Rehab in Acute Care — Hip Fracture

Acute Care

Hip Fracture Framework

 

Addendum to the Rehabilitative Care Best Practice Framework in the Context of COVID-19

Includes the framework, referral decision tree, and process indicators for support performance monitoring and QBP-related outcomes.

Addendum includes additional evidence-based recommendations to the Hip Fracture Framework that align with current COVID-19 restrictions. 

Patient & Family Education Materials
Cambridge Memorial Hospital — A Broken Hip, Moving Forward Education booklet reviews hip fracture, expectations for surgery, caring for your hip, risks and complications and preparations for home. 
Cambridge Memorial Hospital — After Your Hip Fracture Handout reviews osteoporosis risk. 
Canadian Orthopaedic Foundation — Hip Fracture Website helps patients and caregivers 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. 

Centre for Hip Health & Mobility FReSH START Toolkit

Available in 6 languages

Hip fracture recovery guide for patients and families, reviews what to expect in hospital, at home, mobility and exercises. Video links embedded. 

Holland Bone & Joint Program Hip Fracture Patient Education

Patient education web pages provide an overview of hip fracture and walks the patient through what to expect in the emergency room, OR and post-operatively. 

Ontario Health Quality Going Home From the Hospital

Booklet reviews questions for patients and caregivers to ask the care team as they get ready to leave the hospital. 

Ontario Health Quality Hip Fracture Patient Reference Guide

Booklet reviews what patients and caregivers should ask for in their care. 

Ontario Osteoporosis Strategy — Your Fracture Journey

Online tool reviews causes of fractures, risk reduction, management options and managing pain. 

Osteoporosis Canada — After the Fracture

Patient online tool reviews pain, what to expect and videos on how to safely do everyday activities. 

Osteoporosis Canada Too Fit to Fracture Booklet

French Version

Patient booklet provides guidance on managing osteoporosis through exercise. 

Osteoporosis Canada Fact Sheets

Patient information sheets:

RGPO Caregiving Strategies Handbook

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. 

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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) 2.0

CFS Guidance

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. 

A Competency Framework for Interprofessional Comprehensive Geriatric Assessment

CGA Self-Assessment Tool (Inter-professional)

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. 

Fragility Fracture Network Clinical Toolkit

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. 

JOSPT Physical Therapy Management of Older Adults with Hip Fracture

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. 

North East Specialized Geriatric Centre — Baseline Functional Status

Addresses baseline functional status, how baseline functional status is determined and subsequent determination of restorative potential.

Ontario Health Quality Hip Fracture Quality Standard

Quality standard based on evidence and expert consensus. Includes patient reference guide, recommendations for adoption, getting started guide and indicator guide. 

Ontario Osteoporosis Strategy

Health care provider website related to osteoporosis and fracture prevention. 

Orthogeriatrics: The Management of Older Patients with Fragility Fractures

 Orthogeriatrics open access textbook.  

Osteoporosis Canada — Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada

Reference sheet for health professionals on the 2010 clinical practice guidelines for the diagnosis and management of osteoporosis. 

Provincial Geriatrics Leadership Ontario Cognitive Screening Toolkit

Toolkit to help clinicians better understand cognitive screening tools and select the appropriate tool. 

Provincial Geriatrics Leadership Ontario Family Presence in Older Adult Care

Statement to support the restoration of family presence and aid the fulfilment of commitments to patient and family-centred care. 

St. Joseph's Care Group — Pathway to Rehabilitation

Pathway to rehabilitation following hip fracture. 
Transition Planning
Ontario Health Quality Transitions between Hospital and Home Quality Standard Quality standard based on evidence and expert consensus. Includes patient guide, getting started guide, case for improvement, data table and measurement guide. 
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. 
Holland Bone & Joint Program Hip Fracture Project (FHRAT) Website describing the Fractured Hip Rapid Assessment and Treatment Service (FHRAT) at Sunnybrook Health Sciences Centre. 
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