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Global estimates suggest that there were 21 million men and 137 million women aged 50 years or more at high fracture risk in 2010. This incidence is expected to double by 2040, with the most significant increase in Asia. Fragility fracture is one of the foremost challenges for health care providers and thehe global demand for nursing care for patients with fragility fractures across the world is immense. Hip fracture is particularly challenging as these significant injuries often occur in frail older people requiring hospitalisation and orthopaedic surgery. Such injuries and associated surgery result in increased frailty, worsening health and wellbeing, pain, disability, reduced quality of life, loss of independence, and decreased life expectancy. Care providers need to understand the experience of fragility fracture from the perspective of patients and families so that direct improvements in care can be based on the perspectives of the users.
Expert care of patients following fractures that require hospitalisation and orthopaedic surgery involves skill in the care and treatment of frail older people as we as individuals with an injury and undergoing surgery. Nurses have a significant role in interdisciplinary collaborative care provided through orthogeriatric models of care. There is increasing evidence that such models significantly improve patient outcomes. High quality, evidence-based orthogeriatric care is increasingly shown to have positive impact on outcomes for recovery, rehabilitation, and secondary prevention of further fracture.
This book significantly supports the aims and values of the Fragility Fracture Network and, as such, supports the learning needs of nurses and other allied health professionals which will enable a comprehensive approach to nursing practice in orthogeriatric and fragility fracture care.
Foreword to second edition
Preface to first edition
Preface to second edition
1. Orthogeriatric and fragility fracture nursing: an Introduction
(New chapter) Karen Hertz (UK)
Julie Santy-Tomlinson (UK)
Anita Meehan (USA)
Lingli Peng (China)
Ami Hommel (Sweden)
2. Osteoporosis and the nature of fragility fracture nursing
(Updated chapter) Marsha van Oostwaard (Netherlands)
Andréa Marques (Portugal)
Robyn Speerin (Australia)
3. Frailty and Sarcopenia
(Updated chapter) Andréa Marques (Portugal)
Carmen Queirós(Portugal)
Panagiota Gardelis (Greece)
4. Preventing Falls
(New chapter – topic originally part of chapter 3 (Falls and secondary fracture prevention) Physiotherapist (to be confirmed)
Julie Santy-Tomlinson (UK)
5 Secondary Fracture Prevention (updated chapter, new authors)
Marsha van Oostwaard (Netherlands)
Andréa Marques (Portugal)
Robyn Speerin
6 The nursing role in orthogeriatric comprehensive geriatric assessment (CGA)
(Updated chapter with new authors) Louise Brent (Ireland)
Emer Ahern (Ireland)
7 Orthogeriatric Care in the Emergency and Perioperative Setting (Updated chapter with new authors)
Charlottte Myhre-Jensen (Denmark)
Anita Taylor (Australia)
Sigrún Skúladóttir (Iceland)
8 Early mobilisation and exercise after fragility fracture
(updated chapter with new authors) Carmen Queirós (Portugal)
Physiotherapist (to be confirmed)9 Pressure Ulcer Prevention
(Updated chapter – now focused entirey on Pressure Ulcers – original chapter 7 – wound management moved to new chapter 10) Zena Moore (Ireland)
Louise Brent (Ireland)
Ami Hommel (Sweden)
10 Wound management (new chapter – originally part of chapter 7 with pressure ulcers)
Ami Hommel (Sweden)
Carina Baath(Sweden)
11 Nutrition and Hydration (updated chapter with new authors) Ólöf Geirsdóttir (Iceland)
Jack Bell (Australia)
Patrick Roigk (Germany)
Fabian Graeb (Germany)
12 Delirium and other altered cognitive states (Updated chapter)
Beth Georgi (UK)
Jason Cross (UK)
13 Psychological wellbeing (new chapter) Stefano Eleuteri (Italy)
14 Rehabilitation
(updated chapter – was chapter 10 – discharge moved to a new chapter – this chapter with new authors Carmen Queirós (Portugal)
Physiotherapist (To be confirmed)
15 Family partnerships, patient and carer education and support (new chapter – with some elements of chapter 11 from first edition – new author) Maria Eduarda Batista de Lima
16 Discharge and post-hospital care (new chapter)
Authorship to be confirmed – probably from Norway
17 Ethical issues (new chapter – replacing chapter 11)
Karen Hertz (UK)
Julie Santy-Tomlinson (UK)
Lina Spirgiene (Lithuania)
18 Orthogeriatric and fragility fracture care in the future (new chapter – with some elements of chapter 12 from 1st edn) Karen Hertz (Uk)
Julie Santy-Tomlinson (UK)
Louise Brent (Ireland)
Anita Meehan (USA)
Lingli Peng (China)
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