NICE Guidelines for NOF management

Question 1

When should surgery occur following NOF?

Answer 1

Surgery should occur either the day of, or the day after admission.

Question 2

Surgery can be delayed by co-morbidities - can you list some examples

Answer 2

• anaemia
• anticoagulation
• volume depletion
• electrolyte imbalance
• uncontrolled diabetes
• uncontrolled heart failure
• correctable cardiac arrhythmia or ischaemia
• acute chest infection
• exacerbation of chronic chest conditions.

Question 3

At what point should patients be offered Physiotherapy management?

Answer 3

Day 1 post op

Question 4

How often should people be mobilised post op?

Answer 4

At least once a day and have regular Physiotherapy review

Question 5

When considering Early Supported Discharge, what criteria are you considering in relations to the guidelines.

Answer 5

Patients should be
1. medically stable
2. Have the mental ability to participate in ongoing rehab and hip fracture management
3. Able to transfer and mobilise short distances
4. Has not achieved full rehab potential, as discussed with person, family, carer