riwc_para_a040 denmark post hip fracture

$: RIWC_PARA_A040 Denmark post hip fracture$
Monica Milter EhlersPhD candidate, MSc in Nursing, RNDEFACTUM, Central Denmark Region and Department of Public Health, Aarhus University, Denmark

Planning and performance of post-discharge rehabilitation of older adults after hip fracture

www.defactum.dk | Follow us on LinkedIn | Monica Milter Ehlers | [email protected]

Monica Milter Ehlers | [email protected]

The theoretical framework of the study

The international definition of rehabilitation

The Danish definition of rehabilitation

The International Classification of Functioning, Disability and Health

www.defactum.dk | Follow us on LinkedIn

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The present knowledge of post-discharge hip fracture rehabilitation

Reduced functional performance (60 %)

Problems managing daily activities

Affected physical and mental functions, self-careand social participation

Inability to return home (> 10 %)

Need of long-term follow-up (25 %)


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Aim of the study

”To investigate and discuss how an outgoing, multidisciplinaryhospital-based team and a municipal rehabilitation team plan and perform post-discharge rehabilitation of community-dwellingolder adults after hip fracture”


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Methodology and Methods

Focus group interviews with13 health professionals

Semi-structured interview guides (the theoretical framework)

Philosophical hermeneutics (Hans-Georg Gadamer)

Deductive content analysis


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Findings

Different core services (different aspects of post-discharge rehabilitation)

The hospital-based team biomedical approach to rehabilitation

The municipal team biopsychosocial approach to rehabilitation

No assessment of mental functions

The contribution of relatives was not mentioned


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Findings

A goal-oriented rehabilitation process

No information sharing on goals, treatment and rehabilitation

Misunderstandings between teams

Fragmented and overlapping treatment, training andrehabilitation


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Implications for practice

Core services Mental functions

Communication and information sharing

Relational coordination

Rehabilitation structure based on ICF, jointassessments, difficult areas, goals, target strategiesand rehabilitation outcome evaluations


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Future research

Mental functions

The relatives´ roles

A joint rehabilitation structure

Conventional rehabilitation structure versus a joint rehabilitation structure

Communication and cooperation between teams


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Thank you for your attention

And a warm thanks to:

The health professionals from the outgoing, multidisciplinary team at Aarhus University Hospital, Central Denmark Region, Denmark and the health professionals from the outgoing, rehabilitation team at the municipality of Aarhus, Denmark.

Public Health in the Middle, Central Denmark Region, Denmark

Health Research Fund of Central Denmark Region, Denmark, for providing Denmark


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riwc_para_a040 denmark post hip fracture

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