Priority 9 from the Broken Bones of the Upper Limb in People over 50
| UNCERTAINTY: What is the best way of treating people over 50 who are at risk of developing psychological issues following an upper limb fracture? (JLA PSP Priority 9) | |
|---|---|
| Overall ranking | 9 |
| JLA question ID | 0093/9 |
| Explanatory note | Breaking a bone in the arm can lead to a patient developing psychological issues such as fear of falling. This question looks to determine what is the best way to manage these issues throughout a patient's treatment. |
| Evidence |
Visser, E., et al.; The course, prediction and treatment of acute and post-traumatic stress in trauma patients: A systematic review. Journal of Trauma and Acute Care Surgery. 2017:82(6):1 Goudie. S., Dixon, D., McMillan, G., et al.; Is Use of a Psychological Workbook Associated With Improved Disabilities of the Arm, Shoulder and Hand Scores in Patients With Distal Radius Fracture? Clin Orthop Relat Res. 2018 Apr;476(4):832-845 |
| Health Research Classification System category | Injuries and Accidents |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples | How do you reduce fear of falling? ~ What can be done to reduce psychological trauma in the early stages of a fracture by staff? ~ What other support is out there i.e psychological ~ How can I regain my confidence? |
| Submitted by | 5 x Healthcare Professionals, 11 x Patients, 3 x Carers /relatives, 2 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 |