title: Optimising care for patients with cognitive impairment and dementia following hip fracture.
abstract: The global shift in demographics towards aging populations is leading to a commensurate increase in age-related disease and frailty. It is essential to optimise health services to meet current needs and prepare for anticipated future demands. This paper explores issues impacting on people living with cognitive impairment and/or dementia who experience a hip fracture and are cared for in acute settings. This is important given the high mortality and morbidity associated with this population. Given the current insufficiency of clear evidence on optimum rehabilitation of this patient group, this paper explored three key themes namely: recognition of cognitive impairment, response by way of training and education of staff to optimise care for this patient group and review of the importance of outcomes measures. Whilst there is currently insufficient evidence to draw conclusions about the optimal ways of caring for patients living with dementia following hip fracture, this paper concludes that future research should improve understanding of healthcare staff education to improve the outcomes for this important group of patients.
authors.affiliation: Norwich Medical School, University of East Anglia, Earlham Road, NR4 7TJ, Norwich, Norfolk, UK.
authors.forename: Nigel
authors.initials: N
authors.lastname: Gill
authors.affiliation: Norwich Medical School, University of East Anglia, Earlham Road, NR4 7TJ, Norwich, Norfolk, UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Hammond
authors.affiliation: School of Health Sciences, University of East Anglia, NR4 7TJ, Norwich, UK.
authors.forename: Jane
authors.initials: J
authors.lastname: Cross
authors.affiliation: School of Health Sciences, University of East Anglia, NR4 7TJ, Norwich, UK.
authors.forename: Toby
authors.initials: T
authors.lastname: Smith
authors.affiliation: Norwich Medical School, University of East Anglia, Earlham Road, NR4 7TJ, Norwich, Norfolk, UK.
authors.forename: Nigel
authors.initials: N
authors.lastname: Lambert
authors.affiliation: Norwich Medical School, University of East Anglia, Earlham Road, NR4 7TJ, Norwich, Norfolk, UK. chris.fox@uea.ac.uk.|Hellesdon Hospital, Norfolk and Suffolk NHS Foundation Trust, NR6 5BE, Norwich, Norfolk, UK. chris.fox@uea.ac.uk.
authors.forename: Chris
authors.initials: C
authors.lastname: Fox
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000401:mortality* / Q000534:rehabilitation*; D015897:Comorbidity; D003422:Critical Care / Q000706:statistics & numerical data*; D003704:Dementia / Q000401:mortality* / Q000534:rehabilitation*; D005260:Female; D006620:Hip Fractures / Q000401:mortality* / Q000534:rehabilitation*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D015995:Prevalence; D058996:Quality Improvement; D012307:Risk Factors; D015996:Survival Rate; D016896:Treatment Outcome; D014600:Utilization Review
keywords: Acute care; Delirium; Healthcare system; Length of stay; Rehabilitation