Falls and hip fractures

For this issue of our e-newsletter we have chosen to find resources about falls and hip fractures. We know that as an HCA or AP you may well be involved in the care of patients who may fall and possible fracture their hip. If you have any topics of particular interest that you would like us to search for information on for later newsletters please email hca@rcn.org.uk

The information below has been selected by RCN Information and Knowledge Management. We hope you find it useful. Please contact rcn.library@rcn.org.uk if you would like to make any comments, we would especially like to hear if there are any topics you would like us to cover.

Please contact the library on 020 7647 3610 or email service.delivery@rcn.org.uk to borrow any books. If you would like a photocopy of any journal article please print off and return our photocopy form or view at our e-journals webpage - you will need your RCN membership number and a password to view this page.

If you experience any problems viewing online resources please do contact us or select MyRCN on the RCN website for assistance.

A selection of resources you may not have already seen:

Websites

National Osteoporosis Society
A  wide range of free information leaflets are available to download at:
http://www.nos.org.uk/page.aspx?pid=1024&srcid=234
NHS Choices – information on hip fractures
http://www.nhs.uk/conditions/hip-fracture/Pages/introduction.aspx
Arthritis Research UK – information on hip replacement surgery
http://www.arthritisresearchuk.org/arthritis-information/surgery/hip-replacement-surgery.aspx

RCN publication

RCN (2005 ) Clinical practice guideline for the assessment and prevention of falls in older people
Available at
http://www.rcn.org.uk/__data/assets/pdf_file/0003/109821/002771.pdf

Books and reports

NICE (2011) Hip fracture: the management of hip fracture in adults London: NICE
Available at:
http://guidance.nice.org.uk/CG124

Onslow, L (2005) Prevention and management of hip fractures London: Whurr                 

Journal articles

Falls: a momentary slip and a lifetime of consequences.
Author: Nazarko, Linda.
Publication info: British Journal of Healthcare Assistants 5. 12 (December 2011): 604-607.
Abstract: 1st in a series on falls in the elderly, focusing on how ageing affects the risk of falls. The physical and psychological impact of falls on older people, including hip fractures, is described. The prevention of falls, including the assessment of those at risk, is outlined. [ORIGINAL] 32 references

Pelvic fractures: classification and nursing management.
Author: Walker, Jennie.
Publication info: Nursing Standard 26. 10 (November 9, 2011): 49-57.
Abstract: Continuing Professional Development, NS618. Role of nurses in assessment and management of patients following pelvic fracture. The epidemiology, anatomy and presentation of pelvic fractures are outlined, 2 classification tools are described, and management of complications including haemorrhage, organ injury and prolonged immobility is discussed. The nurse's role in observation, blood transfusion, and management of pain and other complications is considered. [ORIGINAL] 32 references

Reducing pressure ulcers in hip fracture patients.
Author: Thompson, M.
Publication info: British Journal of Nursing 20. 15 (August 11, 2011): S10-S18 sulement.
Abstract: Tissue Viability supplement. Research evaluating the effectiveness of a multidisciplinary team project aimed at reducing the incidence of pressure ulcers in hip fracture patients. The identification of issues impacting on pressure ulcer development, the development of practice guidelines and the implementation of educational sessions for all orthopaedic nursing staff are described. [(BNI unique abstract)] 44 references

Exploring pain management in older people with hip fracture.
Author: Layzell, M.
Publication info: Nursing Times 105. 2 (January 20, 2009): 20-23.
Abstract: Pain and pain management in older patients following fractured neck of femur. Incidence of hip fractures and challenges for nurses in controlling pain are discussed, including assessment and under-treatment. The use of analgesic drugs in the elderly and the benefits and risks of femoral nerve block are reviewed. [(BNI unique abstract)] 34 references

Bone health in the Brown family.
Author: Sutcliffe, A.
Publication info: Practice Nurse 30. 7 (October 28, 2005): 64-68.
Abstract: Primary prevention of osteoporosis for the members of a fictional 4-generation family. Each individual's health history is provided together with specific issues and advice relating to their bone health. Fact files summarising hip fractures and falls, steroids, menopause, amenorrhoea, osteoporosis in men, and general advice on building health bones are included. [(BNI unique abstract)] 15 references

Prevention of fractures in older people who fall.
Author: Unsworth, J.
Publication info: British Journal of Community Nursing 8. 7 (July 2003): 308-313.
Abstract: Community nurse falls prevention programmes, risk assessment, use of hip protectors and other strategies, and prevention and treatment of osteoporosis. [(BNI unique abstract)] 35 references

Reducing the incidence of falls and hip fractures in care homes.
Author: Johnson, T; Binney, S.
Publication info: Nursing Times 99. 24 (June 17, 2003): 38-40.
Abstract: Initiative on preventing falls by use of hip protectors, including staff awareness and training. [(BNI unique abstract)] 17 references

DISCLAIMER: This information has been selected by RCN Information and Knowledge Management from reputable sources. We hope you find it useful. However, we do not accept responsibility for the wording, content and accuracy of the information at sites linked to.