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Umfang: 1 Online-Ressource : , Illustrationen, Diagramme.

Ausgabe: Second edition

ISBN: 978-3-030-48126-1

Serie: Practical issues in geriatrics

Weitere Ausg.: Erscheint auch als Druck-Ausgabe, hardback ISBN 978-3-030-48125-4

Weitere Ausg.: Erscheint auch als Druck-Ausgabe, paperback ISBN 978-3-030-48128-5

Sprache: Englisch

Schlagwort(e): Aufsatzsammlung ; Aufsatzsammlung ; Aufsatzsammlung ; Aufsatzsammlung

DOI: 10.1007/978-3-030-48126-1

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Umfang: 1 online resource (viii, 357 pages) : , illustrations, charts; digital, PDF file(s).

Ausgabe: Second edition.

ISBN: 3-030-48126-3

Serie: Practical Issues in Geriatrics,

Inhalt: This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.

Anmerkung: 1 The multidisciplinary approach to fragility fractures around the world -- 2 Epidemiology of hip fracture and social costs.-3 Osteoporosis in the elderly patient -- 4 Frailty, sarcopenia, falls and fractures -- 5 Establishing an Orthogeriatric service -- 6 Multi Professional Team: Coordination and Communication -- 7 Hip Fracture in the Emergency Room -- 8 Pre-Operative Management -- 9 Hip Fracture: The Choice of Surgery -- 10 -- Orthogeriatric anaesthesia -- 11 Post-operative management -- 12 The role of nursing -- 13 Rehabilitation Following Hip Fracture -- 14 Fracture Risk Assessment and how to implement a Fracture Liaison Service -- 15 Current and Emerging Treatment of Osteoporosis -- 16 How can we prevent falls? -- 17 The importance of Hip Fracture Audit -- 18 The Psychological Health of Patients and their Caregivers. , Also available in print form. , English

Weitere Ausg.: Print version: ISBN 9783030481254

Sprache: Englisch

Schlagwort(e): Electronic books.

DOI: 10.1007/978-3-030-48126-1

URL: http://whel-primo.hosted.exlibrisgroup.com/openurl/44WHELF_NLW/44WHELF_NLW_services_page?u.ignore_date_coverage=true&rft.mms_id=991064650902419

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Umfang: 1 online resource (355 pages)

Ausgabe: 2nd ed.

ISBN: 9783030481261

Serie: Practical Issues in Geriatrics Ser.

