scholarly journals Nursing care for the elderly with hip fracture in an acute care hospital

2013 ◽  
Vol 163 (19-20) ◽  
pp. 468-475 ◽  
Author(s):  
Monique Weissenberger-Leduc ◽  
Michaela Zmaritz
Keyword(s):  
Hip Fracture ◽  
Acute Care ◽  
Nursing Care ◽  
Acute Care Hospital ◽  
The Elderly ◽  
Care Hospital ◽  
Care For The Elderly

Binding the Elderly: A Prospective Study of the Use of Mechanical Restraints in an Acute Care Hospital

1987 ◽  
Vol 35 (4) ◽  
pp. 290-296 ◽  
Author(s):  
Laurence J. Robbins ◽  
Edward Boyko ◽  
Judy Lane ◽  
Darcy Cooper ◽  
Dennis W. Jahnigen
Keyword(s):  
Prospective Study ◽  
Acute Care ◽  
Acute Care Hospital ◽  
The Elderly ◽  
Care Hospital ◽  
A Prospective Study ◽  
Mechanical Restraints

scholarly journals Operationalising a conceptual framework for a contiguous hospitalisation episode to study associations between surgical timing and death after first hip fracture: a Canadian observational study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e020372
Author(s):  
Katie Jane Sheehan ◽  
Adrian R Levy ◽  
Boris Sobolev ◽  
Pierre Guy ◽  
Michael Tang ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Observational Study ◽  
Conceptual Framework ◽  
Acute Care ◽  
Acute Care Hospital ◽  
Secondary Outcome ◽  
Care Hospital ◽  
Surgical Timing ◽  
Episodes Of Care ◽  
Canadian Provinces

ObjectiveWe describe steps to operationalise a published conceptual framework for a contiguous hospitalisation episode using acute care hospital discharge abstracts. We then quantified the degree of bias induced by a first abstract episode, which does not account for hospital transfers.DesignRetrospective observational study.SettingAll acute care hospitals in nine Canadian provinces.ParticipantsWe retrieved acute hospitalisation discharge abstracts for 189 448 patients aged 65 years and older admitted to acute care with hip fracture between 2003 and 2013.Primary and secondary outcome measuresThe percentage of patients treated surgically, delayed to surgery (defined as two or more days after admission) and dying, between contiguous hospitalisation episodes and the first abstract episodes of care.ResultsUsing contiguous hospitalisation episodes, 91.6% underwent surgery, 35.7% were delayed two or more days after admission and 6.7% died postoperatively, whereas, using the first abstract only, these percentages were 83.7%, 32.5% and 6.5%, respectively.ConclusionWe demonstrate that not accounting for hospital transfers when evaluating the association between surgical timing and death underestimates reporting of the percentage of patients treated surgically and delayed to surgery by 9%, and the percentage who die after surgery by 3%. Researchers must be aware of this potential and avoidable bias as, depending on the purpose of the study, erroneous inferences may be drawn.

scholarly journals Determining Current Physical Therapist Management of Hip Fracture in an Acute Care Hospital and Physical Therapists' Rationale for This Management

2011 ◽  
Vol 91 (10) ◽  
pp. 1490-1502 ◽  
Author(s):  
Susie Thomas ◽  
Shylie Mackintosh ◽  
Julie Halbert
Keyword(s):  
Hip Fracture ◽  
Physical Therapy ◽  
Acute Care ◽  
Best Practice ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Acute Care Hospital ◽  
Early Mobilization ◽  
Care Hospital ◽  
Retrospective Case

Background Physical therapy has an important role in hip fracture rehabilitation to address issues of mobility and function, yet current best practice guidelines fail to make recommendations for specific physical therapy interventions beyond the first 24 hours postsurgery. Objectives The aims of this study were: (1) to gain an understanding of current physical therapist practice in an Australian acute care setting and (2) to determine what physical therapists consider to be best practice physical therapist management and their rationale for their assessment and treatment techniques. Design and Methods Three focus group interviews were conducted with physical therapists and physical therapist students, as well as a retrospective case note audit of 51 patients who had undergone surgery for hip fracture. Results Beyond early mobilization and a thorough day 1 postoperative assessment, great variability in what was considered to be best practice management was displayed. Senior physical therapists considered previous clinical experience to be more important than available research evidence, and junior physical therapists modeled their behavior on that of senior physical therapists. The amount of therapy provided to patients during their acute inpatient stay varied considerably, and none of the patients audited were seen on every day of their admission. Conclusions Current physical therapist management in the acute setting for patients following hip fracture varies and is driven by system pressures as opposed to evidence-based practice.

Complexity of nursing care in acute care hospital patients: results of a pilot study with a newly developed questionnaire

2014 ◽  
Vol 29 (3) ◽  
pp. 591-602 ◽  
Author(s):  
Michael Kleinknecht-Dolf ◽  
Francis Grand ◽  
Elisabeth Spichiger ◽  
Marianne Müller ◽  
Jacqueline S. Martin ◽  
...  
Keyword(s):  
Pilot Study ◽  
Acute Care ◽  
Nursing Care ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Hospital Patients

Relationship Between Acute Care Hospital-Based Factors and Discharge Destination for Rehabilitation Following a Hip Fracture

2002 ◽  
Vol 21 (2) ◽  
pp. 187-194 ◽  
Author(s):  
Bert M. Chesworth ◽  
Mark Speechley ◽  
Kathleen Hartford ◽  
Richard Crilly
Keyword(s):  
Hip Fracture ◽  
Home Care ◽  
Acute Care ◽  
Acute Care Hospital ◽  
Teaching Hospitals ◽  
Care Hospital ◽  
Logistic Regression Models ◽  
Teaching Status ◽  
Acute Rehabilitation ◽  
The Relationship

ABSTRACTHospitals may transfer seniors with a hip fracture to various rehabilitation settings. Knowing the relationship between hospital teaching status and post-acute rehabilitation setting may help evaluations of the transfer from acute care. The purpose of this study was to determine the relationship between hospital teaching status and rehabilitation destination following acute care in seniors with a hip fracture. Hospital separations were linked with home care records to identify hip fractures and hospital-based or home care rehabilitation (n = 806). Two logistic regression models determined the likelihood of transfer to any rehabilitation destination and to hospital-based versus home care rehabilitation. Teaching hospitals were no more likely than non-teaching hospitals to discharge patients to any rehabilitation (OR 1.20, 95% CI 0.88,1.65). However, among those referred to rehabilitation, the odds of discharge to hospital-based versus home care rehabilitation were almost four times greater for patients in teaching hospitals (OR 3.76, 95% CI 2.23, 6.37). The results are consistent with the availability of post-acute rehabilitation in the planning area. Future study of post-acute rehabilitation outcomes should consider hospital teaching status as an indicator of how hospital-based factors may affect the utilization of post-acute rehabilitation.

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