Nursing in the Orthogeriatric Setting

Santy‐Tomlinson, Julie; Hertz, Karen; Jensen, Charlotte Myhre; Brent, Louise

doi:10.1007/978-3-030-48126-1_17

Cited by 8 publications

(4 citation statements)

References 29 publications

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Section: Discussionmentioning

confidence: 99%

“…Furthermore, the results based on the clustering algorithm underscore a need for a multidisciplinary orthogeriatric team approach to patient care for patients undergoing hip fracture surgery, which has recently gained greater literature support (Henderson et al, 2017; Pfeufer et al, 2020; Santy-Tomlinson et al, 2021). A multidisciplinary approach to identifying and optimizing comorbidities perioperatively enables better perioperative periods and long-term functional outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Comorbidity Patterns in Older Patients Undergoing Hip Fracture Surgery: A Comorbidity Network Analysis Study

Lee,

Wei,

McConnell

et al. 2023

Clin Nurs Res

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Comorbidity network analysis (CNA) is a technique in which mathematical graphs encode correlations (edges) among diseases (nodes) inferred from the disease co-occurrence data of a patient group. The present study applied this network-based approach to identifying comorbidity patterns in older patients undergoing hip fracture surgery. This was a retrospective observational cohort study using electronic health records (EHR). EHR data were extracted from the one University Health System in the southeast United States. The cohort included patients aged 65 and above who had a first-time low-energy traumatic hip fracture treated surgically between October 1, 2015 and December 31, 2018 ( n = 1,171). Comorbidity includes 17 diagnoses classified by the Charlson Comorbidity Index. The CNA investigated the comorbid associations among 17 diagnoses. The association strength was quantified using the observed-to-expected ratio (OER). Several network centrality measures were used to examine the importance of nodes, namely degree, strength, closeness, and betweenness centrality. A cluster detection algorithm was employed to determine specific clusters of comorbidities. Twelve diseases were significantly interconnected in the network (OER > 1, p-value < .05). The most robust associations were between metastatic carcinoma and mild liver disease, myocardial infarction and congestive heart failure, and hemi/paraplegia and cerebrovascular disease (OER > 2.5). Cerebrovascular disease, congestive heart failure, and myocardial infarction were identified as the central diseases that co-occurred with numerous other diseases. Two distinct clusters were noted, and the largest cluster comprised 10 diseases, primarily encompassing cardiometabolic and cognitive disorders. The results highlight specific patient comorbidities that could be used to guide clinical assessment, management, and targeted interventions that improve hip fracture outcomes in this patient group.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comorbidity Patterns in Older Patients Undergoing Hip Fracture Surgery: A Comorbidity Network Analysis Study

Lee,

Wei,

McConnell

et al. 2023

Clin Nurs Res

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“…This co-working has led to value-based care in action and improvement in patient outcomes, patient and family experiences and clinical team members' work experience. The concept of interprofessional care is essential for ensuring that individuals' needs drive clinical care, and the incorporation of evidence-based practice is central to assessment and intervention [7].…”

Section: Acute Orthogeriatric Carementioning

confidence: 99%

Orthogeriatric and Fragility Fracture Nursing: An Introduction

Santy-Tomlinson,

Hertz,

Meehan

et al. 2023

Perspectives in Nursing Management and Care for Older Adults

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Caring for people following a fragility fracture is often a complex, medium- to long-term undertaking with several phases from acute care through to rehabilitation and secondary fracture prevention. Fragility fractures can have a substantial impact on older peoples’ longer term function, place of residence and quality of life, sometimes leading to long-term residential or end-of-life care.Health professionals caring for patients following fragility fracture are required to provide evidence-based care and coordinate interdisciplinary care. Not all ‘care’ is provided by those professionals who are identified as nurses, and in the future the boundaries of care-giving roles are likely to be more flexible. For these reasons, this book, although focused on nursing (because a significant amount of fragility facture/orthogeriatric care is provided by them), aims to broaden its relevance to all healthcare professionals who provide care in any part of the world.Avoiding the devastating impacts of fragility fractures drives the need to prevent fractures through secondary fracture prevention. This prevention care is lifelong and usually delivered and monitored by a primary care team including general practitioners, nurses, physiotherapists and other specialist practitioners. The pathway of care is, therefore, dynamic and involves the collaboration of many individuals and agencies.Fragility fractures are important indicators that there may be undiagnosed osteoporosis that requires treatment to prevent further fractures. If left untreated, osteoporosis and associated bone fragility can, ultimately, lead to significant injuries such as hip or femoral fractures, which will require hospital admission and surgery, and severely threaten an individual’s health and well-being. This presents significant challenges for clinical teams in every care setting.The aim of this chapter is to introduce the reader to orthogeriatric and fragility fracture care and to both familiarise them with the multiple topics covered in this book and support the interdisciplinary care team in achieving optimal recovery of independent function and quality of life, with no further fractures for all people with fragility fractures.

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“…Nursing quality will improve if it is carried out in a methodical manner (LaBronte et al, 2019). It's a method of detecting, preventing, and curing existing or prospective health problems using a methodical problem-solving approach (Santy-Tomlinson et al, 2021). Assessment, diagnosis, planning, execution, and evaluation are the five interrelated phases.…”

Section: Introductionmentioning

confidence: 99%

Documentation of implemented of Nursing process in Jugal Hospital Harar Ethiopia

Jamie¹,

Abdosh²

2022

J. Commun.

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Nursing care documentation has been defined as the record of nursing care that is planned and performed to specific patients and by nurses since the early days of Nightingale. To assess Documentation of Implemented nursing process in Jugal Hospital, Harar, Ethiopia. At Jugal hospital in Harar town, 525 kilometers east of Addis Ababa, hospital-based retrospective study design was used and the research took place from January 1st to 27th,2022.The sample size was derived using the single population proportion calculation, the total sample size was 289. IBM SPSS software package version 20.0 (Armonk, NY: IBM Corp) was used to enter, clean, and analyze data. The overall the implementation of the nursing process in this study is 62.97 %, With regards to the specific components implemented the result shows that 35.99% charts were recorded with assessment and diagnosis part of the nursing process followed by planning 29.07 % whereas implementation and evaluation parts were the least documented in the hospital. In nursing practice, documentation is important; hence it is believed that what is not recorded has not been done and lack of documentation may make it suspicious that they did not do their duty. So the nursing process committees or the hospital matron and the nurse managers at the hospital should conduct routine supportive supervision on NP.

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Nursing in the Orthogeriatric Setting

Cited by 8 publications

References 29 publications

Comorbidity Patterns in Older Patients Undergoing Hip Fracture Surgery: A Comorbidity Network Analysis Study

Comorbidity Patterns in Older Patients Undergoing Hip Fracture Surgery: A Comorbidity Network Analysis Study

Orthogeriatric and Fragility Fracture Nursing: An Introduction

Documentation of implemented of Nursing process in Jugal Hospital Harar Ethiopia

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