Orthopaedic and Trauma Nursing An Evidence-based Approach to Musculoskeletal Care

Orthopaedic and Trauma Nursing provides practitioners working in orthopaedic and musculoskeletal trauma settings with the essential evidence, guidance and knowledge required to underpin effective practice. This comprehensive and contemporary textbook explores the variety of adult and paediatric clinical settings where orthopaedic and trauma practitioners work, including acute wards, clinics, community hospitals, nursing homes and patients' homes.

Divided into 5 sections, this book looks at: key issues in orthopaedic and musculoskeletal trauma care; specialist practice issues; common orthopaedic conditions and their care and management; musculoskeletal trauma care; and care of children and young people. Suitable for students at degree level as well as those clinicians practicing in more advanced orthopaedic and trauma care roles, Orthopaedic and Trauma Nursing is a foremost authority on orthopaedic and musculoskeletal practice for both students and practitioners.

Orthopaedic and Trauma Nursing:

• Is strongly supported by the latest evidence, with chapters summarizing evidence, with reference to relevant and seminal research
• Offers practical guidance based on the relevant evidence
• Focuses on the perspective of the patient with patient narrative and case studies throughout
• Includes a section specifically dealing with children and young people

Sonya Clarke is Senior Teaching Fellow within the School of Nursing and Midwifery, Queen's University, Belfast where she is the pathway leader for orthopaedics and fracture trauma nursing for the child, young person, adult and older person. She is an Advisory committee member of the International Journal of Orthopaedic and Trauma Nursing.

Julie Santy-Tomlinson is Senior Lecturer of Nursing at The University of Hull. She has a clinical nursing background in orthopaedics and trauma and working with older people. She is Co-Editor of the International Journal of Orthopaedic and Trauma Nursing, and was formerly Vice Chair, Royal College of Nursing Society of Orthopaedic and Trauma Nursing, 2005-2009.

Contributors, vii

Foreword, xiv

Preface, xv

Part I: Key issues in orthopaedic and musculoskeletal trauma nursing, 1

1 An introduction to orthopaedic and trauma care, 3
Julie Santy-Tomlinson and Sonya Clarke

2 The knowledge and evidence base for practice, 11
Peter Davis MBE and Mark Limb

3 Professional development, competence and education, 20
Mary Drozd and Sinead Hahessy

4 The musculoskeletal system and human movement, 27
Lynne Newton-Triggs and Jean Rogers

5 The team approach and nursing roles in orthopaedic and musculoskeletal trauma care, 48
Sandra Flynn and Brian Lucas

6 Rehabilitation and the orthopaedic and musculoskeletal trauma patient, 59
Rebecca Jester

Part II: Specialist and advanced practice, 67

7 Clinical assessment of the orthopaedic and trauma patient, 69
Rebecca Jester

8 Key musculoskeletal interventions, 80
Lynne Newton-Triggs, Hannah Pugh, Jean Rogers and Anna Timms

9 The complications of musculoskeletal conditions and trauma, 96
Julie Santy-Tomlinson, Sonya Clarke and Peter Davis MBE

10 Nutrition and hydration, 111
Rosemary Masterson

11 Pain assessment and management in orthopaedic and trauma care, 120
Carolyn Mackintosh-Franklin

12 Wound management, tissue viability and infection, 131
Jeannie Donnelly, Alison Collins and Julie Santy-Tomlinson

Part III: Common orthopaedic conditions and their care and management, 149

13 Key conditions and principles of orthopaedic management, 151
Elaine Wylie and Sonya Clarke

14 Elective orthopaedic surgery, 168
Brian Lucas, Mary Drozd, Sandra Flynn and Vanessa Blair

15 Musculoskeletal oncology over the lifespan, 184
Helen Stradling

Part iv: Musculoskeletal trauma care, 199

16 Principles of trauma care, 201
Fiona Heaney and Julie Santy-Tomlinson

17 Principles of fracture management, 221
Sonya Clarke, Julie Santy-Tomlinson, Sinead McDonald and Pamela Moore

18 Fractures in the older person, 236
Karen Hertz and Julie Santy-Tomlinson

19 Spinal cord injury, 251
Donna Poole and Pauline Robertson

20 Soft tissue, peripheral nerve and brachial plexus injury, 265
Beverley Wellington

Part V: Children and young people, 277

21 Key issues in caring for the child and young person with an orthopaedic or musculoskeletal trauma condition, 279
Sonya Clarke and Lorna Liggett

22 Common childhood orthopaedic conditions, their care and management, 290
Julia Judd

23 Fracture management in the infant, child and young person, 309
Elizabeth Wright

24 Key fractures relating to infant, child and young person, 323
Thelma Begley and Sonya Clarke

Index, 335

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