Orthopaedic nursing
-
Orthopaedic nursing · Nov 2010
Controlled Clinical TrialIs guided imagery effective in reducing pain and anxiety in the postoperative total joint arthroplasty patient?
To evaluate the effect of guided imagery as an intervention to reduce pain and anxiety in patients undergoing a total joint arthroplasty. ⋯ Conduct further research of guided imagery as an intervention for reducing pain and anxiety utilizing randomized controlled trials with a diverse sample of patients.
-
Informed consent has been widely discussed in the ethics, legal, research, and clinical literature. Authors have addressed the ethical and legal bases for informed consent, its components, and its implementation both in research and in healthcare delivery. However, although there is considerable literature on the subject and the inclusion of this content within the curricula of the various schools of the health sciences, questions continue to arise regarding the process of informed consent and whether the person's right to self-determine was actually upheld. This article revisits issues of informed consent as related to research with human subjects and briefly defines informed consent, addresses selected issues, and offers some potential strategies to improve the process of obtaining informed consent when conducting research with human subjects.
-
Orthopaedic nursing · Jan 2010
Randomized Controlled TrialUse of inpatient continuous passive motion versus no CPM in computer-assisted total knee arthroplasty.
Continuous passive motion (CPM) has shown positive effects on tissue healing, edema, hemarthrosis, and joint function (L. Brosseau et al., 2004). CPM has also been shown to increase short-term early flexion and decrease length of stay (LOS) ( L. Brosseau et al., 2004; C. M. Chiarello, C. M. S. Gundersen, & T. O'Halloran, 2004). The benefits of CPM for the population of patients undergoing computer-assisted total knee arthroplasty (TKA) have not been examined. ⋯ Although the control group was found to be higher functioning preoperatively, there was no statistically significant difference in flexion, edema or drainage, function, or pain between groups through the 3-month study period.
-
Orthopaedic nursing · Sep 2009
Comparative StudyA comparison of patient pain responses and medication regimens after hip/knee replacement.
Increased emphasis on adequate pain control as a patient expectation and a change in professional practice standards has prompted research on new mechanisms of pain medication delivery in an effort to improve outcomes and efficacy. ⋯ Pain scores for both groups were relatively low with an average score of 3.1 at the time of postoperative admission decreasing to an average of 2.7 at 16 and 24 hours. There were no significant differences in patients reported pain levels between the EREM and traditional control regimens.
-
Orthopaedic nursing · Sep 2009
Comparative StudyThe effectiveness of femoral/sciatic nerve blocks on postoperative pain management in total knee arthroplasty.
Total knee arthroplasty (TKA) generates severe postoperative pain in 60% of patients and moderate pain in 30% of patients. Lack of adequate pain control can hinder early intensive physical therapy, the most influential factor for a good outcome. The purpose of this study was to evaluate the effectiveness of the femoral/sciatic block with postoperative pain management in comparison with conventional pain management in patients who have undergone unilateral primary TKA. ⋯ Findings indicate that femoral/sciatic nerve blocks in unilateral TKA are an effective method of postoperative pain management.