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Interdisciplinary Team Approach In Fall Prevention Physician Perspective Focus
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Book Synopsis Interdisciplinary Team Approach in Fall Prevention: Physician Perspective Focus by : Anna Gryn
Download or read book Interdisciplinary Team Approach in Fall Prevention: Physician Perspective Focus written by Anna Gryn and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: An in-hospital fall is a devastating event for patients and care providers resulting in injuries, physiological and psychological patient declines, and sometimes deaths. Furthermore, fall related costs greatly increase hospitals0́9 expenses and cause massive distress to caregivers and health providers. Many patient-specific, organizational, and seemingly erratic factors contribute to the occurrence of in-hospital falls. Despite this, hospitals must undertake consistent evidence-based measures to prevent fall occurrences as much as possible. The traditional nursing approach to falls prevention is not sufficient to control fall rates because the issue is too complex and must be approached from multiple perspectives rather than just nursing. Therefore, innovative practices and approaches were explored to provide additional fall preventive measures. International and local U.S. practices emphasize the importance of an interdisciplinary approach to falls prevention. This model includes multiple clinicians with diverse backgrounds, such as physicians, physical therapists, and pharmacists, who assess patient fall risks together and implement measures to effectively decrease the risks. Limited guidelines and lack of conclusive research about the interdisciplinary approach lead the team of Master of Science in Nursing Clinical Nurse Leader students to investigate the roles of multidisciplinary team members for falls prevention in great detail. As a result, a blueprint of team role descriptors was created and offered for implementation in the medical-surgical elderly client population unit. This project provides innovative guidelines for falls prevention. These guidelines have the potential to decrease patient falls by 20-30 % in the hospital. This paper is particularly focused on the physician0́9s role in fall prevention. In addition, this paper represents a modified compilation of current innovative hospital practices and evidence-based research findings.
Book Synopsis Multi-faceted Approach to Fall Prevention with a Focus on Hourly Rounding by : Derinda Grimshaw
Download or read book Multi-faceted Approach to Fall Prevention with a Focus on Hourly Rounding written by Derinda Grimshaw and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on quality data that is reported, patient falls are identified as the highest occurring patient safety event in acute care settings. Approximately 50% of patients admitted to the acute care setting will suffer a fall and approximately one half of those who fall will sustain an in injury. Patient falls result in increased length of stay, increased cost and decreased patient outcomes. Research has identified that a multi-faceted approach which includes intentional hourly rounding is the most effective intervention for improving patient safety. Focusing on fall risk assessment and re-assessment, documentation, communication among caregivers and intentional hourly rounding has resulted in decreased patient falls. Focusing on addressing patient needs through a proactive approach of hourly rounding provides the patient the reassurance that assistance will come and prevents the need for utilizing a call light and waiting on someone to answer it. The reassurance that someone will check in with in an hour encourages the patient to wait for assistance and prevents the risk of falls in addition to increasing patient satisfaction. The implementation plan for effective fall prevention includes education of staff and patients, which includes overall information on fall statistics and patient safety. Quality monitoring of documentation, intervention implementation and fall rates will be continually assessed to identify areas of opportunity for improvement. Nurse involvement and buy-in are key to implementation of hourly rounding and a successful fall prevention program.
Book Synopsis Multifaceted Multidisciplinary Fall Prevention Intervention in Hospitalized Patients by : Jancy John
Download or read book Multifaceted Multidisciplinary Fall Prevention Intervention in Hospitalized Patients written by Jancy John and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accidental falls are frequent in hospitalized patients especially depending on the population considered. In hospitalized patients it is estimated that 78% of falls can be characterized as expected physiological falls (Lovallo, Rolandi, Rossetti, and Lusignani, 2010). This paper along with other recognized studies raise mounting concern in hospitalized patient falls. This can lead to a burden not only for patients and families, but for healthcare organizations too because costs are increased by prolonged hospital stay. The literature review reports that in spite of all the existing fall prevention schemes; falls among hospitalized clients remain as a rising concern. The focus of this study is to recognize the key risk elements for inpatient falls and revise the prevailing fall prevention strategy with multifaceted multidisciplinary risk specific (MMRS) fall prevention intervention (FPI) in inpatient settings. Significant ideas were composed from prevailing fall evaluation tactics, literature reviews, present evidence-based practices (EBP), and hospital fall recording systems for a revised FPI. Modified fall risk evaluation devices and risk specific fall intervention protocols can be introduced to decrease falls for hospitalized patients. The study suggests that a multidisciplinary team approach in fall prevention for hospitalized clients will substantially decrease inpatient falls and thus healthcare costs, morbidity, mortality, and other long term concerns. Noncompliance of the staff to the FPI is one of the major barriers for the successful application of the FPI scheme.
