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JRPMS Vol 5, No 1, March 2021, p.29-34

doi: 10.22540/JRPMS-05-029


Review Article

Advanced Nursing Practice in Orthogeriatrics

Anastasia Margioula1,2, Stavroula Rizou2,3

  1. Department of Anesthesiology, KAT Hospital, Athens, Greece
  2. Postgraduate Program “Metabolic Bone Diseases”, Medical School, National and Kapodistrian University of Athens, Athens, Greece
  3. Hellenic Osteoporosis Foundation, Athens, Greece

Keywords: Advanced nursing practice, Fracture, Older adults, Orthogeriatric


In the last few decades, all the countries aim to combine the improvement of the quality of health care with the reduction of health costs. In order to harmonize the above-mentioned contradictory goals, newly enhanced roles, as in the case of Advanced Nursing Practice, have been introduced, initially in the private sector and more recently in the public hospital setting. The orthogeriatric advanced nursing practitioners’ role is valuable for providing pain relief, diagnosing and treating postoperative delirium, deep vein thrombosis, and secondary infections, preventing subsequent injuries and pressure sores, helping patients deal with postoperative constipation, and assist them in early mobilizing. After patients’ discharge from the hospital, their role is essential for ensuring the patients are adhering to their osteoporotic treatment and have the adequate skills to prevent falls. Their role is significant for older adults living in nursing homes or long-term care facilities. Their care is cost-effective compared to regular care.