The introduction of an orthogeriatrician, co-led, collaborative hip fracture pathway within an orthopaedic trauma department

Liptrot, Sarah (2016) The introduction of an orthogeriatrician, co-led, collaborative hip fracture pathway within an orthopaedic trauma department. Masters thesis, University of Cumbria. Item availability may be restricted.

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Abstract

Hip fractures usually occur within the elderly population following minor trauma such as a fall or blow to the side of the body and is primarily caused by the common bone disease osteoporosis. This chronic asymptomatic condition affects both men and women and is frequently referred to as the ‘new epidemic’ (British Orthopaedic Association, 2007 (BOA)). Hip fracture is a prevalent and major global health problem, often leading to untimely death, increased rates of morbidity and reduction in quality of life, (Marks, 2010). It is the most usual reason for admission to an orthopaedic trauma unit (NICE, 2012a) and those who succumb to hip fracture tend to be frail and elderly with multiple co-morbidities leading to prolonged episodes of inpatient care and associated significant inpatient mortality, (Robert et al., 2003). Due to the prevalence of hip fracture, poor clinical outcomes and multiple rehabilitative and social needs of this population of patients, an alliance has been formed between orthopaedic surgeons and geriatrician consultants leading to the application of several models of combined care, adopted internationally to improve the outcome of hip fracture patients, (Fisher et al., 2006). It is clear from the epidemiology of hip fracture and its associated social and healthcare expenditure that a coordinated and collaborative multidisciplinary approach to hip fracture management is imperative in ensuring high quality, cost-effective care, (NICE, 2012a). The purpose of this dissertation is to propose that through replacing the local Trust existing hip fracture pathway ‘traditional model of orthopaedic’ care with a ‘combined orthogeriatric care model’ will result in enhanced standards of care alongside improved patient clinical outcomes whilst ensuring that the organisation also meets local and national best practice standards. This dissertation demonstrates a structured and determinative approach to the implementation of the proposed change through the utilisation of various change models, approaches and tools. It also provides an evaluative account of the change, a fundamental and systematic action of all improvement initiatives, (NHS, 2005) through the utilisation of service evaluation methodology to demonstrating whether the implemented change is able to deliver the intended objectives of the project, including improved patient clinical outcomes and organisational improvement in meeting national best practice standards.

Item Type: Thesis (Masters)
Departments: Faculty of Health and Science > Nursing, Health and Professional Practice
Additional Information: Dissertation submitted in part fulfilment for the MSc Advanced Practice Degree (Clinical).
Depositing User: Anna Lupton
Date Deposited: 09 Oct 2017 14:04
Last Modified: 30 Nov 2017 17:21
URI: http://insight.cumbria.ac.uk/id/eprint/3270

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