Developing a care pathway for patients with fractured neck of femur

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Clinical pathways are proposed as a means of providing high quality care in a timely and cost-effective manner. These pathways consist of treatment protocols that aim to streamline and standardize management with multidisciplinary input from medical, nursing, paramedical and administrative staff.


The study is done in St. Vincent Hospital, Melbourne, Victoria in October 1, 1997 to November 30, 1998. It has 111 patients with 80 women and 31 men with mean age of 81 years old. They have found that a proactive multidisciplinary approach can reduce the length of stay. The study also shows that early intervention is another way to reduce the stay in the hospital therefore the risk of having complications brought about by the longer stay in the hospital has lessen. St. Vincent Hospital includes patients with language and cognitive difficulties. Since not all of their population does not speak English. They believed that the inclusion would test the efficacy of clinical pathways in the delivery of multidisciplinary care. Also during the study they found no significant clinical difference in time of mobilization or complication or readmission rates. Possible explanation includes the frequent existence of unstable and often untreated premorbid conditions in patients with fractured neck of femur, which requires attention during their acute admission. In contrast, patients undergoing elective joint replacement have the benefit of preadmission assessment clinics which may resolve expected medical, allied health or discharge issues before admission.. ( Choong , Langford, Dowsey, Santamaria 2000 )
The report of the South Tyneside health Care Trust in 2003 whi ...
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