FFN Resources

The Four Pillars Of The Global Call To Action

The foundation of FFN activities comprises the four ‘Pillars’ of activity each of which includes an orthogeriatric 
 approach that addresses the patient frailty as well as the fracture management
The Global Call to Action comprises four ‘Pillars’ of activity:
  • Pillar 1: Acute care

    Multidisciplinary care of the acute fracture episode
  • Pillar 2: Rehabilitiation

    Excellent rehabilitation to recover function, independence and quality of life, starting immediately.
  • Pillar 3: Secondary prevention

    Comprehensive secondary prevention after every fragility fracture, addressing falls risk as well as bone health
  • Pillar 4: Policy

    Formation of multidisciplinary national alliances to promote policy change that enables the above three

To implement the Global Call to Action where you work, we encourage you to read the 
FFN Clinical and Policy Toolkits.

Global Call to Action

The Global Call to Action on Fragility Fractures was published in 2018.

If you would like to turn the Call to Action into Actual Action in your country, a first step is to read the FFN Clinical Toolkit (Pillars 1-3) and the FFN Policy Toolkit (Pillar 4).

Clinical Toolkit

The Clinical Toolkit was published in 2020.

The purpose of the Clinical Toolkit is to support colleagues throughout the world to deliver the three clinical pillars of the Global Call to Action on Fragility Fractures.

Policy Toolkit

The Policy Toolkit was published in 2020.

The purpose of the Policy Toolkit is to support colleagues to advocate for the policy changes that are needed to bring about widespread uptake of best clinical practice.

Clinical Publications

FFN has developed a number of books that identify evidence based clinical practice that can be used by clinicians and healthcare organizations to improve their clinical pathways and care for fragility fracture patients.

Orthogeriatric text book

A text book that provides information on Orthogeriatrics is available at no cost.

The Management of Older Patients with Fragility Fractures

Interdisciplinary nutritional management

A text book on the nutritional management of patients with fragility fracture is available at no cost.

Interdisciplinary Nutritional Management and Care for Older Adults: An Evidence-Based Practical Guide for Nurses

Fragility Fracture Nursing

A text book on the nursing management of fragility fracture patients is available at no cost.

Fragility Fracture and Orthogeriatric Nursing: Holistic Care and Management of the Fragility Fracture and Orthogeriatric Patient

Caring After a Fracture (CARE)

Educational web series for carers of patients with fragility fractures

This educational series consists of 13 animated and interactive modules, covering all critical aspects of the fragility fracture care pathway:

-Family caregivers: role and psycho-social needs

-Osteoporosis as the cause of fragility fracture

-Frailty and sarcopenia

-Secondary prevention: falls, adherence to antiosteoporosis treatment, and the importance of calcium and vitamin D supplementation

-Nutrition and hydration

-Notions of hygiene

-Supporting mobilisation after hip fracture

-Mobility and exercises

-Skincare and pressure injury prevention

-Supporting fracture patients with cognitive impairment

-Effective communication with the fractured patient

-Management of stress

-Caregiving and Care: an anthropological perspective

Click here to register and access the modules of the CARE project!


Interprofessional Educational Project (INTERFACE)

This Educational Web Series is based on the chapters of the book Orthogeriatrics – Second Edition, it focuses on the multidisciplinary management of older patients with fragility fractures and includes 3 interactive modules:
– Nutrition
– Frailty and Sarcopenia
– Rehabilitation

Click here to register and access the modules of the INTERFACE project!


FFN Orthogeriatric Framework

FFN has developed a visual model that represents "Orthogeriatric Care" for patients who have sustained a fragility fracture that results in them being admitted to hospital and requiring surgery. The model highlights the components of care required in orthogeriatric care and can be used by clinical leaders and organizations to identify how they can improve patient care.   
Click here to view the FFN Orthogeriatric Care Model!


Guide to Formation of a National Fragility Fracture Network

Change in health care occurs at a national level and FFN works with activists who have a mission to improve care within their country. Through its network of experts FFN provides support in networking and sharing of evidence and implementation of solutions to increase uptake of best practices. 


FFN has created a Guide to National FFNs to assist activists interested in setting up their own FFN that identifies that steps required to implement it successfully. 


Access the Guide to Formation of nFFNs here
or view the 7 Steps to Developing a national FFN here!


Additional resources

FFN continues to work with the experts to make available resources and tools to help implement evidence-based practice for fragility fracture patients. These tools are created for FFN as well as shared with FFN by experts around the world. We share research publications, where appropriate, as well as documents created at a national level and operational tools and resources that are being used to improve care at an organizational level. 
These resources can be found on our Special Interest Group pages as well as in our membership section. Membership is free and can be accessed through the Join FFN link below:


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