Rehabilitation after hip fracture in elderly: Proposal for a self-narration training

Author/s Paola Iannello, Federica Biassoni, Laura Bertola
Publishing Year 2018 Issue 2018/1
Language Italian Pages 12 P. 113-124 File size 234 KB
DOI 10.3280/RIP2018-001009
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Hip fracture is one of the most common health care problems among elderly people. Literature shows that hip fracture in the elderly has potentially significant negative consequences, which concern, beyond the physical and bodily dimen-sion, also the psychological one. The present contribution describes a self-narrative training - named Self-Narrative Journey (SNJ) - which consists of a semi-structured interview proposed to hospitalized elderly people during the in-hospital rehabilitation after hip fracture surgery. The SNJ aims to stimulate the self-narrative of the patient, helping him integrate the critical event of hip fracture into his autobiographical history and supporting him in the process of making sense of this traumatic event.

Keywords: Hip fracture, rehabilitation, self-narration, elderly.

  1. Allegrante, J.P., MacKenzie, C.R., Robbins, L., & Cornell, C. (1991). Hip fracture in older persons. Arthritis Care and Research, 4(1), 39-47.
  2. Antonietti, A., Confalonieri, E., & Marchetti, A. (Eds). (2014). Reflective thinking in educational settings: A cultural framework. New York, NY: Cambridge University Press.
  3. Archibald, G. (2003). Patients’ experiences of hip fracture. Journal of Advanced Nursing, 44(4), 385-392.
  4. Balzarotti, S., Biassoni, F., Villani, D., Prunas, A., & Velotti, P. (2016). Individual Differences in Cognitive Emotion Regulation: Implications for Subjective and Psychological Well-Being. Journal of Happiness Studies, 17(1), 125-143.
  5. Barangan, J.D. (1990). Factors that influence recovery from hip fracture during hospitalization. Orthopaedic Nursing, 9(5), 19-28.
  6. Biassoni, F., Ciceri, M.R., & Antoniotti, C. (2005). Artefatti narrativi [Narrative Artifacts]. In M.R. Ciceri (Ed.), Mente inter-attiva. Linguaggi e competenze. Torino, Italy: Omega Edizioni.
  7. Bruner, J. (1987). Life as narrative. Social Research, 54(1), 11–32
  8. Chang, K.P., Center, J.R., Nguyen, T.V., & Eismen, J.A. (2004). Incidence of hip and other osteoporotic fractures in elderly men and women: Dubbo Osteoporosis Epidemiology Study. Journal of Bone and Mineral Research, 19(4), 532-536. DOI: 10.1359/JBMR.040109
  9. Charon, R. (2008). Narrative Medicine Honoring the Stories of Illness. Oxford: Oxford University Press.
  10. Cepeda, M.S., Chapman, C.R., Miranda, N., Sanchez, R., Rodriguez, C.H., Restrepo, A.E., Ferrer, L.M., Linares, R.A., & Carr, D.B. (2008). Emotional disclosure through patient narrative may improve pain and well-being: results of a randomized controlled trial in patients with cancer pain. Journal of Pain Symptom Management, 35(6), 623-31.
  11. Conway, M.A. (2005). Memory and the self. Journal of Memory and Language, 53, 594–628.
  12. Fredman, L., Hawkes, W.G., Black, S., Bertrand, R.M., & Magaziner, J. (2006). Elderly patients with hip fracture with positive affect have better functional recovery over 2 years. Journal of American Geriatric Society, 54, 1074-1081.
  13. Fowles, D.C. (1980). The three arousal model: Implications of Gray's two-factor theory for heart rate eleetrodermalactivity, and psychopathy. Psychophysiology, 17, 87-104.
  14. Fried, L.P., Ferrucci, L., & Darer, J. (2004). Untangling the concept of disability frailty and comorbidity: implications for improved targeting and care. Journal of Gerontology Series A. Biological Medical Sciences, 59, 255-263.
  15. Givens, J.L., Sanft, T.B., & Marcantonio, E.R. (2008). Functional recovery after hip fracture: the combined effects of depressive symptoms cognitive impairment and delirium. Journal of American Geriatric Society, 56, 1075-1079.
