Acute management and immediate rehabilitation after hip fracture amongst people aged 65 years and over.(Guideline)

Boxer's fracture is a common name for a fracture of the distal fifth metacarpal and received its name from one of its most common causes, punching an object with a closed fist. It can occur from a fistfight or from punching a hard object.

Lecture by BUCKIE SASSER RN, MSN, ASSISTANT PROFESSOR OF NURSING, SOUTH GEORGIA COLLEGE

A fracture is a complete or incomplete break in a bone resulting from the application of excessive force. An injury may be classified as a fracture-dislocation when a fracture involves the bony structures of any joint with associated dislocation of the same joint.

Hip Fractures (Nursing Center CE) Fractures within the hip joint area are one of the most frequently seen injuries in hospital patients, and these injuries are on the rise. The general life expectancy of the world population has and will continue to increase. Of all the patients sustaining hip fractures, 97% are over 50 years of age and the remaining 3% are under the age of 50. In the 3% of patients under age 50, most fractures occur as the result of high energy trauma, such as aggressive sports, industrial injuries, or motor vehicle collisions

Hip Fractures—A Joint Effort (Nursing Center CE This article describes the efforts of a interdisciplinary team to develop and implement a hip fracture protocol that directs the care of patients from admission in the emergency room to a planned discharge. The ideal process of care is driven by quality measures and evidence-based practice consisting of early medical screening, early surgical intervention and ambulation, physical therapy, deep vein thrombosis prophylaxis, and appropriate discharge planning.)

As individuals age into late adulthood, muscle strength declines. Due to decreased strength in older individuals, the forces on the hip joint once taken up by the surrounding musculature are now placed more on the weight-bearing surface of the hip. Osteoarthritis (OA) and osteoporosis further compromise the hip joint. Both diseases are common in the elderly adult. As the aging process continues the effects of decreased strength, OA and osteoporosis can lead to a less stable hip joint. With decreased stability, an individual can be at an increased risk for falling. Unfortunately, fractures are a possible outcome of falling in older adults. Hip fractures are one of the most common fractures associated with falling.

Shock: Hypovolemic (Adult and Pediatric) - Protocol (UNC)
Purpose: to outline the nursing management of the patient with hypovolemic shock

Multiple organ dysfunction syndrome (MODS) is a serious, often fatal, sequel to multiple trauma. Prolonged shock states, severe sepsis, acute pancreatitis, acute renal failure, severe burns, ischemic conditions, and acute respiratory distress syndrome have been implicated in the development of MODS.

Nursing Care of a Patient Post ORIF of an ankle (Midland Regional Hospital, Tullamore, Ireland)

Nursing Care of a Patient Post ORIF of Shoulder (Midland Regional Hospital, Tullamore, Ireland)

Nursing Care of a Patient with External Fixator of Tibia & Fibula (for a tibia fracture) (Midland Regional Hospital, Tullamore, Ireland)

Nursing Care of a Patient post MUA of a Colles Fracture (Midland Regional Hospital, Tullamore, Ireland)

Broken Bones Common Pediatric Upper Extremity Fractures-Part II (Nursing Center CE) Nurses are often one of the first healthcare providers to assess a child with a fracture. Although basic fracture care and principles are used, nurses caring for these young patients must also have a good understanding of normal bone growth and development and common mechanisms of injury and fracture patterns seen in children. Although most pediatric fractures can be treated successfully with closed reduction and immobilization (casting), health care providers must remain cognizant of complications that can arise.

Problem: The first East Anglian audit of hip fracture was conducted in eight hospitals during 1992. There were significant differences between hospitals in 90-day mortality, development of pressure sores, median lengths of hospital stay, and in most other process measures. Only about half the survivors recovered their pre-fracture physical function. A marked decrease in physical function (for 31%) was associated with postoperative complications.