On Tuesday February 2, 2016, The Wall Street Journal published an article by Lucette Lagnado titled, “Same-Day Hip Replacement.” Lagnado discusses how a new orthopedic surgical table allows surgeons to move patient’s legs for an anterior hip replacement. Rather than doing a traditional incision on the backside of a patient for a hip surgery, this table allows surgeons to do incision in the front. This method is not only a faster process for the surgeons, but it is also benefiting patients tremendously. In the past when patients had to get a hip replacement, they were obligated to stay in the hospital for two weeks and their recovery period would take months. A 23-year nursing veteran, Ms. Blot stated, “the world has changed. They used to
... disparity. Our study reports epidemiological results from a single cohort. The clinical significance of these results can be improved by a prospective study comparing total hip arthroplasty and metal-on-metal hip resurfacing. The present project was limited to hip resurfacing arthroplasty but we emphasis that future studies should include a control group.
Hip implants have been utilized even longer than metal-on-plastic implants. Metal-on-Metal bearings (cobalt chromium alloy, titanium alloy or from time to time stainless steel) were in use from as distant back as 1955 nevertheless they were not agreed for use in the U.S. by the FDA till 1999. They proposal the possible for considerably decreased wear, alongside less inflammation and less bone loss. A little mechanism recalls have held negative attention to Metal-on-Metal. Metal-on-metal constituents permit the biggest heads across the whole scope of implant sizes. Colossal ball heads furnish increased scope of gesture and larger stability, that can considerably cut the chance of hip dislocation, a critical factor in the long word accomplishment of an implant.
The idea of having an amputated limb and being able to receive a prosthetic limb within a few short hours is still a dream in today’s world. Scientists and researchers have made huge leaps and bounds in recent years, but prosthetic limbs have been around for decades. The oldest ever found was in Cairo, Egypt in the year 2000. It was a prosthetic toe made of leather and wood from 3000 years ago (Clements, 2008). This limb showed us that for the most part prosthetics have not changed a whole lot, but how they are made has improved. Prosthetic limbs can now be designed by using CAD/CAM, computer aided design and manufacturing. They can speed up the process it takes to make the limbs for patients. Clinical use of this process is still slow to get going in a lot of states and the world. The most important part of the prosthetic limb to the patient is not whether the limbs functionality is better, but the comfort of the socket. The socket is where the residual limb will reside in the actual prosthetic limb. When the handmade casts are used, it is hard to make a socket that will work well for the patient because it is hard to make an exact replica of the limb. That is why more funding needs to go to places that will teach people how to use the CAD/CAM design process and to help companies buy the expensive fabrication sites to actually make the limbs. Not only is the use of CAD/CAM a better process, but it is faster and will get the patients a better fitting limb that they will want to use more often.
Post-operative care includes checking the vital sings every four hours or more frequently as needed and reporting any abnormalities to the physician. Aggressive pain management as mentioned earlier is important in patients who have had a total knee replacement. There an accurate assessment of the patient’s pain level is the initial step in the management of pain in these patients. The patient should be advised to report if the pain goal is not been met. It is important for patients who have had a total knee replacement to ambulate early to prevent the formation of deep vein thrombosis (DVT) and pulmonary embolism (PE). Therefore the nurse with the advice of the surgeon and the physical therapy team has to assist the patient to start ambulating soon after the surgery. Also part of the nursing intervention to prevent DVT and PEs includes making sure that the patient is on chemical and mechanical prophylaxis. This will be discussed further in the complications section below. Indwelling Foley catheters are usually placed during a total knee replacement surgery. Part of the nursing intervention will also include making sure that the catheter is removed once it is no longer needed to prevent catheter associated urinary tract infection (CAUTI) (Parker
After joining the profession of nursing, I soon came to realize that people with hip fracture are usually in the dire need of the caring nurses for their activities of daily living. For that reason, I spent significant time helping and aiding the patients that have hip fractures during my service. I remember one of my patients named John, whose upper femur was broken as the result of a fall in the bathroom. His doctor opted the Open Reduction Internal Fixation (ORIF) to repair the fracture with the help of plates, nails, screws, and pins. I provided an egg-crate mattress for this patient, keeping in view his particular condition and high pain levels.
I chose to provide instructions on how to care for post-operative knee replacement patients on day of surgery. My audience is going to be the nurses that come work on my home unit, the ortho/trauma unit. I am one of the five nurses on our unit to care for these patients but due to increased number of people getting knee replacements in our hospital, other nurses such as float nurses, are having to take care of these patients. Therefore, I chose this subject because I can apply it to my place of work. Regarding my design, some of the decisions I made were to use a standard font, a combined grid, and a small amount of white space.
