|
Orthopaedic Nursing
Journal Prestige (SJR): 0.237  Number of Followers: 13  Hybrid journal (It can contain Open Access articles)ISSN (Print) 0744-6020 - ISSN (Online) 1542-538X Published by LWW Wolters Kluwer  [330 journals]
|
- Empowering Orthopaedic Nurses Through Foundation Contributions
-
Free pre-print version: Loading...
Authors: Mains; Cheryl
Abstract:
No abstract available
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- Being Grateful ...
-
Free pre-print version: Loading...
Abstract:
No abstract available
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative
Optimization: Substance Use-
Free pre-print version: Loading...
Authors: Kebeh; Martha; Dlott, Chloe C.; Kurek, Donna; Morris, Jensa C.; Wiznia, Daniel H.
Abstract:
Substance use is one of the most common risk factors contributing to complications following total joint arthroplasty. Preoperative optimization programs can help patients modify or stop substance use. The purpose of this study was to provide recommendations and resources that will help nurse navigators standardize and improve preoperative optimization protocols regarding substance use. In a semistructured format, we asked nurse navigators how smoking, alcohol use, and opioid use were addressed. We conducted a literature review and combined findings with nurse navigator reports to create practice recommendations. We recommend consistently referring patients who smoke to smoking cessation programs; using validated screening tools to evaluate alcohol use and involving internists in caring for patients at risk for withdrawal; and involving pain specialists and local resources to assist patients who use opioids. There is a breadth of resources for managing substance use that nurse navigators can utilize to support stronger and more consistent preoperative optimization protocols.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- NCPD Tests: Orthopaedic Nurse Navigators and Total Joint Arthroplasty
Preoperative Optimization: Substance Use-
Free pre-print version: Loading...
Abstract:
No abstract available
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- Subspecialty Clinic Scheduling for Emergency Room Follow-ups: A Focus on
Provider Satisfaction-
Free pre-print version: Loading...
Authors: Eldridge; Leigha; Kujath, Amber S.
Abstract:
Inaccurate patient scheduling disrupts the continuity of care between patient and provider, diminishing satisfaction. One clinic had 19% of patients scheduled incorrectly after follow-up from emergency room visits. The purpose of this project was to reduce the number of incorrectly scheduled patients following up from emergency room visits that required orthopaedic consultations from advanced practice providers (APPs) and monitor the impact the change process had on APP job satisfaction. The design was nonexperimental, did not have a control group for comparison, and used standardized electronic health record documentation. A pretest and posttest design was used for the job satisfaction survey. Postimplementation data showed patients were correctly scheduled 97% of the time. Provider satisfaction improved from 2.375 to 3.125 on a 0- to 5-point scale as it pertains to clinic scheduling. Organizations can benefit from the use of standardized communication documentation to ensure proper follow-up for patients, improve continuity of care, and positively impact provider satisfaction.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- Effect of Video-Assisted Isometric Strengthening Exercise Program on Pain
and Muscle Strength Poststabilization of Lower Limb Fracture-
Free pre-print version: Loading...
Authors: Lee; Wan Ling; Ramanathan, Shanthi; Danaee, Mahmoud; Zaini, Noor Hanita; Ramoo, Vimala
Abstract:
The benefits of isometric strengthening exercises (ISEs) are compromised when patient teaching on ISEs is delayed and/or ineffectively delivered due to healthcare resources constraint, especially when health resources are stretched, as occurred during the COVID-19 pandemic. This study aims to examine the effect of a video-assisted ISE program on pain and muscle strength of patients following surgical stabilization of lower limb fracture. A quasi-experimental study with repeated measures was employed. Primary study outcomes were assessed using the Brief Pain Inventory and Manual Muscle Test. Effects over time were analyzed using generalized estimating equations. In comparison with usual care group (n = 32), the intervention group (n = 33) showed better pain reduction over time (p < .001, effect size [ES] = 0.39–1.77) and muscle strength preservation (p < .05; ES = 0.8–0.9). Patient acceptance of the intervention was favorable. Integration of video clips into patient teaching on ISEs is potentially beneficial in managing pain and muscle strength; it can be easily deployed to aid early ISE initiation.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- Blood Management for the Orthopaedic Surgical Patient
-
Free pre-print version: Loading...
Authors: Smyke; Norman A. Jr.; Sedlak, Carol A.
