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Related Concept Videos

Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Planning Nursing Care I01:21

Planning Nursing Care I

The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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GAPN postacute care coordination improves hip fracture outcomes.

Kathleen Krichbaum1

  • 1University of Minnesota, Minneapolis, MN, USA. krich001@umn.edu

Western Journal of Nursing Research
|May 29, 2007
PubMed
Summary

A specialized nursing intervention improved daily living function in elders after hip fracture. This model enhanced functional recovery but did not significantly alter overall health outcomes.

Area of Science:

  • Gerontology
  • Nursing Science
  • Orthopedics

Background:

  • Hip fractures are a significant health concern for elders, often leading to functional decline.
  • Post-acute care coordination is crucial for optimizing recovery and return-home outcomes in this population.

Purpose of the Study:

  • To evaluate the effectiveness of a nursing intervention model on health, function, and return-home outcomes in elders with hip fracture.
  • To assess the impact of a gerontologic advanced practice nurse as a postacute care coordinator.

Main Methods:

  • A 2-year randomized clinical trial involving 33 elders (age > 65 years) post-hip fracture.
  • The treatment group received care coordination from a specialized nurse for 6 months, including regular visits and communication.
  • The control group received standard postacute care based on facility protocols. Data were analyzed using nonparametric methods.

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Main Results:

  • The treatment group demonstrated significantly better function in activities of daily living and instrumental activities of daily living at 12 months postfracture.
  • No significant differences were observed between groups in terms of general health, depression levels, or living situation.
  • The nursing intervention model positively impacted functional recovery in elders with hip fractures.

Conclusions:

  • A dedicated nursing intervention model, utilizing an advanced practice nurse as a care coordinator, can improve functional outcomes in elders recovering from hip fractures.
  • This model shows promise for enhancing recovery trajectories, although further research may explore its impact on broader health indicators.
  • Optimizing post-acute care through specialized nursing coordination is vital for improving the functional independence of elderly patients following hip fracture surgery.