Silent slips, trips and broken hips in the under 60s: a review of the literature

JANES, Gillian, SERRANT, Laura and SQUE, Magi (2018). Silent slips, trips and broken hips in the under 60s: a review of the literature. International journal of orthopaedic and trauma nursing, 30, 23-30.

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This critical review of the literature regarding the recovery experiences and healthcare needs of people under 60 following a fragility hip fracture seeks to identify the associated implications for nursing practice and inform care delivery. Forty papers were included following a structured database, citation and grey literature search and filtering of results in line with specified inclusion criteria. Hip fracture is a common, serious and complex injury and an important cause of morbidity, mortality and rising healthcare costs worldwide. This review indicates that although commonly associated with the elderly, incidence and impact in the under 60s has been under-explored. Current health policy, professional and social norms almost exclusively focus on the elderly, surgical interventions and short-term outcomes, rendering the under 60s an inadvertently marginalised, relatively 'silent' sub-set of the hip fracture population. Nurses must be aware, however, of the different recovery needs of this younger group. The limited evidence available indicates these include work related needs and long term physical and psychosocial limitations in this socially and economically active group. Priorities are identified for research to inform policy and practice. Meanwhile, nurses can address the needs of this group by listening to and involving them and their families as healthcare partners. [Abstract copyright: Copyright © 2018. Published by Elsevier Ltd.]

Item Type: Article
Additional Information: ** From PubMed via Jisc Publications Router. ** History: received 16-05-2017; revised 22-01-2018; accepted 22-02-2018.
Research Institute, Centre or Group - Does NOT include content added after October 2018: Centre for Health and Social Care Research
Identification Number:
Page Range: 23-30
SWORD Depositor: Margaret Boot
Depositing User: Margaret Boot
Date Deposited: 12 Jun 2018 13:26
Last Modified: 18 Mar 2021 06:34

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