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International Journal of Orthopaedic and Trauma Nursing

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https://www.readbyqxmd.com/read/27919714/initial-testing-of-a-behavioural-pain-assessment-tool-within-trauma-units
#1
Julie Gregory
Pain is common in trauma patients who may be older and also may have cognitive impairment leading to reduced communication about their pain. A number of observational pain assessment tools are available and have been found to have limited clinical usefulness. The Bolton Pain Assessment Tool (BPAT) was developed following a trial of three established tools and includes a section to involve family and/or close carers in the pain assessment process. The aim of this paper is to present the findings of initial testing of BPAT...
September 7, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27596797/fragility-fracture-special-issue-call-for-papers
#2
Julie Santy-Tomlinson, Louise Brent
No abstract text is available yet for this article.
August 16, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27542559/acute-to-chronic-pain-transition-in-extremity-trauma-a-narrative-review-for-future-preventive-interventions-part-1
#3
Mélanie Bérubé, Manon Choinière, Yves G Laflamme, Céline Gélinas
BACKGROUND: Several studies have been conducted over the last decade that describe the issue of pain and prognostic factors of acute to chronic pain transition post extremity trauma (ET). However, no thorough interventions to prevent chronic pain development in ET patients have yet been proposed. OBJECTIVES: This first part of a series of two articles aimed to provide a comprehensive analysis of literature on the epidemiology of pain post-ET, the impact of persistent pain on ET patients and the relevant biological transformations involved in acute to chronic pain transition...
August 16, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27561248/traction-survival-skills
#4
EDITORIAL
Julie Santy-Tomlinson
No abstract text is available yet for this article.
August 10, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27236718/improving-clinical-examination-in-acute-tibial-fractures-by-enhancing-visual-cues-the-case-for-always-cutting-back-a-tibial-back-slab-and-marking-the-dorsalis-pedis-pulse
#5
Alasdair Thomas, Cheryl Kimber, Donald Bramwell, Ruurd Jaarsma
Look, feel, move is a simple and widely taught sequence to be followed when undertaking a clinical examination in orthopaedics (Maher et al., 1994; McRae, 1999; Solomon et al., 2010). The splinting of an acute tibial fracture with a posterior back-slab is also common practice; with the most commonly taught design involving covering the dorsum of the foot with bandaging (Charnley, 1950; Maher et al., 1994; McRae, 1989). We investigated the effect of the visual cues provided by exposing the dorsum of the foot and marking the dorsalis pedis pulse...
August 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27230292/the-value-of-specialist-orthopaedic-nurses
#6
EDITORIAL
Paul McLiesh, Ami Hommel
No abstract text is available yet for this article.
August 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27215748/the-relevance-of-gender-in-the-care-of-hip-fracture-patients
#7
REVIEW
Lorena Saletti-Cuesta, Liz Tutton, Julie Wright
As in many conditions, gender interplays with other social structures of inequality to impact upon women's and men's health and healthcare. This narrative review examines knowledge about sex, gender and hip fracture and suggests ways of highlighting the influence of gender in hip fracture healthcare. These will be considered in relation to two areas. Firstly the multifactorial dimension of hip fractures which identifies ethnicity, marital status, lifestyle, co-morbidities, environment in relation to falls and osteoporosis as important factors influencing the experience of hip fracture...
August 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27118633/neurological-assessment
#8
Ann Butler Maher
Neurological system assessment is an important skill for the orthopaedic nurse because the nervous system has such an overlap with the musculoskeletal system. Nurses whose scope of practice includes such advanced evaluation, e.g. nurse practitioners, may conduct the examination described here but the information will also be useful for nurses caring for patients who have abnormal neurological assessment findings. Within the context of orthopaedic physical assessment, possible neurological findings are evaluated as they complement the patient's history and the examiner's findings...
