RecommendationOffer patients (or, as appropriate, their carer and/or family) verbal and printed information about treatment and care including:
  • diagnosis
  • choice of anaesthesia
  • choice of analgesia and other medications
  • surgical procedures
  • possible complications
  • rehabilitation programme
  • long-term outcomes
  • healthcare professionals involved.
Relative values of different outcomesPatient views on their satisfaction with the management of their condition were the main outcomes.
Trade off between clinical benefits and harmsThe data highlighted examples where information was not provided to individual patients. Patients were unhappy when things were not explained to them. Patients were also unhappy when issues about their fracture were discussed with their family members instead of directly to them.

The themes that came out of the evidence suggest that: a positive attitude of healthcare professionals is important; patients value time spent with them, and the advice and explanation given; and patients should be treated with dignity, and provided with an explanation about their condition and information about recovery.

The GDG were unanimous in their view that discussion with patients (and where necessary their carers) about all aspects of the management of their hip fracture in is an important contributory factor in the recovery process.
Economic considerationsAlthough staff time is a scarce resource, information can be passed on to patients in the course of usual care and therefore needn't increased costs. Furthermore there may be benefits from greater adherence to treatment plans.
Quality of evidenceThe qualitative evidence identified was of mixed quality. Data were not identified covering all the points mentioned above.
Other considerationsNo comments were identified in the studies mentioning that adequate or good information was provided. However, the studies did not specifically ask about the quality of the information provided.

From: 13, Patient and carer views and information

Cover of The Management of Hip Fracture in Adults
The Management of Hip Fracture in Adults [Internet].
NICE Clinical Guidelines, No. 124.
National Clinical Guideline Centre (UK).
Copyright © 2011, National Clinical Guideline Centre.

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