Fragility Fracture Nursing
Fragility Fracture Nursing

Author: Karen Hertz

Publisher: Springer

Published: 2018-06-15

Total Pages: 169

ISBN-13: 3319766813

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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.

WHO Global Report on Falls Prevention in Older Age
WHO Global Report on Falls Prevention in Older Age

Author: World Health Organization

Publisher: World Health Organization

Published: 2008

Total Pages: 54

ISBN-13: 9241563532

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The WHO Falls Prevention for Active Ageing model provides an action plan for making progress in reducing the prevalence of falls in the older adult population. By building on the three pillars of falls prevention, the model proposes specific strategies for: 1. Building awareness of the importance of falls prevention and treatment; 2. Improving the assessment of individual, environmental, and societal factors that increase the likelihood of falls; and 3. For facilitating the design and implementation of culturally appropriate, evidence-based interventions that will significantly reduce the number of falls among older persons. The model provides strategies and solutions that will require the engagement of multiple sectors of society. It is dependent on and consistent with the vision articulated in the WHO Active Ageing Policy Framework. Although not all of the awareness, assessment, and intervention strategies identified in the model apply equally well in all regions of the world, there are significant evidence-based strategies that can be effectively implemented in all regions and cultures. The degree to which progress will be made depends on to the success in integrating falls prevention strategies into the overall health and social care agendas globally. In order to do this effectively, it is necessary to identify and implement culturally appropriate, evidence-based policies and procedures. This requires multi-sectoral, collaborations, strong commitment to public and professional education, interaction based on evidence drawn from a variety of traditional, complementary, and alternative sources. Although the understanding of the evidence-base is growing, there is much that is not yet understood. Thus, there is an urgent need for continued research in all areas of falls prevention and treatment in order to better understand the scope of the problem worldwide. In particular, more evidence of the cost-effectiveness of interconnections is needed to develop strategies that are most likely to be effective in specific setting and population sub-groups.

Principles and Practice of Geriatric Surgery
Principles and Practice of Geriatric Surgery

Author: Ronnie Ann Rosenthal

Publisher: Springer Science & Business Media

Published: 2011-07-12

Total Pages: 1364

ISBN-13: 1441969993

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"In the preface to this impressive and well-produced book, the editors state that their aim is not to describe a new surgical specialty, since most surgeons will soon need to be "geriatric surgeons," but to assemble a comprehensive account that will allow "all providers of healthcare to the elderly to understand the issues involved in choosing surgery as a treatment option for their patients." This is a useful book that deserves to do well. I hope that the editors and their publisher will have the stamina to make this the first of several editions, as it is clear that updated information about surgery in the elderly will be required to keep pace with this important field." NEJM Book Review

Advances in Patient Safety
Advances in Patient Safety

Author: Kerm Henriksen

Publisher:

Published: 2005

Total Pages: 526

ISBN-13:

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v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

The Nordic Models in Political Science
The Nordic Models in Political Science

Author: Oddbjørn Knutsen

Publisher:

Published: 2017

Total Pages: 0

ISBN-13: 9788245021752

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The Nordic countries-Denmark, Finland, Iceland, Norway and Sweden-are frequently considered a distinct group of countries in political science studies. The term 'Nordic model(s)' is sometimes used to describe the policies pursued by these countries. The aim of this book is to examine whether there is one or several Nordic model(s), whether there have been any changes over time in the distinctiveness of the Nordic countries, and when and why the Nordic model(s) emerged. Moreover, in light of recent global economic, legislative, and political integration, will this Nordic distinctiveness last? The Nordic Models in Political Science examines Nordic models in several key areas of political science, such as state- and nation-building, political parties and party systems, determinants of party choice, representation and parliamentarism, gender and politics, central governmental institutions, regional and local governments, interest intermediation and interest group representation, and welfare state and knowledge regimes. This book provides an introduction for students and academic readers interested in Nordic politics in general and Nordic models in particular. *** This is a thorough and balanced assessment of the 'Nordic model'. It shows that, in spite of change and transnational convergence, distinctive features of the Nordic states have survived, producing substantially different outcomes in important policy fields. --Michael Keating, Professor of Politics, Universities of Aberdeen and Edinburgh [Subject: Politics, Nordic Studies]

Geriatric Nursing Protocols for Best Practice
Geriatric Nursing Protocols for Best Practice

Author: Mathy Doval Mezey

Publisher: Springer Publishing Company

Published: 2003

Total Pages: 392

ISBN-13: 9780826118349

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The protocols in this thoroughly updated edition address key clinical conditions and circumstances likely to be encountered by a hospital nurse caring for older adults. They represent "best practices" for acute care of the elderly as developed by nursing experts around the country as part of the Hartford Foundation's Nurses Improving Care to the Hospitalized Elderly project (NICHE). New to this edition are chapters on evaluating practice guidelines and measuring quality and outcome of care. Although the protocols were developed for acute care, they can be easily modified to work in other practice settings, such as the nursing home or home care.

