care and rehabilitation after hip fracture: A meta-aggregative systematic review

Abrahamsen¹,

Nørgaard²

2019

Preprint

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Background: Hip fracture surgery is a distressing and life-changing event for patients. The treatment, care and rehabilitation of hip fracture patients governed by evidence-based recommendations, the patients' preferences are often not represented. The aim of this systematic review is to identify elderly hip fracture patients' priorities during their care trajectory.Methods: A meta-aggregative approach was applied to present findings on patient perspectives. Data were extracted from the findings in the Results section of each study, categorized by similarity in meaning by both authors as either "health-related outcomes" or "healthcare-related experiences".The quality of the presented evidence was evaluated, and all studies were assessed using the Critical Appraisal Skills Programme (CASP) checklist. Results: Sixteen qualitative studies met the inclusion criteria. The health-related outcomes category included: 1) symptoms and complications, 2) physical health, 3) mental health and 4) social relationships and 5) personal goals. Healthcare-related experiences revolved around: 1) waiting time, 2) information, 3) being treated with respect, 4) participation and 5) discharge. Conclusions: This systematic review provides an overview of hip fracture patients' perspectives on important aspects of care, treatment and training during their trajectory, thereby contributing to the development of a patient-derived measure of hip fracture. Background The consequences of a hip fracture can be considerable. Mortality rates of up to 10% during admission [1] and 20-36% after 12 months [2, 3] are documented. Between 40 and 60% of hip fracture survivors recover their pre-fracture functional level while 40-70% regain their level of independence for basic activities of daily living [4, 5]. Impaired mobility alongside reduced social independence affects quality of life [6-8]. Several continental and national orthopaedic associations have published evidence-based recommendations for the treatment, care and rehabilitation of hip fracture patients, including recommendations on mobilization strategies, the timing of surgery, pain management, post-operative prevention, rehabilitation programmes and patient information [9, 10]. Patient's preferences are not

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Section: Study Characteristicsmentioning

confidence: 99%

Section: ) Symptoms and Complicationsmentioning

confidence: 99%

Section: ) Symptoms and Complicationsmentioning

confidence: 99%

“…The patients' mobility was reduced, and they felt restricted by both the fracture and the physical symptoms and complications listed above [26,28,32,35,37].…”

Section: ) Physical Healthmentioning

confidence: 99%

Section: ) Physical Healthmentioning

confidence: 99%

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Patient perspectives on treatment, care and rehabilitation after hip fracture: A meta-aggregative systematic review

Abrahamsen¹,

Nørgaard²

2019

Preprint

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Nursing in the Orthogeriatric Setting

Santy‐Tomlinson

Hertz

Jensen

et al. 2020

Practical Issues in Geriatrics

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Orthogeriatric Care in the Emergency and Perioperative Setting

Jensen,

Skúladóttir,

Palm

et al. 2023

Perspectives in Nursing Management and Care for Older Adults

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This chapter explores the perioperative care of older people with significant fragility fractures requiring orthogeriatric care, with a focus on hip fracture as the most common of these injures. Surgery is the preferred treatment for most hip fractures. Perioperative care concerns the pre-, intra- and post-operative phase of the surgery. Principles of care and management include all fundamental aspects of care as well as specialised interventions for older people with a focus on prevention and recognition of complications.The care of the orthogeriatric patient following hip fracture and subsequent surgery presents significant challenges for the healthcare team. Assessment and subsequent care are best provided by effective interdisciplinary team working based on sound orthogeriatric principles. Nurses are often not only the caregivers, but also the coordinators of that care, and need to understand different types of hip fracture and their management so that they can deliver evidence-based acute and perioperative care to patients based on each person’s specific needs.Acquiring a hip fracture is experienced as a life-changing event with severe and frightening consequences for the individual. Although physical care attracts the most attention, patients’ existential worries and concerns must be considered as achieving good outcomes in rehabilitation after a hip fracture requires significant motivation and effort from the person.The aim of this chapter is to outline the fundamental care principles across the three perioperative phases. Effective evidence-based nursing care is crucial in optimising patient outcomes following hip fracture. Even once the patient has recovered from surgery, there remains the need to comprehensively prepare them for discharge.

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Hip fracture; an interruption that has consequences four months later. A qualitative study

Abstract: Previous healthy and independently-living participants described, in different ways that the hip fracture was an interruption that still affected everyday life. The absence of psychological support may be one of the reasons for dependency after four months.

Cited by 23 publications

References 29 publications

Patient perspectives on treatment, care and rehabilitation after hip fracture: A meta-aggregative systematic review

Patient perspectives on treatment, care and rehabilitation after hip fracture: A meta-aggregative systematic review

Nursing in the Orthogeriatric Setting

Orthogeriatric Care in the Emergency and Perioperative Setting

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