Book Synopsis Patient Safety and Quality by : Ronda Hughes
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Book Synopsis Integrated Care and Fall Prevention in Active and Healthy Aging by : Eklund, Patrik
Download or read book Integrated Care and Fall Prevention in Active and Healthy Aging written by Eklund, Patrik and published by IGI Global. This book was released on 2021-06-25 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: In today’s world, healthy aging and a fulfilling lifestyle are important to older members of society, with many opting to remain as independent and mobile as possible for as long as possible. However, elderly individuals tend to have a variety of functional limitations that can increase the likelihood of debilitating falls and injuries. Assessments of functionality are very often only performed following an accident, which implies a hindsight bias because results do not necessarily reflect pre-accidental performance capacities. Furthermore, these belated measures do little to reduce the likelihood of new falls. As such, it is imperative that personalized preventative approaches are taken to prevent falls. Integrated Care and Fall Prevention in Active and Healthy Aging contains state-of-the-art research and practices related to integrated care, fall prevention, and aging throughout areas ranging from medical to social aspects of care, health economy, standards, pathways and information scopes, practices and guidelines, technology, etc. Covering topics such as active care and healthy aging, it is ideal for doctors, gerontologists, nursing home and long-care facility staff, scientists, researchers, students, academicians, and practitioners working in care pathways involving good practices of fall prevention in home care and community care settings.
Book Synopsis Evidence-based Falls Prevention by : Carole Eldridge
Download or read book Evidence-based Falls Prevention written by Carole Eldridge and published by HC Pro, Inc.. This book was released on 2004 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence-Based Falls Prevention is a user-friendly resource that provides falls risk factor assessment and prevention program information, ideas, and tools.
Book Synopsis Implementing a Fall Prevention Program: a Quality Improvement Project to Promote Patient Mobility on the Medical-surgical Unit by : Alba Araiza
Download or read book Implementing a Fall Prevention Program: a Quality Improvement Project to Promote Patient Mobility on the Medical-surgical Unit written by Alba Araiza and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Implementing a fall prevention program is imperative in acute healthcare settings. Falls are one of the top reported events that occur in hospitals and it is a patient safety concern that requires the implementation of evidence-based practices to reduce falls. This quality improvement project will be developed by a master's prepared clinical nurse leader (CNL) on a medical-surgical unit to improve patient safety. Problem Maintaining patient safety is the most important priority in health care. Health care organizations implement protocols, policies and procedures to ensure that care is provided in a safe manner to minimize preventable harms. However, falls are unexpected incidences that occur in health care settings but are considered to be preventable occurrences. Falls can lead to serious injuries and even death; these events are known as sentinel events (The Joint Commission [TJC], 2013). According to the TJC (2016) inpatient falls are one of the top reported sentinel events occurring in hospitals and are considered a serious problem because it compromises patient safety. According to Walsh et al. (2018) and Zhao et al. (2019) in the U.S. the average fall rate of adults in a medical and surgical (M/S) unit is 3-5 falls per 1,000 patient days, in which 26.1% result in serious injuries including death. The existing problem in a Medical-Surgical (M/S) unit is that there was a 44% increase in falls this year in comparison to the previous year. Therefore, implementing a fall prevention program focusing on patient mobility is imperative. Context The M/S is an inpatient unit that has three floors with a total of 110 beds that serves a diverse population of patients. The M/S unit provides medical services adult patients. The unit provides treatment for acute and chronic medical conditions such as cardiovascular, pulmonary, and renal diseases as well as others. The M/S unit has been diligently working on focusing on purposeful hourly rounding as a method to decrease in patient falls but it has not yielded the desirable outcome of a reduction in falls. Interventions The proposed plan is to implement a fall prevention program that is centered around promoting patient