The multidisciplinary management of hip fractures in older patients

Anna Helene Katrin Riemen; James D. Hutchison

doi:10.1016/j.mporth.2016.03.006

The multidisciplinary management of hip fractures in older patients

Anna Helene Katrin Riemen, James D. Hutchison

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Abstract

Older patients presenting with hip fractures are some of the frailest and sickest patients in hospital. In addition to complex medical problems and comorbidities, they have to overcome the additional physiological challenges posed by the hip fracture itself, and subsequent surgery. Hip fracture associated morbidity and mortality at one year remains high. Published guidelines stress the need for a multidisciplinary approach and the importance of the care environment for good outcomes. A combined management approach identifies and addresses not only the surgical but also the complex analgesic, medical, cognitive, nutritional, social and rehabilitation needs of our patients, thereby improving outcome for our patients.

Original language	English
Pages (from-to)	117-122
Number of pages	6
Journal	Orthopaedics and Trauma
Volume	30
Issue number	2
Early online date	6 May 2016
DOIs	https://doi.org/10.1016/j.mporth.2016.03.006
Publication status	Published - 2016

Bibliographical note

Acknowledgements
The authors would like to thank our colleagues for valuable discussion and feedback on the article. These include Jane Thompson (Physiotherapy), Janet Christie (Occupational Therapy), Denise Donald (Discharge Coordinator) and James Duff (Orthogeriatric Specialist Nurse). Miss Riemen is supported by Wellcome Trust through the Scottish Translational Medicine and Therapeutics Initiative (Grant no. WT 085664) and through Clinical Research Fellowship Number 105424/Z/14/Z.

Keywords

hip fracture
multidisciplinary
occupational therapy
orthogeriatrician
patient centred care
physiotherapy

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10.1016/j.mporth.2016.03.006Licence: CC BY

The multidisciplinary management of hip fractures in older patients
© 2016 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Final published version, 233 KBLicence: CC BY

Cite this

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The multidisciplinary management of hip fractures in older patients

Abstract

Bibliographical note

Keywords

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