Best Practices for Hip Fracture
Rehabilitative Care for Older Adults Living With/At Risk of Frailty: From Frailty to Resilience (December 2021)
Both documents should be consulted when providing best practice care to older adults with hip fracture. Together, they provide rehabilitative care best practices for all older adults with frailty, including those with hip fracture, and additional recommendations specific to hip fracture.
Please note: These two documents replace the earlier Hip Fracture Framework (March 2017/Rev Sept 2018).
Additional evidence-based recommendations that align with current COVID-19 restrictions.
|Patient & Family Education Materials|
|Canadian Orthopaedic Foundation — Hip Fracture||Website for patients and caregivers to help them learn how to prepare for and recover from a hip fracture, including patient and caregiver booklet, assistive devices, home adaptation, getting active nutrition and osteoporosis.|
|Canadian Osteoporosis Patient Network||A national network of people living with osteoporosis.|
|Hip fracture recovery guide for patients and families, reviews what to expect in hospital, at home, mobility and exercises. Video links embedded.|
|Booklet reviews what patients and caregivers should ask for in their care.|
|Online tool reviews causes of fractures, risk reduction, management options and managing pain.|
|Patient online tool reviews pain, what to expect and videos on how to safely do everyday activities.|
|Patient booklet provides guidance on managing osteoporosis through exercise.|
Osteoporosis Canada Fact Sheets
Patient information sheets:
Handbook for the family and friend caregivers who support seniors experiencing frailty. Created with advice from caregivers across Ontario, this handbook had been reviewed by health care professionals.
Patient videos provide ideas for safe and effective exercise and physical activity for those with osteoporosis.
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|Assessment & Intervention|
|Alberta Health Services Hip Fracture Care Pathway Toolkit||Provincial clinical pathways developed to guide the care of patients who have had a hip fracture. The toolkit includes order sets, patient education materials and assessment tools.|
|BC Guidelines — Frailty Identification||Guideline addresses the early identification and management of older adults with frailty or vulnerable to frailty.|
|Bone & Joint Canada National Hip Fracture Toolkit||Toolkit provides a systems view of care that addresses the barriers patients experience as they transfer through the health care system.|
|Bone Fit™||Provides professional training on the most appropriate, safe and effective methods to prescribe and progress exercise for people with osteoporosis.|
|Capture the Fracture®||Global program that provides recognition, resources, training and tools to support Post-Fracture Care Coordination Programs.|
|Canadian Frailty Network — Clinical Practice Guidelines for PT Management of Older Adults with Fracture||Webinars provide information on the implementation of a clinical practice guideline for physical therapy management of older adults with fracture.|
|Clinical Frailty Scale (CFS) designed to summarize the results of a Comprehensive Geriatric Assessment and now commonly used as a triage tool to make important clinical decisions.|
|Comprehensive Geriatric Assessment (CGA) guides a multidimensional specialized geriatric team approach to care that determines a frail older person's biomedical, psychosocial, functional, and environmental needs, and initiates an appropriate treatment and follow-up plan. Competency framework describes detailed practice expectations of health professionals participating in the CGA.|
|Toolkit supports delivery of best practice care for persons who suffer hip, clinical vertebral or other major fragility fracture in acute care, rehabilitation and secondary prevention.|
|Clinical Practice Guidelines linked to the International Classification of Functioning, Disability and Health from the Academy of Orthopaedic Physical Therapy and the Academy of Geriatric Physical Therapy of the American Physical Therapy Association.|
|Addresses baseline functional status, how baseline functional status is determined and subsequent determination of restorative potential.|
|Quality standard based on evidence and expert consensus. Includes patient reference guide, recommendations for adoption, getting started guide and indicator guide.|
|Health care provider website related to osteoporosis and fracture prevention.|
|Orthogeriatrics open access textbook.|
|Reference sheet for health professionals on the 2010 clinical practice guidelines for the diagnosis and management of osteoporosis.|
|Toolkit to help clinicians better understand cognitive screening tools and select the appropriate tool.|
|GTA Rehab Network Inter-Organizational Transfer of Accountability (TOA) Guidelines||Guidelines provides six principles that support the interactive process of transferring information and coordinating follow-up care between organizations across the patient lifespan and care continuum.|
|GTA Rehab Network Discharge Checklist||Checklist outlines key information that should be provided at the time of transfer to the next level of care (to hospital or community) in order to support patient safety and continuity of care.|
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