Patient and caregiver experiences on care transitions for adults with a hip fracture: a scoping review

Asif, Maliha; Cadel, Lauren; Kuluski, Kerry; Everall, Amanda; Guilcher, Sara J T

doi:10.1080/09638288.2019.1595181

Cited by 27 publications

(12 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…57 58 This stresses the importance of the HCP's role in supporting more effective communication, involving and informing older adults with HF and their relatives across professions and settings. [59][60][61] Participants in our study found the transition from the hospital or rehabilitation centre to their own home as critical. They found that home visits prior to discharge and after discharge that were carried out to assess and/or modify environmental barriers in the home improved occupational performance and reduced the risk of falling.…”

Section: Communicate the Important Information To The Target Group And Across Sectorsmentioning

confidence: 79%

Developing an individualised cross-sectoral programme based on activities of daily living to support rehabilitation of older adults with hip fracture: a qualitative study

et al. 2021

View full text Add to dashboard Cite

ObjectivesTo develop an individualised rehabilitation programme for personal and instrumental activities of daily living (ADL) tasks, enabling older adults with hip fractures to perform ADL safely and independently.DesignQualitative study inspired by the complex intervention development (Medical Research Council framework phase I) using literature search and research circles.SettingsUniversity Hospital of Copenhagen, Herlev and Gentofte, and Herlev and Gentofte municipalities.ParticipantsOne research circle with seven older adults with hip fractures, and one with seven healthcare professionals (occupational therapists and physiotherapists).ResultsThree generic categories were identified: (1) ‘Challenge older adults with goal-oriented ADL tasks’, (2) ‘Implement strategies to enhance independent and safe performance of ADL tasks’, and (3) ‘Communicate the important information to the target group and across sectors’. A programme was developed and an intervention to enhance usual rehabilitation was designed comprising: an individualised intervention component consisting of five additional therapy sessions; one during hospitalisation, four in the municipality and a follow-up phone call.ConclusionsEngaging and integrating activities into rehabilitation treatment may support rehabilitation. Our study highlighted the need for setting individual goals and challenging older adults with hip fracture by providing guidance in strategies to enhance safe and independent performance of ADL tasks. Furthermore, the need for providing older adults with hip fracture and healthcare professionals with written and oral information about goal setting during the transitional rehabilitation phase was emphasised. Including the perspectives of older adults with hip fracture and healthcare professionals added value to the rehabilitation, and thus ensured an adequate, tangible and implementable rehabilitation programme.Trial registration numberThis article is the first of three articles inspired by Medicial Research Council guidelines. The next study is a feasibility study with the trial registration: ClinicalTrials.gov ID: NCT03828240. The results are right now being written in article. The third study is a randomised controlled trial with the trial registration: ClinicalTrials.gov ID: NCT04207788; Pre-results.

show abstract

Section: Communicate the Important Information To The Target Group And Across Sectorsmentioning

confidence: 79%

Developing an individualised cross-sectoral programme based on activities of daily living to support rehabilitation of older adults with hip fracture: a qualitative study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…For example, caregivers in the United States (Nahm et al, 2010), Sweden (Hedman, Strömberg, Grafström, & Heikkilä, 2011), and Taiwan (Lin & Lu, 2005) reported feeling tired, burdened, exhausted, and had unmet support needs following surgery for hip‐fractured persons with cognitive impairment. Family caregivers expressed their difficulty in providing care due to lack of information sharing, role confusion, and disorganized discharge planning (Asif et al, 2019), and their needs for being involved in care decisions during transitions of care (Stolee et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Family caregivers often expressed feeling tired and exhausted, and reported unmet needs for support (Nahm, Resnick, Orwig, Magaziner, & Degrezia, 2010). Family caregivers were challenged by lack of information sharing, role confusion, and disorganized discharge planning (Asif, Cadel, Kuluski, Everall, & Guilcher, 2019). They expressed their need and ways of obtaining more information and education about caring for persons recovering from hip fracture and their hope to be involved in care decisions during care transitions (Stolee et al, 2019).…”

mentioning

confidence: 99%

Resuming Normal Life as a Family Caregiver During Drip‐Like Recovery of Older Persons With Cognitive Impairment Recovering From Hip Surgery: A Grounded Theory

