Knee Replacement Surgery Memo

A patient arrives at the hospital for their knee replacement surgery that has been scheduled for today. The patient is checked in at admitting and is called back to the pre-operative area by the nurse. The patient changes and the nursing staff begin to take the patient’s vital signs, review the patient’s history, draw blood for lab work and they let the patient know what to expect before, during and after surgery. The surgeon arrives and checks in with the patient, asks if they have any final questions before surgery and then leaves for the operating room to prepare. The patient is taken to the operating room, anesthesia is given, and the operation begins. The procedure goes smoothly and the patient is taken to the post-op area. When the patient comes out of the anesthesia, the surgeon

A total knee replacement (TKA) is the most common joint surgery performed in the United States (Turner, 2011, pp. 27-32). Each year, over 650,000 Americans undergo this surgery (Wittig-Wells, 2015, pp. 45-49). It is an invasive surgery that involves an incision on top of the knee and replacing damaged parts of the knee with artificial parts that are either metal, ceramic or plastic. Someone would get a total knee replacement for damage of the joint, osteoarthritic, posttraumatic, or inflammatory arthritis. The cartilage is damaged, wears away and then you develop bony deformity and contracture of ligaments but it starts out with specific defects or wear of cartilage. The top nursing priorities for a total knee arthroplasty is to “prevent complications, promote optimal mobility, alleviate pain, and provide information about diagnosis, prognosis, and treatment needs” (Doenges, 2014, pg. 627). A possible nursing diagnosis from the patient who is undergoing a TKA might be ‘impaired physical mobility related to pain and discomfort as evidenced by reluctance to attempt movement.’ Another one could be ‘acute pain related to chronic joint disease as evidenced by reports of pain’ (Vera, 2014).

Superior’s current policy of seven vacation days and five sick days a year for the employees is not ideal for emergencies and for an unscheduled occurrence that may require the employee to take a day off. The policy, as written right now, does not give Joan Jackson enough time to properly staff the areas when an employee calls the morning of shift and states he/ she cannot make it to work today. Right now, employees are using sick days to whatever his/ her need is that day, which is more than likely not in regards to the employee being sick. When an employee calls off the morning of work, without any prior knowledge, it will affect the entire company and will make it hard to cover that shift. Also, if more than one employee of that same

CP is a retired, 89-year-old male of upper-middle socioeconomic status. CP earned a degree in law to become an attorney. Prior to retirement he had 35 years of experience and his own practice. He had a right posterior hip replacement following a fall that fractured the right femoral neck. The fall occurred when he was walking from his home to the end of the driveway to throw away linens. Part of the linens slipped out from underneath the pile he was carrying, he stepped on it, fell and rolled down the driveway. He was taken to the hospital where he was to have a right hip replacement. The surgery went well, but he had to receive a blood transfusion. He has been transferred from the hospital and is currently at an inpatient rehabilitation center.

At the GNYRC-ACSM 2017 conference, there were two presenters that stood out to me the most. Dennis Cardone, a sports medicine physician, an orthopedic surgeon who discussed current research in regenerative medicine and osteoarthritis. Drew Marcos, Physical therapist, who discussed a practical way to analyze the pitching mechanics and the key moments in the movement of this overhead motion.

Oliver et al. (2014), exemplifies how some physicians may not be aware of their implicit bias that could be causing healthcare disparities. This study determines whether physicians’ implicit racial views of African Americans affect their decision making, regarding total knee replacement (TKR) as a treatment option for OA. They also assessed whether not, if the Racial Implicit Association test would impact TKR recommendations. In the study implicit bias was determined by the racial implicit association test (IAT) and explicit bias was tested using a questionnaire that asked physicians which race they preferred (black or white) using a 5-point Likert scale and 10-point thermometer scaled to grade physician’s feelings.

In Kindred Rehabilitation, the patient had a total knee replacement due to osteoarthritis. Osteoarthritis causes degenerative changes, within the joints causing bone stiffening and reactive inflammation. My patient was admitted on 10/21/11 with osteoarthritis and a left total knee replacement. Her PT and INR were a concern because she had developed mild thrombocytopenia which resulted in the elevation and potential bleeding. The physician had to take her off of Lovenox and switch her to an oral anti-coagulant Xarelto at 10mg once daily. During her care I was educated by the interdisciplinary teams managing mobility, safety, and the more

Total hip replacement is a surgical procedure to remove damaged bone in your hip joint and replace it with an artificial hip joint (prosthetic hip joint). The purpose of this surgery is to reduce pain and improve your hip function.

As for my family’s perspective, this is going to be mainly based on my mom’s friend’s perspective. His expectation of entering Walt Disney World Magic Kingdom was not to wait in extensively long lines, to be selected randomly to go through metal detectors, be detained for ten minutes, and then must explain his medical history because his hip replacement created the metal detector to be activated. His first encounter with Walt Disney World cast members created the term “moment of truth” and this first approach between him and the cast member security gave a negative effect on my mom’s friend. He was expecting a magical service experience, everything he has seen on television; however, he felt he did not receive this type of expectation,

If things are going well, Thursday and Friday I will stay until 2PM (Dr. appointment on Friday afternoon).

I will be on PTO next week Monday-Wednesday…My daughter is having a working interview with a dentist office in Macon Georgia where she will be living . We do have family there…she will be 45 minutes away from family in both North and South direction. I pray that everything works out for her. I will see you all on Thursday and don’t hesitate to call me if you need me. If you need something that I can’t handle by phone and you need a supervisor please reach out to Keri as she will be in the office until Wednesday of next week. Cynthia, I hope that you are feeling better and you will need to submit your PTO request for being out sick (Thursday and Friday of this week) to Keri. Keri will also need to sign off on the request and also submit

There was a girl named Quinley and the only thing she loved in life was basketball. She is 15 years old, but when she was 13 she started having problems with her hips. It was such a big problem that she had to have hip surgery. This was the worst thing that could have ever happened to her and it scared her because all she could think about was the bad things. Those bad things were that she might never be able to play basketball again.

The development of 3D printing has greatly impacted the medical field, more specifically knee replacements. With the new development of 3D printing, patients have experienced a shorter recovery time, less pain, and more mobility.

People undergo total knee replacement when arthritis or injury erodes the joint's natural cushioning to the point where it's hard to walk even short distances without severe pain.

Description: Orthopedic surgeons are experts in treating the conditions of the musculoskeletal system. Read about Indian orthopedic surgeons on Tour2India4Health.