Hip Fracture Outcomes In People Age 50 And Over

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Hip Fracture Outcomes in People Age Fifty and Over

Author : Katie Maslow
Publisher : Unknown
Page : 95 pages
File Size : 53,6 Mb
Release : 1994-11-01
Category : Electronic
ISBN : 078811414X

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Hip Fracture Outcomes in People Age Fifty and Over by Katie Maslow Pdf

Provides information about mortality, in-hospital & post-hospital service use, & long-term functional impairment following a hip fracture. Illustrated.

Fragility Fracture Nursing

Author : Karen Hertz,Julie Santy-Tomlinson
Publisher : Springer
Page : 169 pages
File Size : 45,8 Mb
Release : 2018-06-15
Category : Medical
ISBN : 9783319766812

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Fragility Fracture Nursing by Karen Hertz,Julie Santy-Tomlinson Pdf

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.

Orthogeriatrics

Author : Paolo Falaschi
Publisher : Springer Nature
Page : 355 pages
File Size : 54,5 Mb
Release : 2021
Category : Anesthesiology
ISBN : 9783030481261

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Orthogeriatrics by Paolo Falaschi Pdf

This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.

Internal fixation of femoral neck fractures

Author : Jenó Manninger,Ulrich Bosch,Peter Cserháti,Károly Fekete,György Kazár
Publisher : Springer Science & Business Media
Page : 318 pages
File Size : 46,9 Mb
Release : 2007-05-15
Category : Medical
ISBN : 9783211685839

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Internal fixation of femoral neck fractures by Jenó Manninger,Ulrich Bosch,Peter Cserháti,Károly Fekete,György Kazár Pdf

This illustrated atlas provides a comprehensive monograph of femoral neck fractures. It has more than 800 representative figures, x-rays and drawings, and describes in detail non-invasive internal fixation.

Pain Management Interventions for Hip Fracture

Author : U. S. Department of Health and Human Services,Agency for Healthcare Research and Quality
Publisher : CreateSpace
Page : 284 pages
File Size : 51,8 Mb
Release : 2013-04-10
Category : Medical
ISBN : 1484086104

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Pain Management Interventions for Hip Fracture by U. S. Department of Health and Human Services,Agency for Healthcare Research and Quality Pdf

Hip fractures are a source of significant morbidity and mortality. Incidence increases substantially with age, rising for men and women, respectively, from 22.5 and 23.9 per 100,000 populations at age 50, to 630.2 and 1,289.3 per 100,000 populations by age 80. Short-term mortality rates are high and range from 25 percent for women to 37 percent for men in the first year following a hip fracture. Furthermore, a large proportion of those patients who survive never recover to their prefracture level of function, and approximately 25 to 50 percent of elderly patients with hip fractures have not returned home by 1 year postfracture. Up to 25 percent of hip fractures occur in continuing care facilities (i.e., long-term residential care for dependent people). Pain following hip fracture has been associated with delirium, depression, sleep disturbance, and decreased response to interventions for other disease states. Therefore, it is important to treat and manage complaints of pain adequately during acute treatment for hip fracture. Furthermore, poorly managed postoperative pain is associated with delayed ambulation, pulmonary complications, and delayed transition to lower levels of care. The patient's self-report of pain is the gold standard for evaluating its character and intensity. However, those with dementia or acute delirium may have difficulty reporting pain levels. The potential for underreporting of pain has direct ramifications for the hip fracture population, as many patients are frail older people with postoperative confusion and an impaired ability to communicate. Key Questions include: Key Question (KQ) 1. In older adults (greater than or equal to 50 years) admitted to the hospital following acute hip fracture, what is the effectiveness of pharmacologic and/or nonpharmacologic pain management interventions for controlling acute (up to 30 days postfracture) and chronic pain (up to 1 year postfracture) compared with usual care or other interventions in all settings? KQ 2. In older adults (greater than or equal to 50 years) admitted to the hospital following acute hip fracture, what is the effectiveness of pharmacologic and/or nonpharmacologic pain management interventions on other outcomes up to 1 year postfracture compared with usual care or other interventions in all settings? Other outcomes include: a. Mortality (30-day and up to 1 year postfracture) b. Functional status c. Pain medication use; change in type and quantity d. Mental status e. Health-related quality of life f. Quality of sleep in the hospital g. Ability to participate in rehabilitation h. Return to prefracture living arrangements i. Health services utilization KQ 3. In older adults (greater than or equal to 50 years) admitted to the hospital following acute hip fracture, what is the nature and frequency of adverse effects that are directly or indirectly associated with pharmacologic and nonpharmacologic pain management interventions up to 1 year postfracture compared with usual care or other interventions in all settings? KQ 4. In older adults (greater than or equal to 50 years) admitted to the hospital following acute hip fracture, how do the effectiveness and safety of pharmacologic and nonpharmacologic pain management interventions vary in differing subpopulations following acute hip fracture up to 1 year after fracture compared with usual care or other interventions in all settings?