Anmerkung: Intro -- Preface to the Second Edition -- Contents -- Part I: Background -- 1: The Multidisciplinary Approach to Fragility Fractures Around the World: An Overview -- 1.1 Introduction -- 1.2 General Developments Since 2016 -- 1.2.1 The Global Call to Action -- 1.2.2 The Formation of National FFNs -- 1.2.3 Initiation of New Hip Fracture Registries -- 1.2.4 Implications of These General Developments for the Design of This Second Edition -- 1.3 Background: Chaps. 2-4 -- 1.3.1 Epidemiology of Fractures and Social Costs: Chap. 2 -- 1.3.2 Osteoporosis in Older Patients: Chap. 3 -- 1.3.3 Frailty and Sarcopenia: Chap. 4 -- 1.4 Pillar I: Co-Management in the Acute Episode-Chaps. 5-11 -- 1.4.1 Establishing an Orthogeriatric Service: Chap. 5 -- 1.4.2 Pre-hospital Care and the Emergency Department: Chap. 6 -- 1.4.3 Perioperative Orthogeriatric Care: Chaps. 7 and 11 -- 1.4.4 Orthogeriatric Anaesthesia: Chap. 8 -- 1.4.5 Hip Fracture: The Choice of Surgery-Chap. 9 -- 1.4.6 Proximal Humeral Fractures: The Choice of Treatment-Chap. 10 -- 1.5 Pillar II: Rehabilitation-Chaps. 12 and 13 -- 1.5.1 Rehabilitation Following Hip Fracture: Chap. 12 -- 1.5.2 The Psychological Health of Patients and Their Caregivers: Chap. 13 -- 1.6 Pillar III: Secondary Prevention-Chaps. 14-16 -- 1.6.1 Fracture Liaison Services: Chap. 14 -- 1.6.2 Current and Emerging Treatment of Osteoporosis: Chap. 15 -- 1.6.3 How Can We Prevent Falls?-Chap. 16 -- 1.7 Cross-Cutting Issues: Chaps. 17-19 -- 1.7.1 Nursing in the Orthogeriatric Setting: Chap. 17 -- 1.7.2 Nutritional Care of the Older Patient with Fragility Fracture: Chap. 18 -- 1.7.3 Fragility Fracture Audit: Chap. 19 -- 1.8 Concluding Remarks -- References -- 2: Epidemiology of Fragility Fractures and Social Impact -- 2.1 Introduction -- 2.2 Prevalence of Osteoporosis. , 2.3 Factors Affecting Bone Mineral Density -- 2.4 Osteosarcopenia -- 2.5 Falls -- 2.6 Incidence of Fragility Fractures -- 2.7 Hip Fracture -- 2.8 Other Osteoporotic Fractures -- 2.9 The Burden of Fragility Fractures -- 2.10 The Costs and Social Impact of Hip Fracture -- 2.11 The Costs and Social Impact of Other Osteoporotic Fractures -- 2.12 Conclusions -- References -- 3: Osteoporosis and Fragility in Elderly Patients -- 3.1 Definition -- 3.2 Epidemiology -- 3.3 The Anatomy of Bone -- 3.4 The Physiology of Bone -- 3.5 Pathogenesis -- 3.6 Risk Factors for Fragility Fractures -- 3.6.1 BMD -- 3.6.2 Age -- 3.6.3 Previous Fractures -- 3.6.4 Family History of Fracture -- 3.6.5 Comorbidities -- 3.6.6 Drugs -- 3.6.7 Assessment of Fracture Risk -- 3.7 Diagnosis -- 3.7.1 Instrumental Diagnosis -- 3.7.1.1 Dual X-Ray Absorptiometry (DXA) -- 3.7.1.2 Quantitative Computerised Tomography (QCT) -- 3.7.1.3 Quantitative Ultra-Sound (QUS) -- 3.7.2 X-Ray of the Dorsal and Lumbar Spine -- 3.7.3 Laboratory Tests -- 3.8 Management of Osteoporosis -- 3.8.1 Lifestyle Modification -- 3.8.1.1 Prevention of Falls -- 3.9 The Importance of Vitamin D, Calcium and Protein Intake -- 3.9.1 Vitamin D -- 3.9.2 Calcium -- 3.9.3 Protein -- 3.10 Therapeutic Adherence in Osteoporosis and the Role of Health Professionals -- References -- 4: Frailty and Sarcopenia -- 4.1 Frailty -- 4.1.1 The Nature of Frailty -- 4.1.2 Epidemiology of Frailty -- 4.1.3 How Does Frailty Develop? -- 4.1.4 Assessment of Frailty in Clinical Practice -- 4.1.5 Incorporating Frailty into Treatment Plans and Service Design -- 4.2 Sarcopenia -- 4.2.1 The Nature of Sarcopenia -- 4.2.2 Epidemiology -- 4.2.3 How Does Sarcopenia Develop? -- 4.2.4 Assessing Sarcopenia in Clinical Practice -- 4.2.5 Incorporating Sarcopenia into Treatment Plans and Service Design. , 4.3 The Implications of Frailty and Sarcopenia on Falls, Fractures and the Recovery After Fractures -- 4.4 Concluding Statement -- References -- Part II: Pillar I: Co-management in the Acute Episode -- 5: Establishing an Orthogeriatric Service -- 5.1 Introduction -- 5.2 Designing the Orthogeriatric Service -- 5.2.1 Step 1: Process Mapping the Hip Fracture Pathway -- 5.2.2 Step 2: Identify a Core Multidisciplinary Team and Form a Steering Group -- 5.2.3 Step 3: Analyse and Review the Patient Pathway -- 5.2.4 Step 4: Evaluate the Resources Required to Drive Change Within the Organisation -- 5.2.5 Step 5: Develop the Business Case for the Orthogeriatric Service -- 5.2.6 Step 6: Implementing and Sustaining the Service -- 5.2.7 Step 7: Collect Evidence of Service Improvement: Audit -- 5.2.8 Step 8: Embrace the Support of Regional, National and International Organisations -- 5.3 Conclusion -- References -- 6: Pre-hospital Care and the