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Monica Milter EhlersPhD candidate, MSc in Nursing, RNDEFACTUM, Central Denmark Region and Department of Public Health, Aarhus University, Denmark
Planning and performance of post-discharge rehabilitation of older adults after hip fracture
www.defactum.dk | Follow us on LinkedIn | Monica Milter Ehlers | [email protected]
Monica Milter Ehlers | [email protected]
The theoretical framework of the study
The international definition of rehabilitation
The Danish definition of rehabilitation
The International Classification of Functioning, Disability and Health
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Monica Milter Ehlers | [email protected]
The present knowledge of post-discharge hip fracture rehabilitation
Reduced functional performance (60 %)
Problems managing daily activities
Affected physical and mental functions, self-careand social participation
Inability to return home (> 10 %)
Need of long-term follow-up (25 %)
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Monica Milter Ehlers | [email protected]
Aim of the study
”To investigate and discuss how an outgoing, multidisciplinaryhospital-based team and a municipal rehabilitation team plan and perform post-discharge rehabilitation of community-dwellingolder adults after hip fracture”
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Monica Milter Ehlers | [email protected]
Methodology and Methods
Focus group interviews with13 health professionals
Semi-structured interview guides (the theoretical framework)
Philosophical hermeneutics (Hans-Georg Gadamer)
Deductive content analysis
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Monica Milter Ehlers | [email protected]
Findings
Different core services (different aspects of post-discharge rehabilitation)
The hospital-based team biomedical approach to rehabilitation
The municipal team biopsychosocial approach to rehabilitation
No assessment of mental functions
The contribution of relatives was not mentioned
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Monica Milter Ehlers | [email protected]
Findings
A goal-oriented rehabilitation process
No information sharing on goals, treatment and rehabilitation
Misunderstandings between teams
Fragmented and overlapping treatment, training andrehabilitation
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Monica Milter Ehlers | [email protected]
Implications for practice
Core services Mental functions
Communication and information sharing
Relational coordination
Rehabilitation structure based on ICF, jointassessments, difficult areas, goals, target strategiesand rehabilitation outcome evaluations
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Monica Milter Ehlers | [email protected]
Future research
Mental functions
The relatives´ roles
A joint rehabilitation structure
Conventional rehabilitation structure versus a joint rehabilitation structure
Communication and cooperation between teams
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Monica Milter Ehlers | [email protected]
Thank you for your attention
And a warm thanks to:
The health professionals from the outgoing, multidisciplinary team at Aarhus University Hospital, Central Denmark Region, Denmark and the health professionals from the outgoing, rehabilitation team at the municipality of Aarhus, Denmark.
Public Health in the Middle, Central Denmark Region, Denmark
Health Research Fund of Central Denmark Region, Denmark, for providing Denmark
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