{"title":"Heel ulceration – An exploration of the issues","authors":"Karen Ousey PhD, RGN, ONC (Principal Lecturer)","doi":"10.1016/j.joon.2009.06.001","DOIUrl":"10.1016/j.joon.2009.06.001","url":null,"abstract":"<div><p><span>This article presents an exploration of some of the issues that require consideration in relation to the assessment and prevention of heel ulceration. The number of older people in the United Kingdom (UK) is rising with the fastest growing age group in the population being those aged 80 years. They currently constitute 4.5% (2,749,507) of the total population, this age group has increased by over 1.1 million between 1981 and 2007 (1,572,160 to 2,749,507), from 2.8% to 4.5% leading us to believe that the incidence of </span>pressure ulcers may also rise. The prevention and management of pressure ulcers in orthopaedic patients, especially those on the heel, has been a long standing dilemma for nursing staff. The heel has been identified as the second most common site, accounting for up to 28% of all reported pressure ulcers. Authors have argued that heel ulcerations are notoriously difficult to heal and that management and treatment can be costly.</p></div>","PeriodicalId":100817,"journal":{"name":"Journal of Orthopaedic Nursing","volume":"13 2","pages":"Pages 97-104"},"PeriodicalIF":0.0,"publicationDate":"2009-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.joon.2009.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84315791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The future is now! New players who are making a difference in Canada’s health care system (Plenary)","authors":"Brian Goldman","doi":"10.1016/j.joon.2009.02.033","DOIUrl":"10.1016/j.joon.2009.02.033","url":null,"abstract":"","PeriodicalId":100817,"journal":{"name":"Journal of Orthopaedic Nursing","volume":"13 1","pages":"Page 29"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.joon.2009.02.033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76095309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The rehabilitation experience of an elderly female patient following a fractured neck of femur compounded by Clostridium difficile infection","authors":"Sheila Burscough RN, Bryan K. Smith MPH, BSc, RN","doi":"10.1016/j.joon.2008.11.007","DOIUrl":"10.1016/j.joon.2008.11.007","url":null,"abstract":"<div><p>One of the most common orthopaedic injuries sustained by elderly women in the UK is a proximal fractured femur, often following a fall. This in itself is of great concern to both patient and caring relatives due to the morbidity and ‘year on’ mortality rates typically reported as 20–35% within one year (<span>Goldacre, M.J., Roberts, S.E., Yates, D., 2007. Mortality after admission to hospital with fractured neck of femur: database study. British Medical Journal, 325, 868–869.</span>). This article follows some of the issues experienced by an elderly female patient following a proximal fractured femur, compounded by the emergence of a <em>Clostridium difficile</em> infection during the rehabilitation period. Based on the events as told by the carer this article relays the frustrations of an elderly female patient who struggles to resume her normal life and the importance of relaying accurate information in care.</p></div>","PeriodicalId":100817,"journal":{"name":"Journal of Orthopaedic Nursing","volume":"13 1","pages":"Pages 19-23"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.joon.2008.11.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86092323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth Tutton B.Sc (Hons), M.Sc, PhD, RN ((Senior Research Fellow)) , Bridget Gray BA (Pall-Care) RGN ((Research Nurse))
{"title":"Fluid optimisation using a peripherally inserted central catheter (PICC) following proximal femoral fracture: Lessons learnt from a feasibility study","authors":"Elizabeth Tutton B.Sc (Hons), M.Sc, PhD, RN ((Senior Research Fellow)) , Bridget Gray BA (Pall-Care) RGN ((Research Nurse))","doi":"10.1016/j.joon.2008.10.007","DOIUrl":"10.1016/j.joon.2008.10.007","url":null,"abstract":"<div><p>The aim of this study was to test the feasibility of using peripherally inserted central catheters (PICCs) in older people to enable fluid optimisation. Fourteen patients were randomised to three groups: (i) usual care, insertion of short peripheral intravenous cannulae and normal fluid prescription; (ii) PICC insertion and normal fluid prescription; (iii) PICC insertion and guided fluid prescription based on measurements of central venous pressure (CVP). A range of outcome measures were undertaken, plus two focus groups with ward staff and an interview with the research nurse to ascertain views concerning the implementation of the study. Descriptive findings identified that PICC use in this group of patients was extremely difficult. The practical issues affecting the feasibility of this study were: (i) the physical and psychological frailty of the patients, proxy consent, difficulties measuring outcomes, unsuccessful PICC placement due to aged veins, intolerance to lines; (ii) staff concerns relating to patient vulnerability, competent use of new technology, limited resources and work capacity. Most aspects of the trial were made more difficult due to the frailty of the patient group.</p></div>","PeriodicalId":100817,"journal":{"name":"Journal of Orthopaedic Nursing","volume":"13 1","pages":"Pages 11-18"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.joon.2008.10.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87253007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A chronic care model for self-management of osteoarthritis in a South Asian population (Concurrent)","authors":"Gurpreet Dhatt , Peggy Simpson , Valerie MacDonald","doi":"10.1016/j.joon.2009.02.041","DOIUrl":"10.1016/j.joon.2009.02.041","url":null,"abstract":"","PeriodicalId":100817,"journal":{"name":"Journal of Orthopaedic Nursing","volume":"13 1","pages":"Pages 32-33"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.joon.2009.02.041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89816541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Barriers related to the timing of surgical intervention for hip fracture repair (Concurrent)","authors":"Karen Robinson","doi":"10.1016/j.joon.2009.02.052","DOIUrl":"10.1016/j.joon.2009.02.052","url":null,"abstract":"","PeriodicalId":100817,"journal":{"name":"Journal of Orthopaedic Nursing","volume":"13 1","pages":"Page 37"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.joon.2009.02.052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"100114796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When is a success a disappointment? (Concurrent)","authors":"Linda Gloutney, Elizabeth Blair","doi":"10.1016/j.joon.2009.02.037","DOIUrl":"10.1016/j.joon.2009.02.037","url":null,"abstract":"","PeriodicalId":100817,"journal":{"name":"Journal of Orthopaedic Nursing","volume":"13 1","pages":"Page 31"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.joon.2009.02.037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89735657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}