Effectiveness of Orthopedic Rehabilitative Nursing Care on Wellbeing of Patients with Lower Limb Fractures in Selected Hospitals at Bhubaneswar, Odisha

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DOI: 10.21522/TIJNR.2015.SE.19.02.Art008

Authors : Anasuya Pattanayak

Abstract:

Health as defined by each person integrates all the human dimensions physical, intellectual, emotional, socio cultural, spiritual and environmental aspects of the whole person. The nurse giving holistic nursing care must be equally considered all these inter- related and interdependent dimensions of the whole person. Rehabilitation is the process of achieving maximum restoration of physical, psychological and social function must be carefully planned and executed. It should be goal directed and based on a thorough assessment of the patient’s medical, functional and psychosocial status. A pre- experimental research design with one group pretest and posttest is adopted for the study. The sample size for the study comprises of 120 patients admitted in ortho ward with the diagnosis of fracture femur and Convenient Sampling Technique used in this study. The result shows that 1st post-test and 4th post test scores of level of orthopedic rehabilitative nursing care of patients with lower limb fractures difference in mean percentage found that for social wellbeing was 41%, spiritual wellbeing was 56%, mental wellbeing was 48% and activities of daily living was 37%. The present study was conducted to assess the effectiveness of orthopaedic rehabilitative nursing care on wellbeing of patients with lower limb fractures. The study concluded that orthopaedic rehabilitative nursing care is highly effective and wellbeing of patients is independence, physically and socially, mentally, spiritually allowing them to return to their normal place of living where ever possible.

Keywords: Orthopaedic rehabilitative nursing care, lower limb fractures, Social, Mental, Spiritual wellbeing, Activities of daily living.

References:

[1].   Department of Health. South Australia’s Health Care Plan, 2007-2016. Government of South Australia: Department of Health, Adelaide. 2007.

[2].   ADAM Proposal – Arthroplasty Demand and Management Proposal; Statewide Orthopaedic Clinical Network, SA Health, 2008 4 Osteoporosis Australia. Website: www.osteoporosis.org.au Accessed July 2009 for health professional guidelines, position papers and recommendations.

[3].   British Orthopaedic Association. The care of patients with fragility fracture. British Orthopaedic Association: London, England. 2007.

[4].   Orthopaedic. Prehabilitation Project - An optimized Discharge Planning Tool for Patients undergoing Hip and Knee Arthroplasty – development, implementation and evaluation – RGH.

[5].   Archer KR, Mackenzie EJ, Bosse MJ, Pollak AN and Riley LH 3rd (2009). Factors associated with surgeon referral for physical therapy in patients with traumatic lower extremity injury: Results of a national survey of orthopedic trauma surgeons. Physical Therapy 89 893–905.

[6].   Bergés IM, Ottenbacher KJ, Smith PM, Smith D and Ostir GV (2006). Perceived pain and satisfaction with medical rehabilitation after hospital discharge. Clinical Rehabilitation 20 724–30.

[7].   de Groot V, Beckerman H, Lankhorst GJ and Bouter LM (2003). How to measure comorbidity. A critical review of available methods. Journal of Clinical Epidemiology 56(3) 221–9.

[8].   Fondazione Don Carlo Gnocchi-ONLUS (No Date). Activities, Scientific Research. Available at: http://www.dongnocchi.it/documenti/eng/index_eng.htm (accessed May 14, 2012).

[9].   AFRM. Standards 2005: Adult Rehabilitation Medicine Services in Public and Private Hospitals. Australasian Faculty of Rehabilitation Medicine: Sydney, Australia. 2005.

[10].  Cripps RA, Harrison JE. Injury as a chronic health issue in Australia. Australian Institute of Health and Welfare: Canberra, Australia. 2008.

[11].  Hall SE, Williams JA, Senior JA et al. Hip fracture outcomes: Quality of life and functional status in older adults living in the community. Australian New Zealand Journal of Medicine. 2000; 30:327-32.

[12].  Bliuc D, Nguyen ND, Milch VE, Nguyen TV, Eisman JA, Center JR. Mortality risk associated with low-trauma osteoporotic fracture and subsequent fracture in men and women. JAMA. 2009; 302(5): 512-521.

[13].  Elliot JR, Wilkinson TJ, Hanger HC et al. The added effectiveness of early geriatrician involvement on acute orthopaedic wards to orthogeriatric rehabilitation. New Zealand Medical Journal. 1996; 109: 72-3. Thwaites J, Mann F, Gilchrist N, Frampton C, Rothwell A, Sainsbury R. Shared care between geriatricians and orthopaedic surgeons as a model of care for older patients with hip fractures. New Zealand Medical Journal. 2005;118 (1214).

[14].  SIGN. Prevention and management of hip fracture in older people: A national clinical guideline. Scottish Intercollegiate Guidelines Network: Edinburgh, Scotland. 2009.

[15].  Orosz GM, Magaziner J, Hannan EL. Association of timing of surgery for hip fracture and patient outcomes. Journal of the American Medical Association. 2004; 291:1738-43.