Acute nursing care of the older adult with fragility hip fracture: An international perspective (Part 2)

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• 作者：Ann Butler Maher ; RN ; MS ; FNP-BC ; ONC^a ; ¹ ; ^{annmaher@verizon.net} (Family Nurse Practitioner) ; Anita J Meehan ; RN-BC ; MSN ; ONC^b ; ¹ (Clinical Nurse Specialist ; Gerontology/Director) ; Karen Hertz ; RN ; BSc(Hons) ; MSc^c ; ² (Advanced Nurse Practitioner T&O) ; Ami Hommel ; RN ; CNS ; PhD^d ; ³ (Associate Professor) ; Valerie MacDonald ; RN ; BSN ; MSN ; ONC^e ; ⁴ (Clinical Nurse Specialist) ; Mary P O’ ; Sullivan ; RGN ; RM ; BNS/RNT ; MSc Nursing^f ; ⁵ (Clinical Development Co-ordinator) ; Kirsten Specht ; RN ; MPH^g ; ⁶ (PhD Student/Research Nurse) ; Anita Taylor ; RN ; OrthoNCert ; GradDipOrtho ; MNSc^h ; ⁷ (Orthopaedic Nurse Practitioner)
• 关键词：Hip fracture ; Clinical review ; Nursing
• 刊名：International Journal of Orthopaedic and Trauma Nursing
• 出版年：2013
• 出版时间：February, 2013
• 年：2013
• 卷：17
• 期：1
• 页码：4-18
• 全文大小：1084 K

文摘

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Summary

The second part of this paper provides those who care for orthopaedic patients with evidence-supported international perspectives about acute nursing care of the older adult with fragility hip fracture. Developed by an international group of nurse experts and guided by a range of information from research and clinical practice, it focuses on nurse sensitive quality indicators during the acute hospitalisation for fragility hip fracture. Optimal care for the patient who has experienced such a fracture is the focus. This includes (in the first, earlier, part):

Pain

Delirium

and in this part

Pressure Ulcers

Fluid Balance/Nutrition

Constipation/Catheter Associated Urinary Tract Infection

Vigilant nursing assessment and prompt intervention may prevent the development of the complications we discuss. If they do occur and are identified early on, they may resolve with appropriate and timely nursing management.

This ¡°tool kit¡± has been developed under the auspices of the International Collaboration of Orthopaedic Nursing (ICON) a coalition of national associations of orthopaedic nursing ().