Priority 9 from the Broken Bones of the Upper Limb in People over 50

UNCERTAINTY: What is the best way of treating people over 50 who are at risk of developing psychological issues following an upper limb fracture?  (JLA PSP Priority 9)
Overall ranking 9
JLA question ID 0093/9
Explanatory note Breaking a bone in the arm can lead to a patient developing psychological issues such as fear of falling. This question looks to determine what is the best way to manage these issues throughout a patient's treatment.

Visser, E., et al.; The course, prediction and treatment of acute and post-traumatic stress in trauma patients: A systematic review. Journal of Trauma and Acute Care Surgery. 2017:82(6):1 

Goudie. S., Dixon, D., McMillan, G., et al.; Is Use of a Psychological Workbook Associated With Improved Disabilities of the Arm, Shoulder and Hand Scores in Patients With Distal Radius Fracture? Clin Orthop Relat Res. 2018 Apr;476(4):832-845

Health Research Classification System category  Injuries and Accidents
Extra information provided by this PSP
Original uncertainty examples How do you reduce fear of falling? ~ What can be done to reduce psychological trauma in the early stages of a fracture by staff? ~ What other support is out there i.e psychological ~ How can I regain my confidence?
Submitted by  5 x Healthcare Professionals, 11 x Patients, 3 x Carers /relatives, 2 x Not stated
PSP information
PSP unique ID 0093
PSP name Broken Bones of the Upper Limb in People over 50 PSP
Total number of uncertainties identified by this PSP. 50  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 3 December 2018