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International Journal of Orthopaedic and Trauma Nursing

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https://www.readbyqxmd.com/read/28089404/the-schhs-hip-fracture-clinical-network-experience-improving-care-and-outcomes-through-an-interprofessional-approach
#1
Gillian Puckeridge, Morné Terblanche, Debbie Massey
BACKGROUND: Hip fractures are a major global health care issue, with the 1.26 million estimated cases in 1990 predicted to increase to 4.5 million by 2050. Varying models of care have been developed to improve outcomes following fragility hip fractures. Most of these care models embrace an interprofessional approach to care. Specialist orthopedic nurses play an important role in the management of fragility hip fracture patients and their contribution to the interprofessional health care team is an important predictor of patient outcomes...
December 18, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27979662/exploring-the-experiences-of-parents-caring-for-infants-with-developmental-dysplasia-of-the-hip-attending-a-dedicated-clinic
#2
REVIEW
Heather J Jennings, Martina Gooney, Joseph O'Beirne, Linda Sheahan
Specialised DDH (developmental dysplasion of the hip) clinics are developing around Ireland but are, however, variable in how they are operated. A DDH clinic was set up in the South-east of Ireland in 2002 with the goal of achieving an integrated care pathway between the orthopaedic surgical team and nursing team, working to an explicit protocol while also fostering a strong collaboration with the ultrasound department. This paper aims to explore the effectiveness of this dedicated clinic in the Southeast of Ireland...
November 5, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27931884/a-sense-of-security-spouses-experiences-of-participating-in-an-orthopaedic-case-management-intervention-the-sicam-trial
#3
Connie Bøttcher Cb Berthelsen, Jimmie Kristensson
The aim of the study was to explore and describe spouses' experiences of participating in a case management intervention during older patients' fast-track programme having total hip replacement as well as which intervention elements they found useful. Data were collected through qualitative interviews with 10 spouses from the intervention group of the SICAM-trial, directed by predetermined codes based on elements of the intervention. Data were analysed by both authors using directed content analysis. The results showed that the spouses were very pleased about being a part of the case management intervention...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27931883/quality-of-counselling-for-knee-and-shoulder-arthroscopy-patients-during-day-surgery
#4
Pirjo Kaakinen, Helka Ervasti, Maria Kääriäinen
BACKGROUND: Counselling for day surgery patients is one of the core components for a knee or shoulder arthroscopy patient to succeed in self-care. AIM: This cross-sectional study examined the quality of counselling given to patients (n = 86) during their day surgery, using the Counselling Quality Instrument (CQI). METHODS: The data were analysed using basic and multivariate statistical methods. RESULTS: Most respondents were male and aged over 50 years...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27919714/initial-testing-of-a-behavioural-pain-assessment-tool-within-trauma-units
#5
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...
February 2017: 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
#6
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...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27613074/spinal-fusion-surgery-from-relief-to-insecurity
#7
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...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27561248/traction-survival-skills
#8
EDITORIAL
Julie Santy-Tomlinson
No abstract text is available yet for this article.
February 2017: 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
#9
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...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27527536/acute-to-chronic-pain-transition-in-extremity-trauma-a-narrative-review-for-future-preventive-interventions-part-2
#10
REVIEW
Mélanie Bérubé, Manon Choinière, Yves G Laflamme, Céline Gélinas
BACKGROUND: The first part of this series of 2 articles revealed that chronic pain is an important issue post extremity trauma (ET) involving permanent biological transformations. Interventions aimed at preventing chronic pain in ET patients are therefore required. OBJECTIVE: To conduct a comprehensive analysis of literature on risk and protective factors for chronic pain post-ET to guide the development of relevant preventive interventions. METHODS: A narrative review of the literature was undertaken...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27596797/fragility-fracture-special-issue-call-for-papers
#11
EDITORIAL
Julie Santy-Tomlinson, Louise Brent
No abstract text is available yet for this article.
November 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27575875/a-cycling-and-education-programme-for-the-treatment-of-hip-osteoarthritis-a-quality-improvement-study
#12
Thomas W Wainwright, Tikki Immins, Robert G Middleton
Osteoarthritis of the hip is associated with pain, stiffness and limitations to activities of daily living. The aims of this quality improvement project were to introduce a service developed to promote the self-management of hip osteoarthritis through exercise and education and to assess the impact of the programme on pain, function and quality of life. The service was a six-week cycling and education programme and 119 participants took part. Statistically significant improvements were found for Oxford Hip Scores (Mean (SD) change 4...
November 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27575874/spouse-related-factors-associated-with-quality-of-recovery-of-patients-after-hip-or-knee-replacement-a-nordic-perspective
#13
Åsa Johansson Stark, Sanna Salanterä, Arun K Sigurdardottir, Kirsi Valkeapää, Margareta Bachrach-Lindström
BACKGROUND: Today's shorter hospital stays mean that patients may need support from informal caregivers during their recovery period. The responsibility for providing this support shifts from the healthcare staff to their family members fairly early in the recovery process. Spousal caregivers are considered to be the primary caregivers as their relationship with the patient is more interdependent than that of other family members or caregivers. OBJECTIVES: The aim was to describe spouse-related factors that were associated with patients' quality of recovery on discharge from hospital after elective hip or knee replacement...
November 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27561247/orthopaedic-nursing-challenges-in-poly-traumatised-patient-management-a-critical-analysis-of-an-orthopaedic-and-trauma-unit
#14
Carlo Biz, Lisa Buffon, Roberto Marin, Natalia Petrova
INTRODUCTION AND BACKGROUND: Trauma is the most frequent cause of death in people under 40 years old. It is an important problem not only because of the high mortality but also because of the consequential disability that can lead to serious economic consequences. STUDY AIMS: This descriptive, comparative study investigates the definitive management of poly-traumatised patients in an Italian Orthopaedic Ward in order to highlight its strengths and weaknesses in comparison with the most recent literature...
November 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
#15
REVIEW
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...
November 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27260371/factors-associated-with-the-successful-removal-of-indwelling-urinary-catheters-post-operatively-in-the-fragility-hip-fracture-patient
#16
Genni Lynch, Kate Bell, Debra Long, Liz Burmeister
INTRODUCTION: Patients presenting to hospital with a fragility hip fracture are routinely catheterized in the emergency department. Studies have found that the duration of catheterization is the greatest and most important risk factor for developing a urinary tract infection. Whilst there is a considerable body of evidence around correct techniques for insertion of urinary catheters, there appears to be little evidence as to the timing of their removal. AIM OF THE STUDY: To describe the current practice of indwelling catheter (IDC) removal post operatively in the fragility hip fracture patient and to identify factors associated with the successful removal of IDCs post operatively in the same cohort of patients...
November 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27256768/preoperative-bowel-preparation-versus-no-preparation-before-spinal-surgery-a-randomised-clinical-trial
#17
Unni Olsen, Jens Ivar Brox, Ida Torunn Bjørk
AIMS AND OBJECTIVES: To investigate the effect of preoperative bowel preparation for patients undergoing spinal fusion surgery. BACKGROUND: Bowel preparation before major surgery is performed routinely to reduce the risk of postoperative complications related to gastrointestinal function. METHODS: A randomised clinical trial was performed that included forty-five elective spinal fusion patients allocated to one control group and two treatment groups...
November 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
#18
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
#19
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
#20
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
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