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Format: 1 Online-Ressource.

ISBN: 978-3-319-76681-2

Series Statement: Perspectives in nursing management and care for older adults

Additional Edition: Erscheint auch als Druck-Ausgabe ISBN 978-3-319-76680-5

Language: English

Subjects: Education

Keywords: Knochenbruch ; Geriatrie

DOI: 10.1007/978-3-319-76681-2

URL: Volltext  (kostenfrei)

URL: Volltext  (kostenfrei)

UID:

Format: 1 Online-Ressource.

ISBN: 978-3-319-76681-2

Series Statement: Perspectives in nursing management and care for older adults

Additional Edition: Erscheint auch als Druck-Ausgabe ISBN 978-3-319-76680-5

Language: English

Subjects: Education

Keywords: Knochenbruch ; Geriatrie

DOI: 10.1007/978-3-319-76681-2

URL: Volltext  (kostenfrei)

URL: Volltext  (kostenfrei)

UID:

Format: 1 Online-Ressource.

Edition: Second edition

ISBN: 978-3-031-33484-9

Series Statement: Perspectives in nursing management and care for older adults

Additional Edition: Erscheint auch als Druck-Ausgabe, Hardcover ISBN 978-3-031-33483-2

Additional Edition: Erscheint auch als Druck-Ausgabe, Paperback ISBN 978-3-031-33486-3

Language: English

DOI: 10.1007/978-3-031-33484-9

URL: Volltext  (kostenfrei)

URL: Volltext  (kostenfrei)

UID:

Format: 1 Online-Ressource.

Edition: Second edition

ISBN: 978-3-031-33484-9

Series Statement: Perspectives in nursing management and care for older adults

Additional Edition: Erscheint auch als Druck-Ausgabe, Hardcover ISBN 978-3-031-33483-2

Additional Edition: Erscheint auch als Druck-Ausgabe, Paperback ISBN 978-3-031-33486-3

Language: English

DOI: 10.1007/978-3-031-33484-9

URL: Volltext  (kostenfrei)

URL: Volltext  (kostenfrei)

UID:

Format: 1 Online-Ressource

ISBN: 9783319766812

Series Statement: Perspectives in nursing management and care for older adults

Additional Edition: Erscheint auch als Druck-Ausgabe ISBN 978-3-319-76680-5

Language: English

Subjects: Education

Keywords: Knochenbruch ; Geriatrie

DOI: 10.1007/978-3-319-76681-2

URL: Volltext  (kostenfrei)

URL: Volltext  (kostenfrei)

UID:

Format: 1 Online-Ressource

Edition: Second edition

ISBN: 9783031334849

Series Statement: Perspectives in nursing management and care for older adults

Additional Edition: Erscheint auch als Druck-Ausgabe, Hardcover ISBN 978-3-031-33483-2

Additional Edition: Erscheint auch als Druck-Ausgabe, Paperback ISBN 978-3-031-33486-3

Language: English

DOI: 10.1007/978-3-031-33484-9

URL: Volltext  (kostenfrei)

URL: Volltext  (kostenfrei)

UID:

Format: 1 Online-Ressource.

ISBN: 978-3-319-76681-2

Series Statement: Perspectives in nursing management and care for older adults

Additional Edition: Erscheint auch als Druck-Ausgabe ISBN 978-3-319-76680-5

Language: English

Subjects: Education

Keywords: Knochenbruch ; Geriatrie ; Electronic books.

DOI: 10.1007/978-3-319-76681-2

URL: Volltext  (kostenfrei)

URL: Volltext  (kostenfrei)

URL: lizenzpflichtig

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Format: 1 online resource (318 pages)

Edition: 2nd ed. 2024.