mobility on the M/S unit to decrease patient falls. The CNL will establish a multidisciplinary team known as the mobility/fall task force to collaborate on developing a standardized mobility program that can be modified to meet the needs of each patient. This program will be multifaceted as it will also include performing a fall and mobility assessment and the use of several mobility tools in place along with the development of a patient mobility goal plan tool that will be incorporated into this fall prevention program. The goal is to reduce the incidence of inpatient falls occurring in the M/S unit by 25% by the end of December 2019 and 50% by December 2020. This program is currently underway. Measures To determine the success of this project, several data sets will be collected by auditing nursing documentation of the following: nursing fall risk and functional mobility assessments, patient daily mobility activities, and hourly rounding. Additional data will be collected through the review of incident fall reports as well as the review of monthly length of stay. These measurements will be analyzed first on a weekly basis for two weeks, followed by a bi-weekly basis for four weeks, then monthly for six months, and every three months thereafter. The data collected will then be entered in a Microsoft Excel spreadsheet to graph the information to depict the changes occurring over time. The graphs will reflect if there are any changes indicating positive outcomes through the introduction of this fall prevention program. Results The fall prevention program was initiated in August 5, 2019 and trialed for two weeks on all three floors in the M/S unit. The program officially began on August 19, 2019. The outcomes measured included fall rates, percent of patient being ambulated and length of stay. At this point, there is insufficient data available to determine the trend of the success, but the initial results indicate positive outcomes since the program was implemented. Although it is not the target goal of 25% reduction, data indicates that there has been a 7% reduction in falls. Further, data shows that there also was a decrease in length of stay (LOS). However, the percent of patients being ambulated was below the desired target goal. Conclusion The preliminary results indicate that having the CNL implement and lead the fall prevention program has shown positive outcomes in the reduction of falls occurring in the M/S unit per month. To continue the success of the program, the CNL will continue working closely with staff to assign a unit champion by floor per shift to ensure sustainability. The mobility/fall task force will continue meeting regularly to monitor success of the program and discuss ways to continue preventing falls. The success of this program will indicate that having a CNL collaborate with a team to implement quality improvement projects can lead to improved patient safety and better patient outcomes.
Book Synopsis "Call Before You Fall" by : Kimy Mira
Download or read book "Call Before You Fall" written by Kimy Mira and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: National organizations such as the Centers for Disease Control and Prevention (CDC) and the Collaborative Alliance for Nursing Outcomes (CALNOC) have prioritized reduction of inpatient falls as a patient safety goal. An improvement project utilizing the model for improvement and Plan-Do-Study-Act (PDSA) cycles was conducted on a 40-bed unit that provides care to cardiac, and medical-surgical patients. The current fall prevention quality council team is composed of nurses and interdisciplinary clinicians, who focus on improving clinical and financial outcomes related to fall prevention and potential injuries. A Clinical Nurse Leader (CNL) was asked to lead a practice improvement project in response to chart audits and observational rounding that indicated a gap in patient awareness of fall prevention activities and lack of consistent implementation of established fall prevention measures by nursing staff. The aim of this project was to increase awareness and knowledge of patients related to fall prevention and staff education to improve reliability of implementation actions to reduce falls. Data was collected over a three-month period and new interventions including a fall prevention tool kit and communication campaign - "Call Before You Fall" were developed and implemented to reduce fall rates by 50% every month. Results from staff education are expected to improve based on pre and post data comparison of education provided during shift huddles. Data results post intervention proved to decrease the rate of falls. Clearly, fall prevention activities need to address both communication and education interventions to improve fall reduction outcomes.