August 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27091305/quality-of-life-following-traumatic-brachial-plexus-injury-a-questionnaire-study
#9
Beverley Gray
There is limited qualitative research available that explores the impact of a traumatic brachial plexus injury on patients and their quality of life experiences. This paper builds upon previous work on this subject by this author. Patients were selected from those who were on the database for the Scottish National Brachial Plexus Injury Service between 2011 and 2013. The World Health Organization (WHO) Quality of Life (QoL) - BREF questionnaire was used and 47 questionnaires were distributed with 22 returned...
August 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/26711709/the-assessment-and-management-of-pain-in-an-orthopaedic-out-patient-setting-a-case-study
#10
Gillian Hall, Julie Gregory
The management of pain is an important aspect of an orthopaedic nurse's role. The aim of this paper is to use an individual case study to demonstrate the role of an out-patient orthopaedic nurse in the identification, assessment and management of pain. This paper describes how pain was identified and managed for a patient in the orthopaedic outpatient department, highlighting that pain and its management are not isolated to the in-patient setting. The case study illustrates the importance of recognising pain and taking into account the numerous factors that can influence pain perception...
August 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/26573892/the-experiences-of-orthopaedic-and-trauma-nurses-who-have-cared-for-adults-with-a-learning-disability
#11
Mary Drozd, Christine Clinch
BACKGROUND: There is no published empirical research about the experiences of orthopaedic and trauma nurses who have cared for people with a learning disability. However, adults with a learning disability sustain more injuries, falls and accidents than the general population. Because of their increased health needs, there has been a corresponding increase in their numbers attending general/acute hospitals. The 6 Cs is a contemporary framework and has been used to gauge how orthopaedic and trauma nurses rate the Care, Communication, Competence, Commitment, Courage and Compassion for patients with a learning disability in orthopaedic and trauma hospital settings compared to patients without a learning disability...
August 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27613074/spinal-fusion-surgery-from-relief-to-insecurity
#12
Janne B Damsgaard, Lene B Jørgensen, Annelise Norlyk, Regner Birkelund
BACKGROUND: During their decision-making process patients perceive surgery as a voluntary yet necessary choice. Surgery initiates hope for a life with less pain but also creates a feeling of existential insecurity in terms of fear, isolation and uncertainty. AIM: The aim of this study was to explore how patients experience their situation from the point of making the decision to undergo spinal fusion surgery to living their everyday life after surgery. METHOD: A phenomenological-hermeneutic study design was applied based on the French philosopher Paul Ricoeur's theory of interpretation...
June 17, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27615119/orchestrating-care-through-the-fast-track-perspective-a-qualitative-content-analysis-of-the-provision-of-individualised-nursing-care-in-orthopaedic-fast-track-programmes
#13
Connie Bøttcher Berthelsen, Kirsten Frederiksen
The lack of individualised care in orthopaedic regimes is often explained by the extended use of patient pathways and clinical guidelines. The aim of this study was to illuminate orthopaedic nurses' perceptions and experiences of providing individual nursing care for older patients in standardised fast-track programmes after total hip or knee replacement. Ten semi-structured interviews were conducted with orthopaedic nurses in orthopaedic wards at three Danish hospitals between April and June of 2015. Data were analysed using manifest and latent content analysis according to Graneheim and Lundman...
May 4, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27554953/older-patients-perception-of-their-own-capacity-to-regain-pre-fracture-function-after-hip-fracture-surgery-an-explorative-qualitative-study
#14
Berit Gesar, Ami Hommel, Hanne Hedin, Carina Bååth
AIMS AND OBJECTIVES: To explore healthy older patients' perceptions of their own capacity to regain pre-fracture function in the acute phase following hip fracture surgery. BACKGROUND: The incidence of hip fractures is expected to increase. In Sweden, of the patients who sustain a hip fracture, 40 per cent are healthy and lived independently pre fracture. However, a hip fracture often results in declined functional outcomes for 40 per cent of these patients. DESIGN: The study had an explorative inductive qualitative design...
