Priority 4 from the Broken Bones of the Upper Limb in People over 50

UNCERTAINTY: In people over 50, what is the patient experience of an upper limb fracture management and how does it influence outcomes? (JLA PSP Priority 4)
Overall ranking	4
JLA question ID	0093/4
Explanatory note	Sustaining an upper limb fracture is a traumatic experience for all people. Respondents commented on how different aspects of their injury and subsequent management (both good and bad) influenced their outcome. This question looks to determine whether different aspects of a patient’s treatment influences their outcomes. Uncertainties included aspects such as isolation; communication; satisfaction with treating clinician; waiting times; level of emotional care and timing of discharge from the service.
Evidence	Gordon, J., et al.; The patient experience in the emergency department: A systematic synthesis of qualitative research. International Emergency Nursing; Volume 18, Issue 2, April 2010, Pages 80-88 Syed, K., et al.; Factors Determining Wait-Time and Patient Satisfaction at Post-Operative Orthopaedic Follow-Up. Open Journal of Medical Psychology, 2013, 2, 47-53
Health Research Classification System category	Injuries and Accidents

Extra information provided by this PSP
Original uncertainty examples	Why was it almost impossible to get through to an experienced nurse in the fracture clinic to find out management plan after being seen in minor injuries unit? ~ Why should I have to wait to be seen in the emergency department with a wrist fracture when I am in so much pain? ~ Does the quality of emotional care and reassurance they receive from health professionals they receive during these initial treatment phases correlate with long term functional outcome?
Submitted by	15 x Healthcare Professionals, 38 x Patients, 2 x Carers / relatives, 3 x not stated

Extra information provided by this PSP

Original uncertainty examples

Why was it almost impossible to get through to an experienced nurse in the fracture clinic to find out management plan after being seen in minor injuries unit? ~ Why should I have to wait to be seen in the emergency department with a wrist fracture when I am in so much pain? ~ Does the quality of emotional care and reassurance they receive from health professionals they receive during these initial treatment phases correlate with long term functional outcome?

Submitted by

15 x Healthcare Professionals, 38 x Patients, 2 x Carers / relatives, 3 x not stated

PSP information
PSP unique ID	0093
PSP name	Broken Bones of the Upper Limb in People over 50 PSP
Total number of uncertainties identified by this PSP.	50 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	3 December 2018