Book Synopsis Evidence Based Educational Program on Fall Prevention in Long-term Care by : Kathryn Adebukola Maduforo
Download or read book Evidence Based Educational Program on Fall Prevention in Long-term Care written by Kathryn Adebukola Maduforo and published by . This book was released on 2018 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: According to the U. S. Preventive Services, unintentional falls among geriatrics aged 65 years and above are the most common cause of nonfatal injuries. Geriatric falls threatens their independence resulting in a cascade of individual and socioeconomic consequences. Falls causes unplanned visits to emergency departments, lead to hospitalization, are a major contributor to nursing home admissions in the United States, and result in accidental deaths especially in the geriatric population. Ambulatory residents of long-term care facilities experience more falls than older adults residing in the community as nearly half of ambulatory long-term care residents experience at least on fall per year. Focus: Residents of long-term care facilities, at both local and nationwide levels, are exposed to the risk of falls at varying levels, which may result in different levels of injury. The Department of Health and Human Services manages long-term facilities. Each facility if required to follow standard guidelines established by the state to promote resident safety to prevent injuries including falls through annual in-service trainings of all staff on all prevention strategies. Clinical Question: Does evidence-based educational program enhanced clinical nurses and techs knowledge on fall prevention strategies in a long-term care facility (LTC) and result in a drastic reduction in patient falls? Theoretical Framework: This scholarly project was guided by Lewin's Change Theory. The EBP Framework: Steven's Star Model of Knowledge Transformation served as an effective framework for investigating and implementing evidence-based practice (EBP) innovations while collaborating with other members in interdisciplinary teams. Objective: Using the PICOT format, the purpose of the project was identified. Population: The nursing staff in the Long-term Care setting. Implementation: An EBP educational intervention on fall prevention strategies. Comparison: Evaluating resident fall rates and staff knowledge pre- and post-educational in-service trainings. Outcomes: Improved staff knowledge and reduction in fall rates. Time: Over one-month pre and post educational in-service trainings in the long-term care setting. Findings/Results: Forty-five staff attended the presentation of evidence based educational in-service training. The format was easy for the clinical nurses and techs to understand. The fall prevention strategies points were easy to remember and retained as evidenced by a difference in the pre- and post-staff fall knowledge quiz. The outcome of proposed change with evidence-based educational program on fall prevention among the LTC residents was confirmed by the decrease in the falls ratio over one manth after the in-service training, compared to the fall ratio prior to the intervention.
Author :Facility Guidelines Institute Publisher :American Hospital Association ISBN 13 :9780872589353 Total Pages :421 pages Book Rating :4.5/5 (893 download)
Book Synopsis Guidelines for Design and Construction of Hospitals and Outpatient Facilities 2014 by : Facility Guidelines Institute
Download or read book Guidelines for Design and Construction of Hospitals and Outpatient Facilities 2014 written by Facility Guidelines Institute and published by American Hospital Association. This book was released on 2014-01-01 with total page 421 pages. Available in PDF, EPUB and Kindle. Book excerpt: This product of the Facility Guidelines Institute (FGI) provides minimum standards for design and construction of hospitals and outpatient facilities. The standards for long- term care facilities will appear in a new document for 2014; please see the entry for Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. Included in the Guidelines for Hospitals and Outpatient Facilities is information on the planning, design, construction, and commissioning process and facility requirements for both hospitals and outpatient facilities. Included are general hospitals, psychiatric hospitals, and rehabilitation facilities as well as new chapters on children's and critical access hospitals. Outpatient facilities covered include primary care facilities; outpatient surgery facilities; birth centers; urgent care centers; mobile units; outpatient psychiatric and rehabilitation centers; facilities for endoscopy, dialysis, and cancer treatment; and a new chapter on dental facilities. In addition, the 2014 Guidelines includes new material on safety risk assessments and medication safety zones; increased requirements for commissioning infrastructure systems; and updated requirements for surgery, imaging, endoscopy, and dialysis facilities as well as primary care facilities and freestanding emergency facilities.
Book Synopsis A call to action after a patient fall by : Lisa D. Bungum
Download or read book A call to action after a patient fall written by Lisa D. Bungum and published by . This book was released on 2011 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Retooling for an Aging America by : Institute of Medicine
Download or read book Retooling for an Aging America written by Institute of Medicine and published by National Academies Press. This book was released on 2008-08-27 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.
Book Synopsis Interdisciplinary Assessment and Intervention Tools for Fall Prevention in Decreasing Fall Rates by : Kimberly D. Ward
Download or read book Interdisciplinary Assessment and Intervention Tools for Fall Prevention in Decreasing Fall Rates written by Kimberly D. Ward and published by . This book was released on 2015 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: This thesis summarizes research and draws overall conclusions from the body of literature on fall prevention interventions to provide hospitals with a basis for developing evidence-based fall prevention programs in the hospital setting. Data was obtained from published studies. Articles were retrieved that focused on fall interventions in the hospital setting. An analysis was performed based on levels of evidence using an integrative review process. Multifactorial fall prevention intervention programs included fall-risk assessments, fall-risk alerts, environmental and equipment modifications, staff and patient safety education, medication management targeted to specific types, and additional assistance with transfers in both falls and fall injuries in hospitalized patients. Hospitals need to reduce falls by using multifactorial fall prevention programs using evidence-based interventions to reduce falls and injuries.