ISBN: 3-031-33484-1

Series Statement: Perspectives in Nursing Management and Care for Older Adults,

Content: This second edition, in open access, aims to provide a comprehensive and practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture, with additional focus on those who are frail. It will consider this from the perspectives of all the clinical and home care settings in which this group of patients receive care and will be relevant to all global locations. The concept of orthogeriatric care will be explored in detail. Global estimates suggest that there were 21 million men and 137 million women aged 50 years or more at high fracture risk in 2010. This incidence is expected to double by 2040, with the most significant increase in Asia. Fragility fracture is one of the foremost challenges for health care providers and thehe global demand for nursing care for patients with fragility fractures across the world is immense. Hip fracture is particularly challenging as these significant injuries often occur in frail older people requiring hospitalisation and orthopaedic surgery. Such injuries and associated surgery result in increased frailty, worsening health and wellbeing, pain, disability, reduced quality of life, loss of independence, and decreased life expectancy. Care providers need to understand the experience of fragility fracture from the perspective of patients and families so that direct improvements in care can be based on the perspectives of the users. Expert care of patients following fractures that require hospitalisation and orthopaedic surgery involves skill in the care and treatment of frail older people as we as individuals with an injury and undergoing surgery. Nurses have a significant role in interdisciplinary collaborative care provided through orthogeriatric models of care. There is increasing evidence that such models significantly improve patient outcomes. High quality, evidence-based orthogeriatric care is increasinglyshown to have positive impact on outcomes for recovery, rehabilitation, and secondary prevention of further fracture. This book significantly supports the aims and values of the Fragility Fracture Network and, as such, supports the learning needs of nurses and other allied health professionals which will enable a comprehensive approach to nursing practice in orthogeriatric and fragility fracture care.

Note: Front matter.-1. Orthogeriatric and fragility fracture nursing: an Introduction.-2. Osteoporosis and the nature of fragility fracture nursing.-3. Frailty and Sarcopenia.-4. Preventing Falls.-5. Secondary Fracture Prevention -- 6. The nursing role in orthogeriatric comprehensive geriatric assessment (CGA) (Updated chapter with new authors) Louise Brent (Ireland).-7. Orthogeriatric Care in the Emergency and Perioperative Setting.-8. Early mobilisation and exercise after fragility fracture.-9. Pressure Ulcer Prevention.-10. Wound management -- 11. Nutrition and Hydration.-12. Delirium and other altered cognitive states.-13. Psychological wellbeing.-14. Rehabilitation -- 15. Family partnerships, patient and carer education and support.-16. Discharge and post-hospital care.-17. Ethical issues.-18. Orthogeriatric and fragility fracture care in the future.

Additional Edition: Print version: Hertz, Karen Fragility Fracture and Orthogeriatric Nursing Cham : Springer International Publishing AG,c2023 ISBN 9783031334832

Language: English

DOI: 10.1007/978-3-031-33484-9

UID:

Format: 1 online resource (318 pages)

Edition: 2nd ed.

ISBN: 9783031334849

Series Statement: Perspectives in Nursing Management and Care for Older Adults Series