Osteoporosis in Men

Author : Eric S. Orwoll,John P. Bilezikian,Dirk Vanderschueren
Publisher : Academic Press
Page : 764 pages
File Size : 52,5 Mb
Release : 2009-11-30
Category : Medical
ISBN : 9780080923468

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Osteoporosis in Men by Eric S. Orwoll,John P. Bilezikian,Dirk Vanderschueren Pdf

Since the publication of the first edition, the U.S. Surgeon General released the first-ever report on bone health and osteoporosis in October 2004. This report focuses even more attention on the devastating impact osteoporosis has on millions of lives. According to the National Osteoporosis Foundation, 2 million American men have osteoporosis, and another 12 million are at risk for this disease. Yet despite the large number of men affected, the lack of awareness by doctors and their patients puts men at a higher risk that the condition may go undiagnosed and untreated. It is estimated that one-fifth to one-third of all hip fractures occur in men. This second edition brings on board John Bilezikian and Dirk Vanderschueren as editors with Eric Orwoll. The table of contents is more than doubling with 58 planned chapters. The format is larger – 8.5 x 11. This edition of Osteoporosis in Men brings together even more eminent investigators and clinicians to interpret developments in this growing field, and describe state-of-the-art research as well as practical approaches to diagnosis, prevention and therapy. Brings together more eminent investigators and clinicians to interpret developments in this growing field Describes state-of-the-art research as well as practical approaches to diagnosis, prevention and therapy There is no book on the market that covers osteoporosis in men as comprehensively as this book

Oxford Textbook of Geriatric Medicine

Author : Jean-Pierre Michel,B. Lynn Beattie,Finbarr C. Martin,Jeremy D. Walston
Publisher : Oxford University Press
Page : 1393 pages
File Size : 48,6 Mb
Release : 2018
Category : Medical
ISBN : 9780198701590

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Oxford Textbook of Geriatric Medicine by Jean-Pierre Michel,B. Lynn Beattie,Finbarr C. Martin,Jeremy D. Walston Pdf

Over the past two decades there has been a marked change in global age demographics, with the number of over-60s increasing by 82% and the number of centenarians by 715%. This new-found longevity is testament to the success of recent advances in medicine, but poses significant challenges to multiple areas of health care concerning older patients. Building upon its predecessor's reputation as the definitive resource on the subject, this new edition of the Oxford Textbook of Geriatric Medicine offers a comprehensive and multinational examination of the field. Fully revised to reflect the current state of geriatric medicine, it examines the medical and scientific basis of clinical issues, as well as the ethical, legal, and socio-economic concerns for healthcare policy and systems. Over 170 chapters are broken up into 16 key sections, covering topics ranging from policy and key concepts through to infection, cancer, palliative medicine, and healthy ageing. New material includes focus on the evolving concepts of malnutrition, sarcopenia, frailty, and related geriatric syndromes and integration of geriatric principles from public health, primary and specialized care, and transitional stages from home to emergency, medicine and surgery, rehabilitation, and long term care. The Oxford Textbook of Geriatric Medicine brings together specialists from across the globe to provide every physician involved in the care of older patients with a comprehensive resource on all the clinical problems they are likely to encounter, as well as on related psychological, philosophical, and social issues.

