Key result
There is currently insufficient evidence to draw conclusions about the optimal ways of caring for patients living with dementia following hip fracture, highlighting a need for staff education.
This narrative review highlights the critical need for improved recognition of cognitive impairment, targeted staff education, and appropriate outcome measures for patients with dementia suffering hip fractures.
Care for dementia patients after hip fracture lacks evidence-based guidance; leaves open needs for staff education trials and standardized outcomes.
The global shift in demographics towards aging populations is leading to a commensurate increase in age-related disease and frailty. It is essential to optimise health services to meet current needs and prepare for anticipated future demands. This paper explores issues impacting on people living with cognitive impairment and/or dementia who experience a hip fracture and are cared for in acute settings. This is important given the high mortality and morbidity associated with this population. Given the current insufficiency of clear evidence on optimum rehabilitation of this patient group, this paper explored three key themes namely: recognition of cognitive impairment, response by way of training and education of staff to optimise care for this patient group and review of the importance of outcomes measures. Whilst there is currently insufficient evidence to draw conclusions about the optimal ways of caring for patients living with dementia following hip fracture, this paper concludes that future research should improve understanding of healthcare staff education to improve the outcomes for this important group of patients.
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Gill et al. (2017) conducted a review in Cognitive impairment and dementia following hip fracture. Optimised care and rehabilitation was evaluated. There is currently insufficient evidence to draw conclusions about the optimal ways of caring for patients living with dementia following hip fracture, highlighting a need for staff education.
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