Note: Intro -- Foreword -- Preface to the Second Edition -- Acknowledgements -- Contents -- 1: Orthogeriatric and Fragility Fracture Nursing: An Introduction -- 1.1 Introduction -- 1.2 Learning Outcomes -- 1.3 Fragility Fracture and Orthogeriatric Care -- 1.3.1 Pillar 1: Acute Care -- 1.3.1.1 Acute Orthogeriatric Care -- 1.3.2 Pillar 2: Rehabilitation -- 1.3.3 Pillar 3: Secondary Prevention -- 1.3.4 Pillar 4: Policy -- 1.4 Interdisciplinary Care -- 1.5 The Key Role of Nurses in Orthogeriatric and Fragility Fracture Care -- 1.6 Safe and Effective Clinical Care -- 1.7 Education for Orthogeriatric Care -- 1.8 Further Study -- References -- 2: Osteoporosis and the Nature of Fragility Fracture: An Overview -- 2.1 Introduction -- 2.2 Learning Outcomes -- 2.3 Bone Biology -- 2.4 Osteoporosis -- 2.4.1 Epidemiology -- 2.4.2 Fragility Fracture -- 2.4.3 Risk Factors -- 2.4.4 Diagnosis -- 2.4.4.1 Case Finding -- 2.4.4.2 Risk Evaluation and Diagnosis of Osteoporosis -- 2.4.4.3 Assessment Calculation Tools -- 2.4.4.4 Differential Diagnosis of Secondary Osteoporosis -- 2.4.5 Treatment -- 2.4.5.1 Medication to Reduce Fracture Risk -- 2.4.5.2 Follow-Up -- 2.5 The Role of Practitioners in Osteoporosis and Fracture Prevention, Case Finding, Risk Assessment, and Management and Education After Diagnosis -- 2.6 Suggested Further Study -- 2.7 How to Self-Assess Learning -- References -- 3: Frailty and Sarcopenia -- 3.1 Introduction -- 3.2 Learning Outcomes -- 3.3 Frailty -- 3.4 Assessment and Recognition of Frailty -- 3.4.1 The Clinical Frailty Scale (Rockwood et al. 2005) -- 3.4.2 FRAIL Scale -- 3.4.3 The Study of Osteoporotic Fractures (SOF) -- 3.5 Interventions for Frailty -- 3.6 Sarcopenia -- 3.6.1 Screening and Assessment for Sarcopenia -- 3.6.2 The Clinical Consequences of Sarcopenia. , 3.6.3 Interventions to Prevent Sarcopenia -- 3.7 Conclusion -- 3.8 Suggested Further Study -- 3.9 How to Self-Assess Learning -- References -- 4: Preventing Falls -- 4.1 Introduction -- 4.2 Learning Outcomes -- 4.3 Understanding the Risk Factors for Falling from an Individual Perspective -- 4.4 The Link Between Frailty, Sarcopenia, Falls and Fragility Fractures -- 4.5 Screening and Assessment -- 4.6 Evidence-Based Interventions for Fall Prevention -- 4.6.1 Fall Prevention in Hospital -- 4.6.2 Fall Prevention at Home/Community and Secondary Care -- 4.7 Incorporating the Individual Experience of Falls into Care: The Person's Perspective -- 4.8 Working Collaboratively to Prevent Falls Within an Interdisciplinary Team -- 4.9 Suggested Further Study -- 4.10 How to Self-Assess Learning -- References -- 5: Secondary Fracture Prevention -- 5.1 Introduction -- 5.2 Learning Outcomes -- 5.3 Secondary Fracture Prevention -- 5.4 Development of Fracture Prevention Services and Best Practice -- 5.4.1 Models of Care -- 5.4.2 Value-Based Care -- 5.4.3 Patient-Centred Care -- 5.4.4 Behaviour Change Strategies -- 5.4.5 Fracture Liaison Services -- 5.4.6 Location of Service -- 5.4.7 The Multidisciplinary Team -- 5.4.7.1 Fracture Liaison Coordinator -- 5.4.7.2 Clinical Lead -- 5.4.7.3 Allied Health Professionals -- 5.4.7.4 Administrative Support -- 5.4.7.5 Team Members External to the FLS -- 5.5 Resources to Guide Best Practice Service Provision -- 5.6 The Patient and Family Journey -- 5.6.1 Identifying the Patient Cohort -- 5.6.2 First Contact with the Service -- 5.6.3 Patient Assessment -- 5.6.4 Health Education -- 5.6.5 Establishing a Personal Plan -- 5.6.6 Assessments Over Time -- 5.7 Evaluation of the FLS -- 5.8 Further Study -- References -- 6: The Nursing Role in Orthogeriatric Comprehensive Geriatric Assessment (CGA). , 6.1 Introduction -- 6.2 Learning Outcomes -- 6.3 The Purpose of CGA -- 6.4 Dimensions of Comprehensive Geriatric Assessment -- 6.4.1 Functional Status -- 6.4.2 Falls -- 6.4.3 Cognition -- 6.4.4 Mood -- 6.4.5 Polypharmacy -- 6.4.6 Social and Financial Support -- 6.4.7 Spiritual Needs -- 6.5 Assessment Tools -- 6.6 Post-hospital Discharge CGA -- 6.7 Secondary Prevention -- 6.8 The Nursing and Interdisciplinary Team Role -- 6.9 Suggested Further Study -- 6.10 Self-Assessment -- References -- 7: Orthogeriatric Care in the Emergency and Perioperative Setting -- 7.1 Introduction -- 7.2 Learning Outcomes -- 7.3 Perioperative Care -- 7.3.1 Hip Fracture Diagnosis and Surgery -- 7.4 Emergency and Preoperative Care -- 7.4.1 Pain Management -- 7.5 Post-operative Care -- 7.5.1 Pain Management -- 7.5.2 Preparation for Discharge -- 7.6 Fundamentals of Perioperative Care -- 7.7 Suggested Further Study and Ideas