Shen

Yang

et al. 2020

J of Nursing Scholarship

View full text Add to dashboard Cite

Contributed equally to this work. AbstractPurpose: This study was undertaken to develop a theoretical framework explaining family caregiving processes for older persons with cognitive impairment recovering from hip fracture surgery. Design and Methods: In this grounded theory study, data were collected in audio-recorded face-to-face interviews with 21 family caregivers. Among these caregivers, 14 cared for hip-fractured persons with cognitive impairment, and seven cared for those without cognitive impairment. Caregivers were interviewed five times after patients' discharge: at 1 week and at 1, 3, 6, and 12 months. Data were analyzed by constant comparative analysis. Findings: The core category explaining the family caregiving process for hip-fractured persons with cognitive impairment was "resuming normal life during drip-like recovery." This category captures the slowness of the recovery process, as slow as dripping water. During the early postoperative period, caregivers attempted to gain control of the postoperative situation, using various maintenance and improvement strategies to deal with the chaos in individuals and the family and to protect hip-fractured persons with cognitive impairment from further harm. The goal of recovery was to get back to their original life. Conclusions: Family caregivers of hip-fractured older persons with cognitive impairment needed to deal with more complex chaotic situations, exerted more efforts to administer safety measures, and required more time to achieve a stable life pattern. Clinical Relevance: Since postoperative recovery was perceived as extremely slow, family caregivers of hip-fractured older persons with cognitive impairment should be patient regarding recovery and be informed before hospital discharge of different strategies to resume normal life during postoperative recovery.

show abstract

“…Many studies have highlighted the importance of the interaction between physicians and caregivers before and after surgery for HF [72,73]. In the pre-operative phase, communication may be needed to obtain additional information on pre-fracture functional and cognitive status, on living conditions, and to estimate the risk of future recurrent falls, all of which are factors that should be taken into account with regard to the choice of treatment intervention, rehabilitation programme and discharge strategy [74,75]. Moreover, caregivers should be informed about the risk/benefit of the intended anaesthesiologic and surgical procedures, and to be given the opportunity to inquire about the expected health and functional outcomes.…”

Section: Interaction With Caregiversmentioning

confidence: 99%

Orthogeriatric co-management for the care of older subjects with hip fracture: recommendations from an Italian intersociety consensus

Vincentis

Behr²,

Bellelli

et al. 2021

Aging Clin Exp Res

View full text Add to dashboard Cite

Background Health outcomes of older subjects with hip fracture (HF) may be negatively influenced by multiple comorbidities and frailty. An integrated multidisciplinary approach (i.e. the orthogeriatric model) is, therefore, highly recommended, but its implementation in clinical practice suffers from the lack of shared management protocols and poor awareness of the problem. The present consensus document has been implemented to address these issues. Aim To develop evidence-based recommendations for the orthogeriatric co-management of older subjects with HF. Methods A 20-member Expert Task Force of geriatricians, orthopaedics, anaesthesiologists, physiatrists, physiotherapists and general practitioners was established to develop evidence-based recommendations for the pre-, peri-, intra-and postoperative care of older in-patients (≥ 65 years) with HF. A modified Delphi approach was used to achieve consensus, and the U.S. Preventive Services Task Force system was used to rate the strength of recommendations and the quality of evidence. Results A total of 120 recommendations were proposed, covering 32 clinical topics and concerning preoperative evaluation (11 topics), perioperative (8 topics) and intraoperative (3 topics) management, and postoperative care (10 topics). Conclusion These recommendations should ease and promote the multidisciplinary management of older subjects with HF by integrating the expertise of different specialists. By providing a convenient list of topics of interest, they might assist in identifying unmet needs and research priorities.

show abstract

Patient and caregiver experiences on care transitions for adults with a hip fracture: a scoping review

Cited by 27 publications

References 32 publications

Developing an individualised cross-sectoral programme based on activities of daily living to support rehabilitation of older adults with hip fracture: a qualitative study

Developing an individualised cross-sectoral programme based on activities of daily living to support rehabilitation of older adults with hip fracture: a qualitative study

Resuming Normal Life as a Family Caregiver During Drip‐Like Recovery of Older Persons With Cognitive Impairment Recovering From Hip Surgery: A Grounded Theory

Orthogeriatric co-management for the care of older subjects with hip fracture: recommendations from an Italian intersociety consensus

Contact Info

Product

Resources

About