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Nursing care needs of patients with and without dementia admitted to hospital with fractured neck of femur

O'Connell, Beverly, Orr, Jessica, Ostaszkiewicz, Joan and Gaskin, Cadeyrn 2011, Nursing care needs of patients with and without dementia admitted to hospital with fractured neck of femur, International journal of orthopaedic and trauma nursing, vol. 15, no. 3, pp. 136-144, doi: 10.1016/j.ijotn.2010.12.004.

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Title Nursing care needs of patients with and without dementia admitted to hospital with fractured neck of femur
Author(s) O'Connell, Beverly
Orr, Jessica
Ostaszkiewicz, JoanORCID iD for Ostaszkiewicz, Joan
Gaskin, Cadeyrn
Journal name International journal of orthopaedic and trauma nursing
Volume number 15
Issue number 3
Start page 136
End page 144
Total pages 9
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2011-08
ISSN 1878-1241
Keyword(s) Dementia
Femur neck
Nursing care
Nursing service
Summary The aim of this study was to compare people with and without dementia with regards to their levels of functioning prior to fractured neck of femur (NOF), nursing care needs, and length of hospitalisation and discharge destination. Data were extracted from the medical records of 50 patients with fractured NOF and dementia and 50 patients with a fractured NOF who did not have dementia. Patients with dementia were more likely to have been admitted from a residential aged care facility, were more impaired prior to admission, and had more care needs relating to agitation, confusion, eating and drinking, intravenous cannulae, showering and dressing, and incontinence. People with dementia spent two more days in acute care and were less likely to be discharged to a rehabilitation facility. The placement of patients with dementia in dedicated areas of orthopaedic wards, where nurses with specialised skills are able to care for them, and use of practice guidelines are possible solutions to address the current inequity in care.
Language eng
DOI 10.1016/j.ijotn.2010.12.004
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2011, Elsevier Ltd.
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Document type: Journal Article
Collections: School of Nursing and Midwifery
Quality and Patient Safety Research
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