Focus areas

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Quality development relative to the five focus areas

In April 2013, a report made by the participating nurses on the five focus areas will be available. The nurses will give an account of the process they have been through relative to their competence development. A description will also be given of how evidence-based knowledge is implemented into current quality development in respect of the hip patient.

Below you will find

  • Information about the five focus areas
  • Presentations of the working groups’ process and working documents
  • Patient information material

The five focus areas

1. Urinary tract infection and urine retention

According to the reference programme (in Danish only) for hip-operated patients, the incidence of post-operative urine retention is up to 80%. The incidence of urinary tract infection is 8%-47%.

During the project period, the working group, consisting of Danish and Swedish nurses, worked with this problem at several workshops where material was prepared and presented for discussion.

Presentation from first workshop/Urine retention 1 (in Danish only)

Presentation from second workshop/Urine retention 2 (in Danish only)

2. Confusion

It has been documented (see reference programme for hip-operated patients) that the prevalence of confusion/delirium is 20%-62% for hip-operated patients.

During the project period, the working group, consisting of Danish and Swedish nurses, worked with this problem at several workshops where material was prepared and presented for discussion.

Presentation from first workshop/Confusion 1 (in Danish only)

Presentation from second workshop/Confusion 2 (in Danish only)

The patient material has been further developed at the nurses’ respective departments, including information booklets and posters for patients and staff.

3. Nutrition

On admission to hospital, up to 65% of hip fracture patients are malnourished.

In fact, 25%-50% of hip fracture patients have a BMI of < 20 kg/m2 (reference programme for hip-operated patients).

During the project period, the working group, consisting of Danish and Swedish nurses, worked with this problem at several workshops where material was prepared and presented for discussion.

Presentation from first workshop/Nutrition 1 (in Danish only)

Presentation from second workshop/Nutrition 2 (in Danish only)

Are you having an operation? Diet (in Danish only)

An example of a presentation in the nutrition group:

Teaching plan and presentation, Nutrition (in Danish only)

4. Pressure ulcers

Danish studies show that 13%-43% of hospitalised patients have or develop pressure ulcers (category 1-4). An international prevalence study found that 15.2% of the patients had pressure ulcers, of which half (7.3%) developed during hospitalisation (the Danish Safer Hospital Programme). Up to 5.3% of hip patients have pressure ulcers and 2.4% have pressure marks on admission. 21.5% of the patients developed pressure ulcers during admission (reference programme for hip-operated patients).

The working group, consisting of Danish and Swedish nurses, worked with this problem during the project period. In Denmark, pressure ulcers prophylaxis is part of the Danish Safer Hospital Programme, for which clinical guidelines (in Danish only) have been developed.

ortopædkirurgisk Ringsted 355. Rehabilitation

Research has shown that contacting the patient after discharge from hospital can make a great difference. As in the case of the other focus areas, procedures differ in the two regions. During the project period, the working group, consisting of Danish and Swedish nurses, worked with various methods for planning the best possible rehabilitation of the patient, including contacting the patient on telephone.

Presentation from first workshop/Rehabilitation 1 (in Danish only)

Presentation from second workshop/Rehabilitation 2 (in Danish only)

 

 

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