  16. Horowitz, M.J. (1976). Stress response syndromes. New York: Jacob Aronson.
  17. Hunt, M.G., & Stein, C.H. (2004). Living life to the fullest: well elders’ views of hip fracture. Ageing International, 29(2), 178-198.
  18. Iannello, P., Biassoni, F., Bertola, L., Antonietti, A., Caserta, V.A., & Panella, L. (in press). Self-Narration Training: The Role of Autobiographical Story-Telling during Rehabilitation among Hip-Fracture Geriatric Patients. Europe’s Journal of Psychology, 14(2).
  19. Iolascon, G., Cervone, M., & Gimigliano, R. (2011). Neuropsychiatric disorders in hip fracture. Clinical Cases in Mineral Bone Metabolism, 8, 49-53.
  20. Ishizaki, T., Imanaka, Y., Oh, E., Kuwabara, K., Hirose, M., Hayashida, K., & Harada, Y. (2004). Association of hospital resource use with comorbidity status and patient age group among hip fracture patients in Japan. Health Policy, 69, 179-187.
  21. Johansen, A., Mansor, M., Beck, S., Mahoney, H., & Thomas, S. (2010). Outcome following hip fracture: post-discharge residence and long-term mortality. Age Ageing, 9(5), 653-656.
  22. Johnell, O., & Kanis, J.A. (2004). An estimate of worldwide prevalence mortality and disability associated with hip fracture. Osteoporosis International,15, 897-902.
  23. Koenig Kellas, J., Trees, A.R., Schrodt, P., LeClair- Underberg, C., & Willer, E.K. (2010). Exploring links between well-being and interactional sense-making in married couples' jointly told stories of stress. Journal of Family Communication, 10(3), 174-193. DOI: 10.1080/15267431.2010.489217
  24. Marks, R., Allegrante, J.P., Mackenzie, R.C., & Lane, J.M. (2003). Hip fractures among the elderly: causes consequences and control. Ageing Research Review, 2, 57-93. DOI: 10.1016/S1568-1637(02)00045-4
  25. McAdams, D.P. (1993). The stories we live by: Personal myths and the making of the self. New York: William Morrow.
  26. Monk, G. (1997). How narrative therapy works. In G. Monk, J. Winslade, K. Crocket, & D. Epston (Eds.), Narrative therapy in practice: The archaeology of hope (pp. 3-31). San Francisco: Jossey-Bass Publishers.
  27. Neimeyer, R.A., & Levitt, H.M. (2000). What’s narrative got to do with it? Construction and coherence in accounts of loss. In J.H. Harvey, & E.D. Miller (Eds.), Loss and trauma: General and close relationship perspectives (pp. 401-412). Philadelphia: Brunner-Routledge.
  28. Pennebaker, J.W. (1993). Putting stress into words: Health linguistic and therapeutic implications. Behaviour Research Therapy, 31(6), 539-548. DOI: 10.1016/0005-7967(93)90105-4
  29. Pennebaker, J.W. (1997). Opening up: The healing power of emotional expression. New York: Guilford.
  30. Pennebaker, J.W. (2004). Theories Therapies and Taxpayers: On the Complexities of the Expressive Writing Paradigm. Clinical Psychology: Science and Practice, 11(2), 138-142.
  31. Pretto, M., Spirig, R., Kaelin, R., Muri-John, V., Kressig, R.W., & Suhm, N. (2010). Outcomes of elderly hip fracture patients in the Swiss health-care system: a survey prior to the implementation of DRGs and prior to the implementation of a Geriatric Fracture Centre. Swiss Medical Weekly, 140 w13086.
  32. Ramirez-Esparza, N., & Pennebaker, J.W. (2006). Do good stories produce good health? Exploring words language and culture. Narrative Inquiry, 16, 211-219.
  33. Rebagliati, G.A.A., Sciumè, L., Iannello, P., Mottini, A., Antonietti, A., Caserta, V.A., Gattoronchieri, V., Panella, L., & Callegari, C. (2016). Frailty and resilience in an older population The role of resilience during rehabilitation after orthopedic surgery in geriatric patients with multiple comorbidities. Functional Neurology, 31(3), 171-177.
  34. Reginster, J.Y., Gillet, P., & Gosset, C. (2001). Secular increase in the incidence of hip fractures in Belgium between 1984 and 1996: need for a concerted public health strategy. Bulletin of the World Health Organization, 79, 942-946. DOI: 10.1590/S0042-96862001001000007
  35. Repper, J., & Perkins, R. (2003). Social inclusion and recovery: a model for mental health practice. London: Bailliere Tindall.
