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This second edition, in Open Access, aims to provide a
comprehensive and practical overview of the knowledge required for
the assessment and management of the older adult with or at risk of
fragility fracture, with additional focus on those who are frail.
It considers this from the perspectives of all the clinical and
home care settings in which this group of patients receive care and
is relevant to all global locations. The concept of orthogeriatric
care is explored in detail.  Global estimates suggest
that there were 21 million men and 137 million women aged 50 years
or more at high fracture risk in 2010. This incidence is expected
to double by 2040, with the most significant increase in Asia.
Fragility fracture is one of the foremost challenges for health
care providers and thehe global demand for nursing care for
patients with fragility fractures across the world is immense. Hip
fracture is particularly challenging as these significant injuries
often occur in frail older people requiring hospitalisation and
orthopaedic surgery. Such injuries and associated surgery result in
increased frailty, worsening health and wellbeing, pain,
disability, reduced quality of life, loss of independence, and
decreased life expectancy. Care providers need to understand the
experience of fragility fracture from the perspective of patients
and families so that direct improvements in care can be based on
the perspectives of the users. Expert care of patients following
fractures that require hospitalisation and orthopaedic surgery
involves skill in the care and treatment of frail older people as
we as individuals with an injury and undergoing surgery.Â
Nurses have a significant role in interdisciplinary collaborative
care provided through orthogeriatric models of care. There is
increasing evidence that such models significantly improve patient
outcomes. High quality, evidence-based orthogeriatric care is
increasingly shown to have positive impact on outcomes for
recovery, rehabilitation, and secondary prevention of further
fracture. This book significantly supports the aims and values of
the Fragility Fracture Network and, as such, supports the learning
needs of nurses and other allied health professionals which will
enable a comprehensive approach to nursing practice in
orthogeriatric and fragility fracture care.
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