The modern total hip replacement was invented in 1962 by Sir John Charnley. Sir Charnley was an orthopedic surgeon who worked for a small hospital in England. The total hip replacement is considered by many to be the most important operation developed in the 20th century, solely based on the fact that it helps to relieve human suffering. Total hip replacement was first performed in the United States around 1969. Since then there have been more then a hundred of thousands of replacements performed in the United States. One of the first surgeons to perform this surgery was Charles O. Bechtol. In 1969, while he was a professor at UCLA, Bechtol started a total hip replacement program. The artificial hip joint is considered a prosthesis. There are two major types of artificial hip joints, cemented prosthesis and uncemented prosthesis. The type of prosthesis that will be used on the individual patient is decided by the surgeon depending on the patient's age, lifestyle and the experience that the surgeon has with a particular one.
The joints in a human body play a vital role in the movement of different parts. Malfunctioning of a single joint can lead to restricted movement, and pain. Knee is one of the most important joints in a body. If it suffers from any injury, or stops functioning as normal, then it can cause a lot of trouble while walking, or moving from one place to another. In such cases, certain treatments are suggested by the doctors. If the situation worsens, then knee replacement is the most advisable treatment for the person. What is knee replacement? What care should be taken after undergoing a knee replacement surgery? Are you intrigued to find out answer to these, and many such questions? Read the following post, which not only answers these questions,
"The Tommy John Surgery: A Look into What It Is and How It's Done." Examiner.com. Web. 27 May 2014. .
Patient care for the RN requires a holistic view of the patient. Although Mr Brown is admitted for knee replacement surgery, the nursing care will also take into consideration, Mr Brown’s co-morbidites and the impact of these on his recovery following surgery. Elderly patient’s with COPD have a higher mortality rate, this can be related to the medications used in anesthetics and the effect on the pulmonary system (Gruber & Tschernko., 2015). Medications used through the surgery may impact on the lungs by altering how the patient breathes and what muscles they are using to breath. If the patient is on a mechanical breathing device, there is a high chance of altered gas exchange through the alveoli and a risk of a collapsed lung or partial collapse
Sitting intently on the dining room chair, I traced my uncle’s scar with my eyes. Recently, he had been to the doctor to get full knee replacement surgery. One stormy night, my uncle ventured down to the garage to grab a few drinks. My aunt came running when his screaming ensued. He’d slipped on a worm and ripped his newly stitched knee open. My uncle began to speak of the pus and blood that spilled out of his knee. As I looked around the Easter table, everybody entertained a look of disgust. However, I sat there in awe, wanting to know more as the rest of my family begged him to stop indulging on the details. I realized what I found intriguing, others found grody. Last Easter, I realized I wanted to be a doctor.
Over the years, therapy has become a major factor in helping to cure diseases both mentally and physically. Today, a therapy used for both adults and children with Cerebral Palsy and Scoliosis is Hippotherapy. Hippotherapy is the use of a horse to fix the sensory motors and the structure of the spine. This therapy was first introduced back in the B.C era, but because of the lack of technology the research of the therapy was placed on hold until 1875 when Dr. Chassaign started looking into activities that can help improve things such as posture, balance, and joint movement. Hippotherapy helps improve the sensory motors and spine structure. This opinion is based on observations made at Heavenly Hoofs, which is a place that deals with therapeutic riding. Hippotherapy can help children and adult with both spine and mobilization problems by using the motion of the horse to slowly fix sensory motors.
...y within a medical setting has stepped away from the shadows and into a brighter future with the development of the da Vinci Surgical System in the medical world. Before the surgical robot, doctors or surgeons would have had to make several incisions to their patient’s body, which would cause the patients recovery to be elongated and possibly painful. The da Vinci Surgical System allows surgeons to make smaller, less visible incisions to the patient’s body and have a better precision during the procedure. Throughout several years, surgeons relied on their typical laparoscopic surgery to be able to provide patients with the procedures that required them to make large incisions through the patient’s abdomen. Nowadays, surgeons and their patients can have a sigh of relief because the surgical robot provides surgeons with the precision that they long strived for.
Registered nurses perform a fundamental role in caring for a surgical patient. Effective clinical reasoning involves a method of planning and implementing interventions by processing information, collecting cues, understanding the patient situation, evaluating the outcomes and reflecting and learning from the procedure performed. ‘Failure to rescue’ is one of the key causes of adverse patient outcomes due to nursing compliance, the advances in medical technology, more complex conditions being faced and the increased patient to nurse ratios. Throughout this assignment, a patient has been admitted to hospital for a left knee replacement. This discussion will relate to the appropriate nursing actions performed by a nurse in order to prevent post-operative complications and promote discharge planning.
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.