for Reflections -- 7.7.1 General Suggestions for Further Reflection -- 7.7.2 Further Suggested Reading -- 7.8 How to Self-Assess Learning -- References -- 8: Early Mobilisation and Exercise After Fragility Fracture -- 8.1 Introduction -- 8.2 Learning Outcomes -- 8.3 Immobilisation in Fracture Management -- 8.4 Early Mobilisation After Fragility Fracture -- 8.5 Fragility Fracture-Related Pain and Other Factors Influencing Mobilisation -- 8.6 Surgical Procedure and Mobilisation After Lower Limb Fragility Fracture -- 8.7 Practical Suggestions for Facilitating Early Mobilisation -- 8.7.1 Selecting Walking Aids -- 8.8 Early Exercise After Hip Fracture -- 8.9 Nutrition, Mobilisation and Exercise After Hip Fracture -- 8.10 Suggested Further Study -- 8.11 How to Self-Assess Learning -- References -- 9: Pressure Ulcer Prevention -- 9.1 Introduction -- 9.2 Learning Outcomes -- 9.3 Introduction. , 9.4 Pathophysiology and Causes of Pressure Ulcers -- 9.5 Classification of Pressure Ulcers -- 9.6 Pressure Ulcer Prevention -- 9.6.1 Risk Factors and Risk Assessment -- 9.6.1.1 Skin Assessment -- 9.6.1.2 Moisture-Associated Skin Damage -- 9.6.1.3 Incontinence-Associated Dermatitis -- 9.6.1.4 Risk Assessment -- 9.6.2 Evidence-Based Preventive Interventions -- 9.7 Suggested Further Study -- References -- 10: Wound Management -- 10.1 Introduction -- 10.2 Learning Outcomes -- 10.3 Wound Healing Physiology -- 10.4 Surgical Wounds -- 10.4.1 Recognising and Preventing Surgical Site Wound Healing Problems -- 10.4.1.1 Optimum Nutrition -- 10.4.1.2 Stop Smoking -- 10.4.1.3 Chronic Health Conditions -- 10.4.1.4 Medication and Polypharmacy -- 10.4.2 Preventing Surgical Site Wound Infections -- 10.5 Assessing and Managing Skin Tears -- 10.6 Suggested Further Study -- 10.7 Suggested Further Reading -- References -- 11: Nutrition and Hydration -- 11.1 Introduction -- 11.2 Learning Outcomes -- 11.3 A Healthy Diet for Older Adults -- 11.3.1 Actioning a 'Healthy' Diet that Is Relevant to Age and Stage -- 11.3.2 Healthy Nutritional Guidelines for Healthy Older Adults -- 11.3.3 Energy, Protein, and Fluid Requirements -- 11.4 Calcium and Vitamin D -- 11.5 Definitions of Malnutrition and Dehydration -- 11.6 Prevalence, Determinants, and Symptoms of Malnutrition and Dehydration -- 11.7 Screening and Assessing for Malnutrition -- 11.8 Evidence-Based Interventions to Prevent and to Treat Malnutrition -- 11.8.1 Arrangements for Food and Meals -- 11.8.2 Dietary Supplementation -- 11.8.3 Interaction during Mealtimes -- 11.8.4 Environmental and Personal Requirements -- 11.8.5 Education, Support, and Guidance -- 11.8.6 Medication Review -- 11.8.7 Quality Management -- 11.9 Hydration and Dehydration. , 11.9.1 Screening and Assessing Patients with Dehydration -- 11.9.2 Assessment and Further Action -- 11.9.3 Evidence-Based Interventions to Prevent and Treat Dehydration -- 11.9.3.1 Availability of Drinks -- 11.9.3.2 Drinking Pleasure -- 11.9.3.3 Support and Help to Drink -- 11.9.3.4 Monitoring and Understanding of the Necessity to Drink -- 11.10 Suggested Further Study -- 11.11 How to Self-Assess Learning -- References -- 12: Delirium and Other Altered Cognitive States -- 12.1 Introduction -- 12.2 Learning Objectives -- 12.3 Delirium -- 12.4 The Experience of Delirium -- 12.4.1 Patient Experience -- 12.4.2 Loved Ones Experience -- 12.4.3 Healthcare Professionals Experience -- 12.5 Delirium Screening and Assessment -- 12.5.1 Screening for Risk Factors Predictive of Delirium -- 12.5.2 Assessment for the Presence of Delirium -- 12.6 Managing the Delirious Patient -- 12.6.1 Initial Actions and Investigations -- 12.6.1.1 Review of Medical Causes -- 12.6.1.2 Falls Assessment -- 12.6.1.3 Inform Family -- 12.7 Non-pharmacological Care Interventions -- 12.8 Medication -- 12.9 Dementia and Depression -- 12.10 COVID-19 and Delirium -- 12.11 Advocacy and Consent -- 12.11.1 Consent -- 12.11.2 Advocacy -- 12.12 Translating Knowledge into Action -- 12.13 Useful Resources for Further Study -- References -- 13: Psychological Wellbeing -- 13.1 Introduction -- 13.1.1 Why Is Psychological Status Important in the Management of Hip Fracture? -- 13.1.2 Why Is Psychological Status Important in the Outcome of Hip Fracture? -- 13.1.3 Why Is Psychological Status Important in the Rehabilitation from Hip Fracture? -- 13.2 Learning Outcomes -- 13.3 How Should the Psychological Status Be Assessed? -- 13.3.1 Psychological Evaluation -- 13.3.1.1 Quality of Life -- 13.3.1.2 Fear of Falling -- 13.3.1.3 Pain. , 13.3.1.4 Activities of Daily Living.

