Table 2 Question 1 - Should there be an investment of physical rehabilitation services in residential care for older people following hip fracture?
Verdict votes | Buts (common to both the yes and no groups) |
|---|---|
0 voted yes 0 voted no 11 voted ‘yes, but…’ 2 voted ‘no, but….’ | • There is need to invest in other options such as good advance health care planning, family education, ethical decision making and that surgery may not be the best option • There is need to invest in prevention to reduce falls/injuries • Transparent eligibility criteria are essential – not everyone should receive rehabilitation, for example people not walking prior to hip fracture • Training for residential care staff on how to promote independence • An opt out option of treatments should be available to everyone • Funding for residential care should reward functional gain, not dependency • The rehabilitation program provided should be flexible. For example, a strong psycho-social focus may be needed rather than a physical focus • Provide discharge summary to family member prior to return to residential care to assist with transition |