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International Journal of Orthopaedic and Trauma Nursing

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https://www.readbyqxmd.com/read/29133161/the-efficacy-of-high-volume-of-local-infiltration-analgesia-for-postoperative-pain-relief-after-total-hip-arthroplasty-under-general-anaesthesia-a-randomised-controlled-trial
#1
Saskia Titman, Ami Hommel, Igor Dobrydnjov, Anders Johansson
BACKGROUND AND AIM: Research regarding patients undergoing total hip arthroplasty (THA) has shown no significant difference in postoperative pain with or without the use of local infiltration analgesia (LIA). The aim was to evaluate whether intra-operative LIA with Ropivacaine in patients undergoing THA under general anaesthesia reduces postoperative pain. METHOD: A randomised, placebo-controlled trial. Forty patients undergoing elective primary THA under general anaesthesia were allocated to an intervention group (RG) who received 150 ml of LIA or a placebo group (CG) who received 150 ml of saline solution...
October 31, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28258956/orthopaedic-nursing-in-developing-nations-a-collaboration-between-the-republic-of-the-union-of-myanmar-burma-and-australia
#2
Yin Mar Han, Nang Awng, Lahkri Hkawn Nu, Ni Mya Thway, Paul McLiesh
This paper describes a collaboration between orthopaedic nurses in Myanmar (Burma) and Australia. It aims to explores how that collaboration began and how it can grow and has grown. The unique needs and challenges of healthcare delivery in developing nations are discussed. Understanding these unique needs and challenges is vital in tailoring strategies to provide orthopaedic nurses in those countries with resources that are suitable to assist them in providing the highest level of quality care to their patients...
November 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/29033230/history-of-traction
#3
Sandra Flynn
No abstract text is available yet for this article.
August 16, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/29029998/introducing-the-understanding-research-series
#4
EDITORIAL
Paul McLiesh
No abstract text is available yet for this article.
August 15, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/29223861/how-lack-of-physiotherapist-out-of-hours-led-to-nurses-developing-their-role-a-uk-case-study
#5
Pat Johnson, Chloe Griggs
The aim of this article is to share the experience of how a multi-disciplinary team worked together to develop the nursing role to incorporate the practitioners supporting mobilisation of a patient. The role developed nurses' competence, ensuring that the information and instruction patients received were consistent between therapists and nursing staff, but also supported the Enhanced Recovery Programme (2010). There were issues with the level of therapy support, especially out of hours. The team agreed a vision together, with a solution to the problem on how the mobilisation of patients post-surgery could be achieved...
August 12, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28866377/a-prospective-study-of-short-term-functional-outcome-after-dysvascular-major-lower-limb-amputation
#6
Ulla Riis Madsen, Carina Bååth, Connie Bøttcher Berthelsen, Ami Hommel
This study investigates functional status on Day 21 after dysvascular major lower limb amputation compared with one month pre-amputation and evaluates factors potentially influencing outcome. METHODS: A prospective cohort study design was used. Data were collected via in-person interviews using structured instruments and covered functional level (Barthel index 100) one month pre-amputation and on Day 21. Out of a consecutive sample of patients having major lower limb amputation (tibia, knee or femoral) (n = 105), 51 participated on Day 21 follow-up...
August 12, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28587782/fragility-fracture-special-issue-optimum-care-and-avoiding-a-second-fracture
#7
EDITORIAL
Julie Santy-Tomlinson
No abstract text is available yet for this article.
August 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28578992/reprint-of-the-impact-of-fragility-fracture-and-approaches-to-osteoporosis-risk-assessment-worldwide
#8
Elizabeth M Curtis, Rebecca J Moon, Nicholas C Harvey, Cyrus Cooper
Osteoporosis constitutes a major public health problem, through its association with age-related fractures, particularly of the hip, vertebrae, distal forearm and humerus. Substantial geographic variation has been noted in the incidence of osteoporotic fractures worldwide, with Western populations (North America, Europe and Oceania), reporting increases in hip fracture throughout the second half of the 20th century, with a stabilisation or decline in the last two decades. In developing populations however, particularly in Asia, the rates of osteoporotic fracture appears to be increasing...
August 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28527900/hip-fracture-an-interruption-that-has-consequences-four-months-later-a-qualitative-study
#9
Berit Gesar, Carina Baath, Hanne Hedin, Ami Hommel
BACKGROUND: Effects following a hip fracture often lead to functional disabilities and increased dependence on others. Although persons sustaining a hip fracture constitute a heterogeneous group in Swedish health care, they tend to be treated as a homogenous one. AIM: The aim of this study was to reveal how previously healthy people, aged 65 years and older, described how they had adapted to daily life four months after a hip fracture. METHOD: The follow-up interviews were performed by the first author four months after the hip fracture...
August 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28416178/the-effect-of-time-to-surgery-on-functional-ability-at-six-weeks-in-a-hip-fracture-population-in-mid-west-ireland
#10
Audrey Butler, Sinead Hahessy, Finbarr Condon
Patients with a hip fracture may be appropriately delayed for surgery as they require optimisation or clinical interventions to treat acute medical illnesses (Moja et al., 2012). Other patients are inappropriately delayed due to hospital factors (Brener, 2013; Lee & Elfar, 2014). Timely efficient admission and surgery is well documented as the best course of management for these patients. The aim of this prospective cohort longitudinal follow-up study was to establish if a relationship existed between duration of time spent in the Emergency Department (ED), time to surgery and functional ability in patients with hip fractures and to examine the effect prolonged waits may have on ability to return home...