Additional Edition: Print version: Hertz, Karen Fragility Fracture and Orthogeriatric Nursing Cham : Springer International Publishing AG,c2023 ISBN 9783031334832

Language: English

Keywords: Electronic books. ; Electronic books.

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Format: 1 online resource (XX, 158 p. 5 illus., 3 illus. in color.)

Edition: 1st ed. 2018.

ISBN: 3-319-76681-3

Series Statement: Perspectives in Nursing Management and Care for Older Adults,

Content: This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care. .

Note: Foreword -- Preface -- Chapter 1. Osteoporosis and the nature of fragility fracture – an overview -- Chapter 2. Frailty, sarcopenia and falls -- Chapter 3. Secondary fracture and fall prevention -- Chapter 4. Comprehensive geriatric assessment from a nursing perspective -- Chapter 5. Orthogeriatric nursing in the emergency and perioperative in-patient setting -- Chapter 6. Mobility, remobilisation, exercise and prevention of the complications of stasis -- Chapter 7. Pressure injury prevention and wound management -- Chapter 8. Nutrition and hydration -- Chapter 9. Nursing the patient with altered cognitive function -- Chapter 10. Rehabilitation and discharge -- Chapter 11. Family partnerships, palliative care and end of life -- Chapter 12. Orthogeriatric nursing -- Index. , English

Additional Edition: ISBN 3-319-76680-5

Language: English

DOI: 10.1007/978-3-319-76681-2