Using nurse-led liaison to prevent further fractures

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Abstract

Nurse-led fracture liaison services help patients who have had one fracture avoid another one but fewer than 40% of hospitals in England offer this service

In this article…

» Definition of secondary fracture prevention

» How a nurse-led fracture liaison service works

» Advising patients who have had a fracture

Fraser M (2014) Using nurse-led liaison to prevent further fractures. Nursing Times; 110: 27, 12–14.

Osteoporosis-related fractures are common and associated with substantial morbidity and mortality. Having one such fracture at least doubles the risk of experiencing another.

Nurse-led assessment of future fracture risk and of any underlying osteoporosis can ensure treatment is offered to reduce the risk of another fracture. However, many hospitals do not offer a fracture liaison service, although evidence shows these services deliver high-quality care in a systematic way and are cost effective.

In Glasgow, hip fracture rates have fallen over a decade since a fracture liaison service, was introduced while fracture rates have risen elsewhere. Nurses working in hospitals that do not have secondary prevention services should advise patients to seek these through their GP.

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