Emergency Department -- 6.1 Pre-hospital Care -- 6.1.1 Clinical Assessment: Primary Survey -- 6.1.2 Clinical Assessment: Secondary Survey -- 6.1.3 Patient History -- 6.1.4 Physical Assessment and Vital Signs -- 6.1.5 Management of Pain -- 6.1.6 Fluid Replacement -- 6.1.7 Extrication -- 6.1.8 Transportation -- 6.2 The Emergency Department -- 6.2.1 Nutrition and Hydration -- 6.2.2 Management of Pain -- 6.2.3 Ongoing Analgesia -- 6.2.4 Local Nerve Blocks -- 6.2.5 Skin Care -- 6.2.6 Referral for Early Surgery -- 6.3 Summary -- References -- 7: Pre-operative Medical Assessment and Optimisation -- 7.1 Pre-operative Medical Assessment -- 7.2 Information Gathering -- 7.3 Cardiovascular Disease -- 7.3.1 Valvular Heart Disease -- 7.3.2 Heart Failure -- 7.3.3 Conduction Defects, Pacemakers and Implantable Cardiac Defibrillators (ICD) -- 7.3.4 Atrial Fibrillation (AF). , 7.4 Management of Anticoagulants and Anti-platelets -- 7.5 Anaemia -- 7.6 Diabetes -- 7.7 Chronic Kidney Disease (CKD) -- 7.8 Respiratory Disease -- 7.9 Medication Review -- 7.10 Preventing Complications: Thromboembolic Events -- 7.11 Antibiotic Prophylaxis -- 7.12 Appropriate Ceilings of Care -- 7.13 Conclusion -- References -- 8: Orthogeriatric Anaesthesia -- 8.1 Introduction -- 8.2 The Relationship Between Anaesthetist and Orthogeriatrician -- 8.3 Preoperative Care -- 8.3.1 Preoperative Analgesia -- 8.3.2 Preoperative Preparation -- 8.3.3 Ethical and Legal Considerations -- 8.4 Intraoperative Care -- 8.4.1 General or Spinal Anaesthesia? -- 8.4.2 Peripheral Nerve Block -- 8.4.3 Spinal Anaesthesia -- 8.4.4 Sedation -- 8.4.5 General Anaesthesia -- 8.4.6 Avoiding Ischaemia -- 8.4.7 Bone Cement Implantation Syndrome (BCIS) -- 8.4.8 Standardisation of Anaesthesia -- 8.5 Postoperative Care -- References -- 9: Hip Fracture: The Choice of Surgery -- 9.1 Aim of Surgery -- 9.2 Fracture Types -- 9.2.1 Intra-capsular Fracture Types -- 9.2.2 Extra-capsular Fracture Types -- 9.3 Implants -- 9.4 Surgical Management -- 9.4.1 Intra-capsular Operations -- 9.4.2 Extra-capsular Operations -- 9.5 Surgical Algorithms and National Guidelines -- References -- 10: Proximal Humeral Fractures: The Choice of Treatment -- 10.1 Aim of Treatment -- 10.2 Evidence and Literature -- 10.3 Epidemiology -- 10.4 Fracture Classification -- 10.4.1 Minimally Displaced Fractures -- 10.4.2 Displaced Fractures -- 10.5 Treatment -- 10.5.1 Non-surgical Treatment -- 10.5.2 Surgical Management -- 10.6 Complications -- 10.7 Outcome Assessment -- 10.8 Conclusions -- References -- 11: Post-operative Management -- 11.1 Multidisciplinary Management -- 11.2 Predicting the Risk of Post-operative Complications -- 11.3 Early Mobilisation. , 11.4 Pain Management -- 11.5 Post-operative Hypotension and Fluid Management -- 11.6 Management of Postsurgical Anaemia -- 11.7 Nutritional Supplementation -- 11.8 Post-operative Medical Complications -- 11.9 Prevention and Management of Specific Complications -- 11.9.1 Delirium -- 11.9.1.1 Prevention of Post-operative Delirium -- 11.9.1.2 Management of Post-operative Delirium -- 11.9.1.3 Post-operative Cognitive Dysfunction -- 11.9.2 Cardiovascular Complications -- 11.9.2.1 Myocardial Infarction -- 11.9.2.2 Heart Failure -- 11.9.2.3 Supraventricular Arrhythmias -- 11.9.3 Infections -- 11.9.3.1 Post-operative Fever -- 11.9.3.2 Pneumonia -- 11.9.3.3 Urinary Tract Infection -- 11.9.3.4 Surgical Site Infection -- 11.9.4 Other Complications -- 11.9.4.1 Acute Kidney Injury (AKI) -- 11.9.4.2 Gastrointestinal Complications -- 11.9.4.3 Pressure Ulcers -- 11.10 Final Remarks -- References -- Part III: Pillar II: Rehabilitation -- 12: Rehabilitation Following Hip Fracture -- 12.1 The Need for Increased Provision of Rehabilitation Worldwide -- 12.2 The Principles of Rehabilitation Programmes after Hip Fracture -- 12.3 What Is Known about the Pattern of Recovery Following Hip Fracture? -- 12.4 Factors Associated with Poor Outcomes After Hip Fracture -- 12.5 Key Elements of a Rehabilitation Pathway -- 12.6 What Programmes Should We Recommend to Help with Recovery? -- 12.6.1 In-hospital Rehabilitation -- 12.6.2 Rehabilitation in the Community -- 12.6.3 Rehabilitation in Low Resource Settings -- 12.7 Rehabilitation and Cognitive Impairment -- 12.7.1 Enhanced Interdisciplinary Inpatient Rehabilitation and Care -- 12.7.2 Enhanced Interdisciplinary Inpatient and Home-Based Rehabilitation -- 12.8 Psychosocial Factors and Rehabilitation -- 12.9 Delivery of Rehabilitation Following Hip Fracture in LMICs. , 12.9.1 Key Evidence-Based Recommendations and Their Implementation in LMICs.

