104: Pre and Post Op Care
of the Orthopedic Patient
© 2011, 1996 |
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This 3-part series focuses on the two most common orthopedic surgical procedures, hip and knee replacement. Program One focuses on the demographics and common causes related to hip fractures, post-injury assessment and management, the types of fractures and the surgical approaches used for each, and gives an overview of patient management from arrival at the emergency facility through discharge and home care follow-up. Program Two provides detailed information on the surgical process and nursing care, including wound management, ongoing assessment based on a head-to-toe model, and use of the Five Ws when determining the cause of postoperative fever. Discharge planning, patient and family teaching, and home care, including home safety modifications are also discussed. Program Three focuses on knee replacement. Nursing care and assessment is described, this time using a critical pathway or “timeline” model. Assessment for common complications such as DVT and atelectasis are covered in detail, as is pain management. Discharge planning includes discussion of the decision to send a patient directly home with home health follow-up, to a TCF, or to a long-term care facility.
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Schools: Surgical nursing
Healthcare Facilities: Orientation to orthopedics/surgical unit |
Individual program learning objectives
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To preview the programs listed below, click on the clips
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104.1 Hip Fracture (21 min.)
1. Discuss the incidence and impact of hip fracture.
2. Describe immediate post-injury evaluation.
3. Differentiate between the three types of hip fracture and their associated precautions.
4. Outline the three most common methods used to repair hip fractures.
5. Discuss the role of white blood cells in combating infection.
6. Demonstrate a head-to-toe assessment.
7. Give an overview of post-operative care.
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104.2 Hip Replacement (26 min.)
1. Name the basic types of implant fixation.
2. Differentiate between the post-op activity level and care based on type of implant.
3. Contrast between anterior, lateral, and posterior surgical approaches.
4. Describe a systems approach to postoperative assessment
5. Discuss use of the Five Ws when assessing a patient who has fever.
6. List the standard discharge goals.
7. Discuss the role of home health care in postsurgical management and appropriate home modification actions.
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104.3 Knee Replacement (24 min.)
1. Name the basic types of implant fixation.
2. Differentiate between the post-op activity level and care based on type of implant.
3. Contrast between anterior, lateral, and posterior surgical approaches.
4. Describe a systems approach to postoperative assessment
5. Discuss use of the Five Ws when assessing a patient who has fever.
6. List the standard discharge goals.
7. Discuss the role of home health care in postsurgical management and appropriate home modification actions. |
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