Hip fracture standard 3: PDF

Year published: 2019

All patients receive daily physiotherapy that should total at least two hours in the first 7-days post surgery

This data is not captured by the NHFD. We have created this audit tool for you to use to identify how much rehab patient get in the first seven days after hip # surgery. Prolonged bed rest significantly affects outcomes for people after hip fracture and it is important that patients start rehabilitation quickly.

Identify the patient's previous activity levels over the past 6-months to ensure rehab goals are appropriate. Any member of the physiotherapy team may provide the identified rehab intervention. You should ensure that each rehab session includes domains of range of movement exercise, strength & balance training, transfers, walking and functional ability as appropriate to the stage of recovery and patient ability. An appropriate outcome measure is used to measure progress against each rehab goal.

There is a specific strength and balance training programme in place for patients at low-moderate risk of falls.

There is a specific multifactoral programme in place, including strength and balance training, for patients at high risk of falls.

For patients that do not receive two-hours of rehab by the end of the first 7-days, a clear record is made of any clinical reasons why not, together with a clear physiotherapy action plan with timescales, to manage the clinical conditons, to seek to enable rehab.

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