A Care Bundle for Delirium Prevention

A/Prof Danielle Ni Chroinin explores the effect of a multidisciplinary care bundle on the incidence of delirium after hip fracture surgery. Links discussed:1. The effect of a multidisciplinary care bundle on the incidence of delirium after hip fracture surgery: a quality improvement study (2020) in Anaesthesia2. Delirium Reduction by Analgesia Management in Hip Fracture surgery (DRAM-HF): Exploration of perceived facilitators and barriers (2021) in Australasian Journal on Ageing3. Clinical Practice Guideline: Orthogeriatric Hip Fracture Care (2023)

1 in 3 Australians aged 65 and over fall each year making it the leading cause of death for this age group.Rik Dawson, an experienced physiotherapy and researcher, lifts the curtain to explain what is happening in residential care facilities in terms of physiotherapy care and rehabilitation and explores some important issues including: The lack of rehabilitation available in residential aged care facilities;  The massive problem of falls in these facilities;The challenges of providing care and staffing as set by the Aged Care Act 1997 and the impact on coordinated care;Specific areas of focus in physiotherapy and residential aged care that warrant funding for improved quality of life outcomes.

Coming to you live at the 2024 ANZHFR Hipfest in Sydney to hear about how the Registry data is fuelling improvements in hip fracture care across the country. Guests include:- Dr Sheila Rahman, Orthogeriatrician, Campbelltown Hospital (NSW)- Dr Hannah Seymour, Geriatrician, Fiona Stanley Hospital (WA)- Mel Alexander, Intensive Care Paramedic, SA Ambulance Service (SA)

Dr Lara Harvey, a senior research fellow at Neuroscience Research Australia and our ANZHFR co-chair Prof Jacqueline Close, a geriatrician based at Prince of Wales Sydney discuss their newly published research titled “Adherence to clinical care standards and mortality after hip fracture surgery in New South Wales, 2015–2018: a retrospective population-based study”.The ACSQHC hip fracture care clinical care standard comprises seven quality statements supported by 16 quality indicators. This study looked at the impact of adherence to these standards on mortality for patients with hip fracture. You can find the full study here in the Medical Journal of Australia.

In this episode, Professor Rebecca Mitchell and Dr Hannah Seymour discuss the work they led in partnership with international colleagues from the Fragility Fracture Network on consensus statements developed to aid clinicians in their decision-making and to reduce practice variations in the management of patients with hip fracture  taking direct oral anticoagulants.For the full article:Principles for management of hip fracture for older adults taking direct oral anticoagulants: an international consensus statementhttps://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16226?af=RFor more information on the upcoming ANZHFR Sprint Audit, email [email protected]

Professor Jacqui Close, Registry Co-Chair and Geriatrician at Prince of Wales Hospital, along with Dr Phil Black, Anaesthetist at Prince of Wales Hospital share the results of the ANZHFR Preoperative Fasting Sprint Audit and the implementation of Sip Til Send at Prince of Wales.Resources:Kluger MT, Culwick MD, Moore MR, Merry AF. Aspiration during anaesthesia in the first 4000 incidents reported to webAIRS. Anaesthesia and Intensive Care. 2019;47(5):442-451. doi:10.1177/0310057X19854456The video recording of Professor Close's presentation on the Preoperative fasting sprint audit at the Binational Hip Fest can be found at: https://www.youtube.com/watch?v=Y1kadcg2Hz4The podcast with Dr Matthew Checketts, Consultant Anaesthetist, titled Sip Til Send can be found at: https://hipcast.buzzsprout.com/1739857/10350612For further information on the Sprint Audit, go to: https://anzhfr.org/sprintaudits/Sip Til Send Resources: Prince of Wales and Sydney/Sydney Eye Hospital. See Shared hospital resources at https://anzhfr.org/resources/

Professor Xavier Griffin spearheads academic orthopaedics at Queen Mary University London and Barts Health, having joined as the inaugural chair of Bone & Joint Health. Professor Griffin's vision is for world class excellence in research and clinical academic training; providing opportunity for the next generation of clinician scientists to realise their aspirations. Professor Griffin presented at ANZHFR's 2022 Binational Hip Festival in Melbourne, Australia on quality of life after hip fracture. We are pleased to provide his presentation in podcast format.The open access publication mentioned early in the podcast can be found at:https://boneandjoint.org.uk/article/10.1302/0301-620X.103B5.BJJ-2020-1839.R1(Reference: Griffin XL, Achten J, Parsons N, Costa ML, On behalf of the WHiTE collaborators. Does performance-based remuneration improve outcomes in the treatment of hip fracture?. Bone Joint J. 2021;103-B(5):881-887. doi:10.1302/0301-620X.103B5.BJJ-2020-1839.R1)The video recording of the presentation can be found at: https://www.youtube.com/watch?v=dLdbb-RnYgk All recorded sessions from the ANZHFR 2022 Binational Hip Fest are available on our website: https://anzhfr.org/hipfest2022/ 

On this episode, join episode host James Wright, Registered Nurse and ANZHFR Project Manager, and guest Nicola Ward, NZ Hip Fracture Registry Coordinator and Clinical Nurse Specialist for the Fracture Liaison Service at Tauranga Hospital, NZ  to hear some nursing tips for caring for people after hip fracture.

Dr Richard Kjar, Director of Orthopaedics, Ms Lisa Gephart, Clinical Nurse Consultant Acute Pain Service and Ms Megan Gilbert, Hip Fracture Clinical Specialist discuss the journey to implement the ANZHFR at Northeast Health Wangaratta in Victoria, Australia.View the hospital's innovative NHW Hip Fracture Pathway - Staff awareness - Tik Tok type reel   

Caroline Miller is a Consumer Representative on the New Zealand Implementation Committee of the Hip Fracture Registry.  Caroline has a lived experience of hip fracture and spoke at New Zealand's Hip Festival in Wellington in September 2022. Tune in to hear her advice to health professionals working in hip fracture care.