Abstract:
Prevention and management of anemia and blood loss in the orthopaedic patient undergoing surgery is a major concern for healthcare providers and patients. Although transfusion technology can be lifesaving, there are risks to blood products that have led to increased awareness of blood management and development of hospital patient blood management programs. Use of patient blood management can be effective in addressing preoperative anemia, a major modifiable risk factor in patients undergoing surgery. In this informational article, evidence-based practice guidelines for perioperative blood management are addressed. A case scenario is introduced focusing on a patient whose religious preference is Jehovah's Witness having “no blood wishes” undergoing elective orthopaedic surgery. Orthopaedic nurses can facilitate optimal patient blood management through multidisciplinary collaboration.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- NCPD Tests: Blood Management for the Orthopaedic Surgical Patient
-
Free pre-print version: Loading...
Abstract:
No abstract available
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- Near-Optimal Recovery Within 3 Months: Investigating Health-Related
Quality of Life and Functional Outcomes After Single-Stage Bilateral Hip
Replacement for Osteoarthritis-
Free pre-print version: Loading...
Authors: Strijbos; Daniël O.; Boymans, Tim A. E. J.; Bimmel, Richard
Abstract:
Single-stage bilateral hip replacement (SSBHR) is a safe and successful orthopaedic intervention for patients suffering from bilateral osteoarthritis of the hip. Data on short- and mid-term recovery outcome studies are, unfortunately, scarce. The purpose of this study was to investigate the change in the functional measures and quality of life after SSBHR and to determine the patient's willingness to undergo the same procedure again. Data were prospectively collected and analyzed from patients with bilateral symptomatic hip osteoarthritis who underwent SSBHR from January 2019 until December 2020. Patients were excluded only if they failed to sign an informed consent or were unable to fill out questionnaires due to language or cognitive problems. Preoperatively and 3 and 12 months after surgery, health-related quality of life (HRQOL) and physical functioning were measured. Twelve months after surgery, patient satisfaction (willingness to undergo the same procedure again) was obtained. Complications, blood loss, and length of stay (LOS) were abstracted from the clinical notes and the electronic patient files. Patients improved significantly on all domains of HRQOL (16.0%–59.7%) and physical functioning (14.7%–15.8%) 3 months after surgery in comparison with preoperatively. No improvement was reported on HRQOL and physical functioning, except the Timed Up and Go score (14.1%), at 12 months after surgery in comparison with 3 months. No major or minor complications were found, and LOS was 2.9 days on average. One year after the surgery, all patients expressed satisfaction as suggested by their willingness to undergo the same surgical procedure again. Our study demonstrates that SSBHR offers a rapid recovery time and significant improvements in both functional status and HRQOL within 3 months after surgery. These findings can inform healthcare professionals and patients, suggesting that SSBHR is a viable treatment option for patients with bilateral hip osteoarthritis. Further research, including multicenter randomized controlled trials, is recommended to compare the recovery outcomes of SSBHR with two-stage bilateral hip replacement and confirm our findings.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- Better Before—Better After: A Qualitative Phenomenology Study of Older
Adults' Experiences With Prehabilitation Before Total Hip Replacement-
Free pre-print version: Loading...
Authors: Halsen; Katrine; Svinøy, Odd Einar; Hilde, Gunvor; Langhammer, Birgitta
Abstract:
Total hip replacement is considered a successful intervention for pain relief and improved function. However, poor presurgery physical function may increase the likelihood of delayed postsurgery recovery. The purpose of this study was to describe community-dwelling older adults' experiences with a prehabilitation program (preoperative exercise) before total hip replacement. Four participants were interviewed 13 and 15 weeks postsurgery. The interviews were recorded, transcribed, and analyzed with systematic text condensation. Physical, mental, and social limitations were, to a higher or lesser degree, part of the participants' life presurgery. The results indicate that tailored close supervised training presurgery increased the participants' amount of and adherence to exercise, confidence, and sense of control. The participants had a positive experience of increased strength during the training period and gained motivation to perform progressive training. The exercise program helped the participants be physically and mentally prepared. The results indicate that close supervised prehabilitation in community-dwelling older adults undergoing total hip replacement can contribute to improved function and increase the level of activity and self-efficacy postsurgery.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- NCPD Tests: Better Before—Better After: A Qualitative Phenomenology
Study of Older Adults' Experiences With Prehabilitation Before Total Hip
Replacement-
Free pre-print version: Loading...
Abstract:
No abstract available
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- Osteochondroma of Tibia
-
Free pre-print version: Loading...
Authors: Graham; Patrick
Abstract:
No abstract available
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- NCPD Tests: Osteochondroma of Tibia
-
Free pre-print version: Loading...
Abstract:
No abstract available
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- Two Strong Women
-
Free pre-print version: Loading...
Authors: Carlson; Elizabeth Ann
Abstract: No abstract available
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
- NAON Announcements
-
Free pre-print version: Loading...
Abstract: No abstract available
PubDate: Wed, 01 Nov 2023 00:00:00 GMT-
-
