2.50
Hdl Handle:
http://hdl.handle.net/10755/158305
Type:
Presentation
Title:
Getting back: Successful rehabilitation after a hip fracture
Abstract:
Getting back: Successful rehabilitation after a hip fracture
Conference Sponsor:Western Institute of Nursing
Conference Year:2003
Author:Hair, Carole
P.I. Institution Name:VA San Diego Healthcare System
Title:Associate Chief Nurse for Education
Contact Address:3350 La Jolla Village Drive, San Diego, CA, 92161-4189, USA
Contact Telephone:858.552.8585
Fracturing a hip is a devastating experience for the older adult, and mortality and morbidity following a hip fracture are high among this vulnerable population. Reducing morbidity by improving rehabilitation outcomes is an important healthcare goal for older adults. The study focused on discovering what the experience of fracturing a hip and recovering from this life-altering event was like for the older adult. In-depth interviews were conducted with eighteen older adults between 72 and 92 years of age. Dimensional analysis was used to develop an explanatory model of successful rehabilitation following a hip fracture grounded in the experiences of the participants. Life stops as you know it emerged as the context of the study that described the sudden dependence experienced by older adults following a hip fracture. The central dimension, Getting Back, represented intrinsic motivation to return to independent functioning that served as the primary motivator for participation in rehabilitation. Self-directed actions used by participants included having a vision of returning to independent functioning, taking responsibility for participating in rehabilitation activities, and monitoring their rehabilitation progress. A lack of social support, limited resources, pain, depression, alterations in mental status, and medical or surgical complications were barriers to participation in rehabilitation. Support provided by professional and informal caregivers was important in facilitating rehabilitation. Resuming a reasonable life was the consequence of successful rehabilitation after a hip fracture. These findings have important implications for clinical practice and future research.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleGetting back: Successful rehabilitation after a hip fractureen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158305-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Getting back: Successful rehabilitation after a hip fracture </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hair, Carole</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">VA San Diego Healthcare System</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Chief Nurse for Education</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3350 La Jolla Village Drive, San Diego, CA, 92161-4189, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">858.552.8585</td></tr><tr><td colspan="2" class="item-abstract">Fracturing a hip is a devastating experience for the older adult, and mortality and morbidity following a hip fracture are high among this vulnerable population. Reducing morbidity by improving rehabilitation outcomes is an important healthcare goal for older adults. The study focused on discovering what the experience of fracturing a hip and recovering from this life-altering event was like for the older adult. In-depth interviews were conducted with eighteen older adults between 72 and 92 years of age. Dimensional analysis was used to develop an explanatory model of successful rehabilitation following a hip fracture grounded in the experiences of the participants. Life stops as you know it emerged as the context of the study that described the sudden dependence experienced by older adults following a hip fracture. The central dimension, Getting Back, represented intrinsic motivation to return to independent functioning that served as the primary motivator for participation in rehabilitation. Self-directed actions used by participants included having a vision of returning to independent functioning, taking responsibility for participating in rehabilitation activities, and monitoring their rehabilitation progress. A lack of social support, limited resources, pain, depression, alterations in mental status, and medical or surgical complications were barriers to participation in rehabilitation. Support provided by professional and informal caregivers was important in facilitating rehabilitation. Resuming a reasonable life was the consequence of successful rehabilitation after a hip fracture. These findings have important implications for clinical practice and future research. </td></tr></table>en_GB
dc.date.available2011-10-26T20:42:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:42:49Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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