When we question our usual practice, innovation happens. The Hip Fracture Model of Care was created because one Toronto nurse questioned “Why aren’t my patients with dementia and delirium eligible for rehab services?” She challenged the notion that persons with dementia can’t participate in rehabilitation because of their poor memory; she knew patients with acquired brain injury also had trouble with memory and they were deemed appropriate for rehabilitation. As a result, a new model of care was developed for persons who have been living with dementia at home prior to their hip fracture and was implemented by 35 hospitals in the Greater Toronto Area. They demonstrated that persons with dementia were able to return home after rehabilitation avoiding premature institutionalization. Chatham-Kent Health Alliance’s in-patient Rehabilitation and Surgical units have adopted this new model of care for persons with hip fractures and it is further challenging what was believed possible.
What in your practice has become routine?
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