| Determining Current Physical Therapist Management of Hip Fracture in an Acute Care Hospital and Physical Therapists' Rationale for This Management. | |
| | |
MedLine Citation:
|
PMID: 21817011 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Background Physical therapy has an important role in hip fracture rehabilitation to address issues of mobility and function, yet current best practice guidelines fail to make recommendations for specific physical therapy interventions beyond the first 24 hours postsurgery. Objectives The aims of this study were: (1) to gain an understanding of current physical therapist practice in an Australian acute care setting and (2) to determine what physical therapists consider to be best practice physical therapist management and their rationale for their assessment and treatment techniques. Design and METHODS:/b> Three focus group interviews were conducted with physical therapists and physical therapist students, as well as a retrospective case note audit of 51 patients who had undergone surgery for hip fracture. RESULTS: /b> Beyond early mobilization and a thorough day 1 postoperative assessment, great variability in what was considered to be best practice management was displayed. Senior physical therapists considered previous clinical experience to be more important than available research evidence, and junior physical therapists modeled their behavior on that of senior physical therapists. The amount of therapy provided to patients during their acute inpatient stay varied considerably, and none of the patients audited were seen on every day of their admission. CONCLUSIONS:/b> Current physical therapist management in the acute setting for patients following hip fracture varies and is driven by system pressures as opposed to evidence-based practice. |
| | |
Authors:
|
Susie Thomas; Shylie Mackintosh; Julie Halbert |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-8-4 |
Journal Detail:
|
Title: Physical therapy Volume: - ISSN: 1538-6724 ISO Abbreviation: - Publication Date: 2011 Aug |
Date Detail:
|
Created Date: 2011-8-5 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0022623 Medline TA: Phys Ther Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
S. Thomas, BApplSc(Physio), Department of Rehabilitation and Aged Care, Flinders University, Adelaide, South Australia, Australia. Mailing address: C-Block, Department of Rehabilitation and Aged Care, Repatriation General Hospital, Daws Road, Daw Park, South Australia, 5041 Australia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Small blue round cell tumor: an unusual case presentation in the foot.
Next Document: Building the Rationale and Structure for a Complex Physical Therapy Intervention Within the Context ...