Patient Safety and Quality
Patient Safety and Quality

Author: Ronda Hughes

Publisher: Department of Health and Human Services

Published: 2008

Total Pages: 592

ISBN-13:

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"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Elderly Patients and Family Members Satisfaction with Discharge Planning
Elderly Patients and Family Members Satisfaction with Discharge Planning

Author: Veronica Gillette

Publisher: Universal-Publishers

Published: 2003-02-17

Total Pages: 99

ISBN-13: 158112175X

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Facilitating the transition of elderly patients from the hospital setting to their pre-hospital environment is a major challenge for health care providers. Adequate discharge planning has been mandated by the Joint Commission on Accreditation of Health Care Organization (JCAHO) and the American Hospital Association (AHA). However, reports from the literature indicate that some elderly patients on Medicare may be discharged "quicker and sicker" than in the past and that care-giving family members are often not included in the discharge planning process.The problem is that elderly patients may be discharged from the hospital before appropriate discharge planning is complete. The purpose of this pilot study was to determine elderly patients' and their family members' level of satisfaction and perceptions with the overall quality of hospital discharge planning. The study addressed the following questions:. 1. What is the level of satisfaction reported by the elderly patient and the family member regarding discharge planning? 2. What are the perceptions of the elderly patient and family member with the overall quality of discharge planning? A descriptive, telephone survey design was used to determine elderly patients' and family members' satisfaction with hospital discharge planning. A telephone questionnaire was administered to a convenience sample of ten patients and ten family members between five to ten days after the patient was discharged from the hospital. The questionnaire consisted of closed-ended and open-ended questions. Demographic and closed-ended questions were analyzed using descriptive statistics, while open-ended questions were group and summarized. Satisfaction ratings were measured on a ten point scale, with ten indicating the highest satisfaction.Findings of this pilot study indicated that elderly patients and their family members were satisfied with discharge planning and that nurses were often considered the most helpful in the discharge process. Average overall patient satisfaction was 9.6 and average family member satisfaction was 8.9. Areas receiving the highest satisfaction ratings included patients being involved in their discharge planning and instructions regarding medications, obtaining equipment and supplies, and wound care. Areas in need of improvement were identified as involving both patient and family member in the process, addressing activity level, inquiring about financial concerns and the possible need for additional help at home, and providing instructions about caring for the patient in the home environment.Limitations of the pilot study as well as implications for nursing practice and education are described.Recommendations for future research are discussed.

Timely Discharge from Hospital
Timely Discharge from Hospital

Author: Liz Lees

Publisher: M&K Update Ltd

Published: 2012

Total Pages: 433

ISBN-13: 1907830553

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Following on from the very popular first book OCyNurse Facilitated Hospital DischargeOCOOCyIn these challenging economic times, with change and cost saving being predominant features in the NHS, I offer you, the reader, a thought: OC The faster the speed at which you travel, the further ahead you need to lookOCO, to adapt current practice, and align it to future needs, to deliver value for money.OCOLiz LeesTimely Discharge From Hospital is aimed at practitioners working in acute, community, intermediate and ambulatory care settings; all areas of practice are featured. Each section is arranged in themes but written to stand alone, allowing the reader to dip in and out. The book is further enhanced by a comprehensive selection of case studies.Part 1: Fundamental perspectives of practice OCo there are 3 leading chapters which set the scene for the discharge of patients from hospital.Part 2: The UK perspective OCo there are 4 chapters which demonstrate policy, practice and progress regarding discharge planning in England, Ireland, Scotland and Wales. Part 3: Education and training OCo there are 3 chapters which interface theory with practice providing a sense of direction in education to lead and support practitioners wishing to develop mechanisms for training.Part 4: Multi professional considerations of patient discharge in practice OCo there are 7 chapters which explore the contribution of different professionals to timely discharge practice. The Nursing coordination & complex discharge issues, Pharmacy, PALs, Medicine, Occupational Therapy and Bed management are all featured.Part 5: Case examples in practice OCo There are 14 pragmatic cases which illuminate practice points from a clinical perspective."