Weitere Ausg.: Print version: Falaschi, Paolo Orthogeriatrics Cham : Springer International Publishing AG,c2020 ISBN 9783030481254

Sprache: Englisch

Schlagwort(e): Electronic books.

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Umfang: VIII, 357 p. 37 illus., 21 illus. in color. , online resource.

Ausgabe: 2nd ed. 2021.

ISBN: 9783030481261

Serie: Practical Issues in Geriatrics,

Inhalt: This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.

Anmerkung: 1 The multidisciplinary approach to fragility fractures around the world -- 2 Epidemiology of hip fracture and social costs.-3 Osteoporosis in the elderly patient -- 4 Frailty, sarcopenia, falls and fractures -- 5 Establishing an Orthogeriatric service -- 6 Multi Professional Team: Coordination and Communication -- 7 Hip Fracture in the Emergency Room -- 8 Pre-Operative Management -- 9 Hip Fracture: The Choice of Surgery -- 10 -- Orthogeriatric anaesthesia -- 11 Post-operative management -- 12 The role of nursing -- 13 Rehabilitation Following Hip Fracture -- 14 Fracture Risk Assessment and how to implement a Fracture Liaison Service -- 15 Current and Emerging Treatment of Osteoporosis -- 16 How can we prevent falls? -- 17 The importance of Hip Fracture Audit -- 18 The Psychological Health of Patients and their Caregivers.

In: Springer Nature eBook

Weitere Ausg.: Printed edition: ISBN 9783030481254

Weitere Ausg.: Printed edition: ISBN 9783030481278

Weitere Ausg.: Printed edition: ISBN 9783030481285

Sprache: Englisch

DOI: 10.1007/978-3-030-48126-1

URL: https://doi.org/10.1007/978-3-030-48126-1