Total Knee Replacement Essay

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).

Osteoarthritis (OA) is a degenerative joint disease, highly prevalent in African Americans. African Americans men are 3 times more likely then Caucasians men to have involvement of all three compartments of the knee (Jordan, 2015). Total Knee Replacement (TKR) is a cost-effective treatment. Nonetheless, TKR rates are lower in African Americans.

The agenda was quite clear that during their observations the recovery showed needs were decreased according to age and BMI. They stated older patients were in need of more assistance and longer stay in the hospital as opposed to younger adults. I found it interesting that they saw patients with bilateral knees had decreased needs and that unilateral were in need of more assistance before discharge. Managing pain was their first priority during research and rehabilitation, followed by instructing care of their own surgical wound. The aim of this study was to actively reinforce assessment and management after this procedure and giving guidance to those in health care.

In addition, regression analysis was used to determine independent variable among age, BMI, grip strength, sex and K/L grade for knee pain. The result indicated that the most significant variable was BMI correlated with the occurrence of knee pain. ORs of BMI (+5 kg/m2) was 1.54 and the risk was 0.60 which was significant. This implied that the ORs of K/L grade for knee pain can be overestimated due to the possibility of extremely low risk of K/L grade. In fact, the percentage of participants who suffered from knee pain with K/L (grade 2) and K/L (grade 3 and 4) was just 61.0% and 71.0% respectively. In other words, it will be about 40% of participants with K/L grade 2 and about a third of subjects with K/L grade 3 and 4 had no pain at the knee joint at follow-up.

I will be taking sick leave tomorrow, Monday, January 9, 2017, so I can pick-up my mother from the hospital in Winchester, VA. She had knee replacement surgery this past Thursday and she is scheduled to be released around noon tomorrow. I also need to get her prescriptions filled, so it will be a full day.

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.

Outcome measures: Pain will be assessed with Numeric Pain Rating Scale (NPRS), functional performance will be assessed with Kujala score, Patellofemoral Disability Index (PDI), and Lateral Step-up Test. Palpation meter (PALM) Inclinometer will be used to measure pelvic tilt angle, and the Baseline Bubble Inclinometer will be used to measure hip internal, external rotation and adduction. Global Rating of Change Scales (GROC) will be used to assess the overall

late postoperative phase71: The frequency of treatment in this phase (weeks 6 to 8) is the based on the remaining impairment, the important point in this frame is quadriceps index greater than 80%, optimal full knee ROM and the normal gait pattern with the less effusion. This indicator (80%) shows a minimal deficit in strength and also use the cut off the NMES to augment quadriceps

A total hip replacement is when the ball of the hip joint (which is also known as the femoral head) and the socket ( also known as the acetabulum) are removed and replaced with prosthetic part. Most people who have this procedure suffer from either sever hip fracture, they were born with a hip condition, or they suffer from an acute chronic arthritis(Stuart Fischer md,2010). The most common reason for a total hip replacement is a form of arthritis(osteoarthritis). Patient have this surgery to relive chronic pain they are suffering from. Someone who is suffering from a damage or a disease joint will be in constant pain(Stuart Fischer md, 2010).

As a new graduate working on the Medical/Surgical floor the use of a Continuous Passive Motion Machines (CPM) in post total knee arthroplasty (TKA) patients was essential. Seasoned nurses drilled onto graduate nurses that the patient had to wear the CPM for a minimum of eight hours per day. As a new nurse, I did not question the why, nor did I ask if there was data supporting the importance of using CPM machines.

Total hip arthroplasty (THA), commonly known as hip replacement, is a reconstructive orthopedic procedure that involves the surgical excision of the head and proximal neck of the femur and removal of the acetabular cartilage and subchondral bone(A). The damaged joint is replaced with an implant that mimics the motion of the natural joint and is made from combinations of metal, plastic and/or ceramic components(D).

Osteoarthritis is the most common joint disorder, and more than half of all Americans who are older than 65 have been diagnosed with osteoarthritis. However, recent US data has revealed knee osteoarthritis does not discriminate age, and there is growing evidence that osteoarthritis affects individuals at a young age. The annual cost of osteoarthritis due to treatment and loss of productivity in the US is estimated to be more than 65 billion dollars.1 With no cure currently available for osteoarthritis, current treatments focus on management of symptoms. The primary goals of therapy include improved joint function, pain relief, and increased joint stability. Although the exact cause of osteoarthritis is unknown, many risk factors have been identified including increased age, female gender, obesity, and trauma.2 Within these risk factors, the etiology of osteoarthritis has been divided into anatomy, body mass, and gender.

The most common indication for total knee replacement is osteoarthritis, or degenerative joint disease. The end stage of osteoarthritis is wearing out of cartilage (smooth, gliding bone ends) resulting in bone-to-bone contact in diseased joints. It is progressive and becomes increasingly painful as the cartilage erodes. Younger people who get knee replacements have damaged their joints by trauma (accidents that destroy joint surfaces), infection, cancer or tumor, and inflammatory conditions such as rheumatoid arthritis.

DN is a 68 year old Caucasian male who lives in Pomona, Missouri. On September 14, 2009, DN underwent a scheduled left total knee arthroplasty at Baxter County Regional Medical Center. A consultation appointment about a total knee arthroplasty was scheduled when DN had increasing pain in his knees while doing chores and working on his dairy farm. The increasing pain DN was having been due to a history of osteoarthritis and the wear-and-tear on his joints throughout his life, no specific injury was noted. Depending on the outcome of the left knee, DN was consulted on having his right knee done in the future