Main description:

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.

Contents:

Foreword
Professor Paolo Falaschi, Italy and Professor David Marsh, United Kingdom

Preface
Karen Hertz and Julie Santy-Tomlinson

Chapter 1: Osteoporosis and the nature of fragility fracture - an overview
Marsha Van Oostwaard, Netherlands and Ana Cruz Tochon-Lauraz, Switzerland

Aims of chapter - overall purpose
Learning outcomes - what the nurse will be able to do at the end of the chapter
What the nurse should know about:

Osteoporosis
Fragility fracture

Summary of main points for learning
Suggested further study
How to self-assess learning
References

Chapter 2: Frailty, sarcopenia and falls
Andrea Marques, Portugal and Carmen Queiros, Portugal

Aims of chapter - overall purpose
Learning outcomes - what the nurse will be able to do at the end of the chapter
What the nurse should know about:

Frailty

Assessment
Interventions

Sarcopenia

Assessment
Interventions

The link between frailty, sarcopenia and falls

Summary of main points for learning
Suggested further study
How to self-assess learning
References

Chapter 3. Fracture and fall prevention and fracture liaison
Ana Cruz Tochon-Lauraz, Switzerland and Marsha Van Oostwaard, Netherlands

Aims of chapter - overall purpose
Learning outcomes - what the nurse will be able to do at the end of this chapter and following further study
What the nurse should know about:

Fracture and fall prevention

Assessment processes
Evidence based nursing interventions

Fracture liaison <

Assessment processes
Evidence based nursing interventions

Summary of main points for learning
Suggested further study
How to self-assess learning

Chapter 4: Comprehensive geriatric assessment from a nursing perspective
Mette Martinsen, Norway; Louise Brent, Ireland and Lina Spirgiene, Lithuania

Aims of chapter - overall purpose
Learning outcomes - what the nurse will be able to do at the end of this chapter and following further study
What the nurse should know about:

Comprehensive orthogeriatric assessment and its components
Assessment processes - including the evidence base

Summary of main points for learning
Suggested further study
How to self-assess learning

Chapter 5: Orthogeriatric nursing in the emergency and perioperative in-patient setting
Charlotte Myhre-Jensen, Denmark and Oliver Mauthner, Switzerland

Aims of chapter - overall purpose
Learning outcomes - what the nurse will be able to do at the end of this chapter and following further study
What the nurse should know about:

Emergency care

Assessment
Evidence based interventions

Preoperative care

Assessment
Evidence based interventions

Perioperative care

Assessment
Evidence based interventions

Postoperative care

Assessment
Evidence based interventions

Summary of main points for learning
Suggested further study
How to self-assess learning

Chapter 6: Mobility, remobilisation, exercise and prevention of the complications of stasis
Panagiota Copanitsanou, Greece

Aims of chapter - overall purpose
Learning outcomes - what the nurse will be able to do at the end of this chapter and following further study
What the nurse should know about:

Mobility & remobilisation
Exercise
The complications of stasis

Mobility and remobilisation

Assessment
Evidence based interventions

Exercise

Assessment
Evidence based interventions

Prevention of the complications of stasis

Assessment
Evidence based interventions

Summary of main points for learning
Suggested further study
How to self-assess learning

Chapter 7: Wound management and pressure ulcer prevention and management
Ami Hommel, Sweden and Julie Santy-Tomlinson, UK

Aims of chapter - overall purpose
Learning outcomes - what the nurse will be able to do at the end of this chapter and following further study
What the nurse should know about:

Pathophysiology and causes of pressure ulcers
Wound management and surgical site infection following hip fracture surgery

Pressure ulcer prevention

Assessment
Evidence based interventions

Wound management and prevention of surgical site infection

Assessment
Evidence based interventions

Summary of main points for learning
Suggested further study
How to self-assess learning

Chapter 8: Nutrition, hydration and elimination
Patrick Roigk, Germany

Aims of chapter - overall purpose
Learning outcomes - what the nurse will be able to do at the end of this chapter and following further study
What the nurse should know about:

Nutrition
Hydration
Elimination

Nutrition

Assessment
Evidence based interventions

Hydration

Assessment
Evidence based interventions

Elimination

Assessment
Evidence based interventions

Summary of main points for learning
Suggested further study
How to self-assess learning

Chapter 9: Nursing the patient with altered cognitive function
Karen Hertz, United Kingdom and Manuela Pretto , Switzerland

Aims of chapter - overall purpose
Learning outcomes - what the nurse will be able to do at the end of this chapter and following further study
What the nurse should know about:

Altered cognitive function and:

Delirium
Dementia
Depression

Delirium

Assessment
Evidence based interventions

Dementia

Assessment
Evidence based interventions

Depression

Assessment
Evidence based interventions

Summary of main points for learning
Suggested further stud How to self-assess learning
Chapter 10: Patient motivation, rehabilitation, discharge and post-hospital care
Silvia Barberi, Italy and Lucia Mielli, Italy

Aims of chapter - overall purpose
Learning outcomes - what the nurse will be able to do at the end of this chapter and following further study
What the nurse should know about:

Rehabilitation
Patient motivation
Discharge
Post-hospital care

Rehabilitation

Assessment
Evidence based interventions

Patient motivation

Assessment
Evidence based interventions

Discharge

Assessment
Evidence based interventions

Discharge

Assessment
Evidence based interventions

Summary of main points for learning
Suggested further study
How to self-assess learning

Chapter 11: Family partnerships, palliative care and end of life
Louise Brent, Ireland

Aims of chapter - overall purpose
Learning outcomes - what the nurse will be able to do at the end of this chapter and following further study
What the nurse should know about:
Family partnerships
Palliative Care
End of life

Family partnerships

Assessment
Evidence based interventions

Palliative care

Assessment
Evidence based interventions

End of life care

Assessment
Evidence based interventions

Summary of main points for learning
Suggested further study How to self-assess learning
Chapter 12: The orthogeriatric nursing and care philosophy across difference care settings
Magdalena Kaminska, Poland and Julie Santy-Tomlinson, United Kingdom

Aims of chapter - overall purpose
Learning outcomes - what the nurse will be able to do at the end of this chapter and following further study
What the nurse should know about:

The nature of orthogeratric nursing
Links with adult and geriatric nursing theory and philosophy
Professional, ethical, legal and political aspects of orthogeriatric nursing
The value and availability of the nursing resource and its impact on care quality and patient outcomes
The nursing role in audit and practice improvement

Summary of main points for learning
Suggested further study
How to self-assess learning