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- BookKaren Hertz, Julie Santy-Tomlinson, editors.Summary: 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. .
Contents:
Foreword
Preface
Chapter 1. Osteoporosis and the nature of fragility fracture – an overview
Chapter 2. Frailty, sarcopenia and falls
Chapter 3. Secondary fracture and fall prevention
Chapter 4. Comprehensive geriatric assessment from a nursing perspective
Chapter 5. Orthogeriatric nursing in the emergency and perioperative in-patient setting
Chapter 6. Mobility, remobilisation, exercise and prevention of the complications of stasis
Chapter 7. Pressure injury prevention and wound management
Chapter 8. Nutrition and hydration
Chapter 9. Nursing the patient with altered cognitive function
Chapter 10. Rehabilitation and discharge
Chapter 11. Family partnerships, palliative care and end of life
Chapter 12. Orthogeriatric nursing
Index. - ArticleWestbrook SD.J Am Dent Assoc. 1978 Mar;96(3):464-8.The dental management of patients who received hemodialysis or a kidney transplant has been described. Emphasis has been placed on oral findings as well as on management considerations that are necessary for safe outpatient dental treatment. As with most patients who have systemic disease, emphasis must be on frequent recall examinations and strong preventive measures to minimize the need for extensive dental treatment. Close consultation between dentist and physician is essential for safe dental management of these patients. Few segments of the population need dental services as desperately as do patients receiving hemodialysis or kidney transplants. In this ever-increasing group of patients, dental disease may have consequences much more serious than the loss of function, esthetics, and comfort. Instead, dental problems may compromise the patient's general health and hinder medical efforts to either maintain or replace vital kidney functions.