Orthogenesis

Question 1

What are the key points for the ideal operative fracture journey?

Answer 1

Admission to orthopaedic ward within 4 hours
Surgery within 2 days
Minimise risk of pressure ulcer
Managed on orthopaedic ward
Assessment for need for anti-resorptive therapy
Multi-disciplinary assessment

Question 2

What is delirium?

Answer 2

Change in consciousness levels
Disordered thinking
Inattention
Fluctuating cognition

Question 3

How is delirium managed?

Answer 3

MANAGE:
Predisposing
Precipitating 
Propagating
Underlying cause
Non-pharmacological

Question 4

Who is most likely to get pressure ulcers?

Answer 4

Frail or malnourished patients
Failure to mobilise early
Delay to surgery

Question 5

How long does it take for pressure ulcers to develop?

Answer 5

30 minutes +

Question 6

When is analgesia needed?

Answer 6

On admission
X-ray
Pre-op
Post-op

Question 7

What side effect can opiates cause?

Answer 7

Drowsiness
Confusion
Constipation
Dizziness

Question 8

What can be prescribed if the patient is confused on morphine?

Answer 8

Oxycodone

Question 9

What is the pre-op analgesia of choice?

Answer 9

Local nerve blocks

Question 10

What is the post-op analgesia of choice?

Answer 10

Paracetamol >
Codeine >
Morphine or oxycodone