Displaced Femoral Neck Fractures

Author : John T. Gorczyca
Publisher : Springer Nature
Page : 196 pages
File Size : 40,7 Mb
Release : 2021-10-15
Category : Medical
ISBN : 9783030844448

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Displaced Femoral Neck Fractures by John T. Gorczyca Pdf

Utilizing detailed case presentations from experts in the field, this book presents common clinical scenarios involving patients who have sustained displaced femoral neck fractures, discussing the injury mechanism, early treatment, potential treatment options, risks and complications involved. The style of presentation, the ease of readability, the use of appropriate and relevant cases to highlight the learning points, and the discussion of the decision-making process are all unique features of the book's approach. Using this tailored process, the each topic is reviewed and the rationale for what appears to be the optimal treatment - hemiarthroplasty or total hip replacement, for example - is provided to the reader, emphasizing that the ultimate decision requires the combination of science and judgment, both of which are continually evolving. Additional chapters present ongoing controversies in the management of these challenging fractures, as well as complications such as aseptic necrosis, symptomatic hardware and nonunions. Portable and concise, orthopedic and trauma surgeons, residents and fellows alike will find Displaced Femoral Neck Fractures a practical and user-friendly resource.

Acetabular and Pelvic Fractures

Author : Steven A. Olson,Mark C. Reilly
Publisher : Unknown
Page : 92 pages
File Size : 52,6 Mb
Release : 2006
Category : Medical
ISBN : CHI:82122870

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Acetabular and Pelvic Fractures by Steven A. Olson,Mark C. Reilly Pdf

This monograph is intended to serve as a guide to all levels orthopaedic surgeons involved in the care of patients with injury to the pelvic ring, acetabulum, or both. The text is structured into four chapters: topics that are common to both evaluation and treatment of pelvic ring and acetabualr fractures, information specific to classification, treatment, and outcomes of pelvic ring injures, information specific to classification, treatment and outcomes of fractures of the acetabulum, andpostoperative management and management of complications.

Chart Supplement, Pacific

Author : Anonim
Publisher : Unknown
Page : 324 pages
File Size : 44,9 Mb
Release : 2010
Category : Aeronautics
ISBN : UOM:39015079503903

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Chart Supplement, Pacific by Anonim Pdf

Osteosarcopenia: Bone, Muscle and Fat Interactions

Author : Gustavo Duque
Publisher : Springer Nature
Page : 383 pages
File Size : 42,5 Mb
Release : 2019-11-06
Category : Science
ISBN : 9783030258900

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Osteosarcopenia: Bone, Muscle and Fat Interactions by Gustavo Duque Pdf

This edited work presents the most current evidence on osteosarcopenia from bench to bedside, which is expected to facilitate the understanding of this syndrome and to develop preventive and therapeutic strategies. With our aging population, chronic diseases such as osteoporosis and sarcopenia are becoming highly prevalent. Fortunately, our understanding of the bone and muscle interactions has increased in recent years. This has allowed to the coining of the term osteosarcopenia to describe a syndrome in which these two diseases overlap. This overlap between osteoporosis and sarcopenia has major negative effects not only on our older adults but also on health systems worldwide. Readers will find a highly translational approach that starts with a summary of recent discoveries on stem cells biology, muscle and bone interactions – including the role of local bone and muscle fat – followed by comprehensive reviews on myokines (i.e. myostatin), osteokines (i.e. osteocalcin) and adipokines (i.e. interleukins) as major players and determinants of bone and muscle loss with aging. In addition, the role of sex steroids (i.e. estrogens, androgens), and calciotropic hormones (i.e. parathyroid hormone, vitamin D) in the pathogenesis of this syndrome is also reviewed. Moreover, using practical diagnostic and therapeutic tips, this book summarizes the clinical characteristics of osteosarcopenic patients thus facilitating the diagnosis and treatment of this syndrome in clinical practice. Finally, the book presents the case for the Falls and Fractures Clinic as the optimal model of care for this syndrome, aimed to avoid fragmentation and optimize osteosarcopenia care, and simultaneously prevent falls and fractures in older persons. This book offers relevant information on the mechanisms of osteosarcopenia, and a practical guide on how to identify and treat this geriatric syndrome and its adverse outcomes, which are dramatically affecting our aging population. The work is written by leaders in the field and is especially suited not only to any researcher in the musculoskeletal arena but also to medical specialists and allied health professionals involved in the care of older persons.