May 3, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27125971/translating-evidence-based-protocol-of-wound-drain-management-for-total-joint-arthroplasty-into-practice-a-quasi-experimental-study
#15
Lap Fung Tsang, Hang Cheong Cheng, Hon Shuen Ho, Yung Chak Hsu, Chiu Man Chow, Heung Wah Law, Lup Chau Fong, Lok Ming Leung, Ivy Ching Yan Kong, Chi Wai Chan, Alice So Yuen Sham
BACKGROUND: Although various drains have long been used in total joint replacement, evidence suggests inconsistent practice exists in the use of drainage systems including intermittently applying suction or free of drainage suction, and variations in the optimal timing for wound drain removal. A comprehensive systematic review of available evidence up to 2013 was conducted in a previous study and a protocol was adapted for clinical application according to the summary of the retrieved information (Tsang, 2015)...
May 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27083117/back-pain-a-feeling-of-being-mistrusted-and-lack-of-recognition-a-qualitative-study
#16
Janne B Damsgaard, Annelise Norlyk, Lene B Jørgensen, Regner Birkelund
BACKGROUND: Research shows that suffering from back pain can be associated with great personal costs and that patients undergoing spinal fusion surgery experience particularly problematic illness trajectories and struggle with existential challenges related to living with pain for many years. AIM: This study aims to explore how patients with back pain experience their illness trajectories and their interaction with the healthcare system. METHOD: Data were collected through observations and semi-structured interviews...
May 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/26988971/length-of-stay-in-acute-hospitals-be-careful-what-you-wish-for
#17
EDITORIAL
Julie Santy-Tomlinson
No abstract text is available yet for this article.
May 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/26972794/a-review-of-blisters-caused-by-wound-dressing-components-can-they-impede-post-operative-rehabilitation-and-discharge
#18
REVIEW
Sara Eastburn, Karen Ousey, Mark G Rippon
This review highlights that some wound dressings can be the cause of blistering. It also presents the mechanisms by which blisters may be caused by poor choice of dressings. The subsequent impact of the blisters on preventing patient mobility - and hence rehabilitation in terms of physiotherapy - is also identified. The possibility that the clinical sequelae (e.g. delayed wound healing, restricted joint range of motion (ROM), muscle atrophy and increased risk of deep vein thrombosis (DVT)) resulting from this might have a significant and deleterious impact upon patient-related outcomes is discussed...
May 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/26655681/assessment-of-trauma-patients
#19
M Parker, C Magnusson
Trauma is a major contributor to global mortality and morbidity with a notable difference between low income countries (LIC) and high to moderate income countries (HMIC). The modality of trauma differs globally; however, the most notable cause is pedestrian vs. vehicle and road traffic collision respectively. It is imperative that patients who have sustained a traumatic injury are managed in an appropriate and timely manner. Part 1 of the article will address the aetiology and demographic distribution of trauma globally and part 2 of the article will provide information about structured assessment and management of trauma patients...
May 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/26589446/contralateral-ulnar-neuropathy-following-total-hip-replacement-and-intraoperative-positioning
#20
S O'Brien, D Bennett, D J Spence, I Mawhinney, D E Beverland
Peripheral neuropathy is a rare but important complication of total hip arthroplasty (THA) and has previously been reported in the ipsilateral arm and associated with inflammatory arthritis. The results of 7004 primary hip arthroplasties performed between January 1993 and February 2009 were retrospectively reviewed to identify patients who reported ulnar neuropathy symptoms, with ten patients identified at mean follow-up of 57 months (range = 3-195 months). Eight patients experienced unilateral ulnar nerve symptoms in the contralateral upper limb post-surgery, one patient experienced symptoms in the ipsilateral upper limb and one patient experienced symptoms in both upper limbs...
May 2016: International Journal of Orthopaedic and Trauma Nursing
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