  36. Ricoeur, P. (1991). From text to action Essays in hermeneutics. II Evanston IL: North-Western University Press.
  37. Riva, S., Monti, M., Iannello, P., Pravettoni, G., Schulz, P.J., & Antonietti, A. (2014). A preliminary mixed-method investigation of trust and hidden signals in medical consultations. PLosONE, 9(3), e90941.
  38. Riva, S., Iannello, P., Antonietti, A., & Pravettoni, G. (2015). What are judgment skills in health literacy? A psycho-cognitive prospective from Judgment and Decision Making (JDM) research. Patient Preference and Adherence, 9, 1677-1686.
  39. Roberts, G., & Wolfson, P. (2006). New directions in rehabilitation: learning from the recovery movement In G. Roberts, S. Davenport, F. Holloway, T. Tatton (Eds.), Enabling recovery: the principles and practice of rehabilitation psychiatry. London: Gaskell.
  40. Sales, J.M., & Fivush, R. (2005) Social and emotional functions of mother-child conversations about stressful events. Social Cognition, 23(1), 70-90.
  41. Schafer, R. (1992). Retelling a Life: Narration and Dialogue in Psychoanalysis. New York (NY): Basic Books.
  42. Schurch, M.A., Rizzoli, R., Mermillod, B., Vasey, H., Michel, J.P., & Bonjour, J.P. (1996). A prospective study on socioeconomic aspects of fracture of the proximal femur. Journal of Bone and Mineral Research, 11(12), 1935-1942.
  43. Sciumè, L., Rebagliati, G.A.A., Iannello, P., Mottini, A., Antonietti, A., Caserta, A.V., Gattoronchieri, V., & Panella, L. (2017). Rehabilitation after urgent or elective orthopedic surgery: The role of resiliesnce in elderly patients. Rehabilitation Nursing Journal, Volume Publish Ahead of Print, August 14.
  44. Silver, R.L., Boon, C., & Stones, M. H. (1983). Searching for meaning in misfortune: Making sense of incest. Journal of Social Issues, 39, 81-102.
  45. Smorti, A., Pananti, B., & Rizzo, A. (2010). Autobiography as tool to improve lifestyle well -being and self-narrative in patients with mental disorders. The Journal of Nervous and Mental Disease, 198(8), 564-571.
  46. Spence, D.P. (1982). Narrative Truth and Historical Method. New York NY: Norton Company
  47. Syrjala, J., Takala, T., & Sintonen, T. (2009). Narratives as a tool to study personnel wellbeing in corporate mergers. Qualitative Research, 9(3), 263-284. DOI: 10.1177/1468794109105031
  48. Thomas, C., Reeve, J., Bingley, A., Brown, J., Payne, S., & Lynch, T. (2009). Narrative Research Methods in Palliative Care Contexts: Two Case Studies. Journal of Pain Symptom Management, 37(5), 788-796.
  49. Trees, A.R., & Koenig Kellas, J. (2009). Telling tales: Enacting family relationships in joint storytelling about difficult family experiences. Western Journal of Communication, 73, 91-11. DOI: 10.1080/10570310802635021
  50. White, M. (1990). Narrative means to therapeutic ends. New York NY: W Norton Company.
  51. White, M. (2007). Maps of narrative practice. New York NY: W Norton Company.
  52. Ziden, L., Wenestam, C.G., & Hannsson-Scherman, M. (2008). A life-breaking event: early experiences of the consequences of a hip fracture for elderly people. Clinical Rehabilitation, 22, 801-811. DOI: 10.1177/0269215508090204
  53. Zimmerman, S.I., Smith, D.H., Gruber-Baldini, A., & Fox, K.M. (1999). Short-term persistent depression following hip fracture: A risk factor and target to increase resilience in elderly people. Social Work Research, 23, 187-196.

Paola Iannello, Federica Biassoni, Laura Bertola, La riabilitazione dell’anziano con frattura di femore: proposta di un percorso di auto-narrazione in "RICERCHE DI PSICOLOGIA " 1/2018, pp 113-124, DOI: 10.3280/RIP2018-001009