August 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28416177/restoring-how-older-adults-manage-their-recovery-from-hip-fracture
#11
David J Healee, Antoinette McCallin, Marion Jones
AIMS AND OBJECTIVES: To generate a substantive theory that explained recovery from hip fracture from the perspective of older adults and find out how they managed it. BACKGROUND: Hip fracture is a well-researched phenomenon. The perspective of how older adults recover from hip fracture has been examined least of all. Patients spend less time in hospital following injury and generally recover in their home setting. DESIGN: A Glaserian grounded theory approach was used for this study...
August 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28259736/health-care-professionals-readiness-for-an-interprofessional-orthogeriatric-unit-a-cross-sectional-survey
#12
Charlotte Abrahamsen, Birgitte Nørgaard, Eva Draborg
An assessment of readiness for change can set the stage for the implementation by providing information regarding staff members' beliefs and attitudes prior to an organizational change. We conducted a cross-sectional survey to assess readiness for change (N = 113 employees) in a hospital on the verge of implementing an interprofessional, co-managed orthogeriatric unit. Staff members from three departments with roles related to orthogeriatric patients were invited to answer a web-based questionnaire. Our survey demonstrates that health care professionals are confident that interprofessional collaboration will be promoted by the implementation of orthogeriatric care...
August 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28237620/the-national-hip-fracture-database-nhfd-using-a-national-clinical-audit-to-raise-standards-of-nursing-care
#13
EDITORIAL
Antony Johansen, Christopher Boulton, Karen Hertz, Michael Ellis, Vivienne Burgon, Sunil Rai, Rob Wakeman
The National Hip Fracture Database (NHFD) is a key clinical governance programme for staff working in trauma wards across England, Wales and Northern Ireland. It uses prospectively collected information about the 65,000 people who present with hip fracture each year, and links these with information about the quality of care and outcome for each individual. The NHFD can, therefore, provide a picture of the care offered to frail older people with this injury - people who, between them, occupy nearly half of inpatient trauma beds...
August 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28089404/the-schhs-hip-fracture-clinical-network-experience-improving-care-and-outcomes-through-an-interprofessional-approach
#14
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...
August 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28781113/hip-and-knee-arthroplasty-patient-s-experiences-of-pain-and-rehabilitation-after-discharge-from-hospital
#15
Aud Karin Hjelpdahl Sjøveian, Marit Leegaard
BACKGROUND: Fast-track clinical pathways for hip and knee arthroplasty is being implemented in several western countries. The treatment entails patient involvement, optimal pain management, intensive mobilization and early discharge. Limited research has been carried out on patient's experiences after discharge. PURPOSE: The purpose of the study is to describe how patients experience pain and manage the rehabilitation process the first six weeks after discharge...
July 18, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28826952/ambulance-personnel-s-management-of-pain-for-patients-with-hip-fractures-based-on-ambulance-personnel-s-gender-and-years-of-experience
#16
Annika Alm Pfrunder, Ann-Charlotte Falk, Veronica Lindström
According to the World Health Organization (WHO) the goal of health care is for the entire general population to have good health and receive care on equal terms. Little is known about gender differences in the management of patients in the ambulance service. There is also a lack of studies investigating how the characteristics of health care personnel, such as gender and work experience, impact on patient care Therefore, the aim of this study was to describe ambulance personnel's assessments and the pain relief they provide for patients with hip fractures, based on the ambulance personnel's gender and years of experience...
June 21, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28851557/optimising-orthopaedic-follow-up-care-through-a-virtual-clinic
#17
Shreekant Gupta, Gaynor Jones, Samra Shah
No abstract text is available yet for this article.
June 20, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28673450/race-and-ethnicity-as-predictors-of-hospital-acquired-conditions-after-total-hip-arthroplasty-and-total-knee-arthroplasty
#18
Anne Stein
No abstract text is available yet for this article.
June 3, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28797555/to-log-roll-or-not-to-log-roll-that-is-the-question-a-review-of-the-use-of-the-log-roll-for-patients-with-pelvic-fractures
#19
REVIEW
Inês Filipa da Cunha Rodrigues
Pelvic fractures are one of the most serious injuries in polytrauma - massive haemorrhage is a major complication and the leading cause of death. The assessment and early management of these injuries in the Emergency Department (ED) focuses on the recognition of haemodynamic instability and should follow Advanced Trauma Life Support (ATLS) guidelines. The log-roll technique, although an accepted practice in trauma care, has been reported to be inadvisable when a pelvic fracture is suspected. This paper, which includes a case study, briefly explains the pathophysiology and initial management of pelvic fractures...
May 10, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28341104/assessment-of-the-adult-patient-presenting-with-knee-pain-a-review-article
#20
REVIEW
Bethan Pincher
No abstract text is available yet for this article.
May 2017: International Journal of Orthopaedic and Trauma Nursing
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