Doktorander/Utbildningsplats
Sahlgrenska akademin vid Göteborgs universitet / Apotekarjobb / Göteborg
2011-04-06
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Person centred care after an acute vertebral compression fracture
Description of the research project
In Sweden and most other countries, the standard treatment after an acute VCF is mobilization as early as possible after the fracture, and usually combined with pain and anti-osteoporotic medications. The patients are sent home however usually with no treatment plan, insufficient pain relief, no organised support and scarce or no follow up. The recent reports of an effect of vertebroplasty similar to placebo have suddenly made this promising invasive alternative more or less obsolete for the treatment of VCF.
OBJECTIVES
The main objective of this project is to compare the effects of a PCC rehabilitation program and standard-care rehabilitation after an acute vertebral compression fracture (VCF) on pain, pain-induced inactivity/disability and QoL. Secondary objectives are to compare the effects of the two programs on bone mineral losses in order to reduce the risks of new VCF and subsequent deterioration and if the PCC rehabilitation will reduce the need of home care and in such a way also the costs for such a care.
EXPECTED RESULTS
In comparison with "Standard rehabilitation" of the VCF patient the PCC rehabilitation will:
• reduce the patient's pain and disability
This will be obtained especially through the continuous, and when necessary modification of analgesics based on the daily pain reports in the diary. The initial and repeat information to the patient of the course of VCF and close and more or less daily contact, support and assistance with and by the study nurse (SN), study physiotherapist (SPT) and the informed and educated home service personnel will hopefully help the patient to better curb and mastered the pain and make it more bearable.
• increase the patient's physical activity
A combination of advice, positive support, control, feedback, awareness of the necessity, realistic and verifiable goals (step count and trunk motion) of physical activity and optimal pain treatment will make the PCC patient more physically active.
• improve and restore the patient's autonomy and in this way her/his QoL.
Less pain, better or normalized physical ability will reduce the patient's dependency which all factors that to a great extent decide a human being's quality of life.
• prevent, minimize or restore bone mineral losses (disuse osteoporosis).
Less pain and disability and increased physical activity, motions and training will counteract the development of disuse osteoporosis and by that reduce the risk of new VCF.
• lower the risks for depressed mode, fear of motion and falling accidents
These will be occurring as a result of most parts included in the PCC concept.
• reduce the societal costs especially for home care services
Desired background
The project is a clinical project that will take place in the hospital, primary and community care contexts. The candidate therefore optimally has a clinical background as a RN/district nurse.
Publiceringsdatum2011-04-06Arbetstider och omfattningVisstidsanställning 6 månader eller längre
Heltid
ErsättningSå ansöker duSista dag att ansöka är 2011-04-27
For more information about the project, please contact main supervisor Lars-Eric Olsson, Institute of Health and Care Sciences, e-mail:
lars-eric.olsson@gu.seAnge följande referens när du ansöker: "U 2011/160"
Ansökan kan tyvärr inte göras via e-post.
FöretagSahlgrenska akademin vid Göteborgs universitet
AdressSahlgrenska akademin vid Göteborgs universitet
Box 400
40530 GÖTEBORG
KontorsadressMedicinaregatan 3
KontaktuppgifterTelefonnummer: 031-7860000
Jobbnummer 897025
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