Book Synopsis Health Professions Education by : Institute of Medicine
Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Book Synopsis The Art of Communication in Nursing and Health Care by : Theresa Raphael-Grimm, PhD, CNS
Download or read book The Art of Communication in Nursing and Health Care written by Theresa Raphael-Grimm, PhD, CNS and published by Springer Publishing Company. This book was released on 2014-10-10 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: A handy guide to tackling difficult patient and professional interactions with confidence and compassion In this age of increasing reliance on technology, it is essential that the fundamentals of compassion and good communication—the art of patient care—remain at the heart of health care. This clear, concise guide to professional communication strategies helps nurses and other health care clinicians to build effective patient relationships and navigate a wide variety of difficult patient and professional interactions. Written by a practicing psychotherapist who has devoted nearly 30 years of study to clinician—patient relationships, the book tackles such complex issues as dealing with demanding patients, maintaining professional boundaries, overcoming biases and stereotypes, managing clinician emotions, communicating bad news, challenging a colleague’s clinical opinion, and other common scenarios. The book guides the reader through a conceptual framework for building effective relationships that is based on the principles of mindfulness. These principles are embedded in discussions of the fundamental elements of interpersonal effectiveness, such as hope, empathy, and listening. Chapters apply mindfulness principles to specific challenging situations with concrete examples that describe effective clinical behaviors as well as situations depicting pitfalls that may impede compassionate care. From a focus on everyday manners in difficult situations to beneficial approaches with challenging populations, the guide helps health care professionals confidently resolve common problems. Brief, to-the-point chapters help clinicians channel their clinical knowledge and good intentions into caring behaviors that allow the patient to more fully experience empathy and compassion. With the guiding theme of “using words as precision instruments,” this is a resource that will be referred to again and again. Key Features: • Helps health care professionals and nurses communicate effectively in challenging clinical and professional situations • Uses the principles of mindfulness to build satisfying relationships and resolve problems • Addresses such difficult issues as demanding patients, maintaining boundaries, overcoming biases, managing clinician emotions, and much more • Provides special tips for communicating with family members and caregivers • Authored by a practicing psychotherapist specializing in clinician—patient relationships for nearly 30 years
Book Synopsis Interprofessional Teamwork for Health and Social Care by : Scott Reeves
Download or read book Interprofessional Teamwork for Health and Social Care written by Scott Reeves and published by John Wiley & Sons. This book was released on 2011-06-09 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: PROMOTING PARTNERSHIP FOR HEALTH This book forms part of a series entitled Promoting Partnership for Health publishedin association with the UK Centre for the Advancement of Interprofessional Education (CAIPE). The series explores partnership for health from policy, practice and educational perspectives. Whilst strongly advocating the imperative driving collaboration in healthcare, it adopts a pragmatic approach. Far from accepting established ideas and approaches, the series alerts readers to the pitfalls and ways to avoid them. DESCRIPTION Interprofessional Teamwork for Health and Social Care is an invaluable guide for clinicians, academics, managers and policymakers who need to understand, implement and evaluate interprofessional teamwork. It will give them a fuller understanding of how teams function, of the issues relating to the evaluation of teamwork, and of approaches to creating and implementing interventions (e.g. team training, quality improvement initiatives) within health and social care settings. It will also raise awareness of the wide range of theories that can inform interprofessional teamwork. The book is divided into nine chapters. The first 'sets the scene' by outlining some common issues which underpin interprofessional teamwork, while the second discusses current teamwork developments around the globe. Chapter 3 explores a range of team concepts, and Chapter 4 offers a new framework for understanding interprofessional teamwork. The next three chapters discuss how a range of range of social science theories, interventions and evaluation approaches can be employed to advance this field. Chapter 8 presents a synthesis of research into teams the authors have undertaken in Canada, South Africa and the UK, while the final chapter draws together key threads and offers ideas for future of teamwork. The book also provides a range of resources for designing, implementing and evaluating interprofessional teamwork activities.
Book Synopsis Fragility Fracture Nursing by : Karen Hertz
Download or read book Fragility Fracture Nursing written by Karen Hertz and published by Springer. This book was released on 2018-06-15 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
