The Total Joint Replacement Patient: Supporting a Successful Journey – Paul M. Levy

When is it time for surgery?The latest in operative procedures:Total Joint ArthroplastyBipolar Hip ArthroplastyOpen Reduction Internal FixationMegaprothsteticsKey strategies to prevent post-operative complications/risksAchieving success: Rehabilitation goals and discharge planningJoint Commission S.C.I.P. (Surgical Care Improvement Project) ProtocolsPain management techniques to meet realistic patient goalsJoint replacement surgeries have become common place – over a million performed per year. Paul M. Levy, MSN, BS, RN, ONC is excited to share his expertise in orthopedics to provide a better understanding of Total Joint Replacement Surgery:Pre-operative diagnosis: When is it time for surgery? Alternative treatments?Multiple joint replacements & the implications of eachThe key to preventing post-operative complications/risksAll the options: Megaprosthetic replacements, fixations, joint revisions…Achieving success: Rehabilitation goals and discharge planningRecent changes to CMS reimbursement (Value Based Purchasing or VBP) processes have put a premium on ensuring patient satisfaction is achieved. Failure to meet baseline measurements in HCAHPS scores will result in decreased reimbursements for hospitals. In addition, 30-day readmission rates also will affect VBP scores. This recording will provide strategies to address the following areas that can impact VBP:Co-morbidity – discussion of medical management of preexisting conditionsPain Management – setting and meeting realistic pain management goalsCommunication – focus on patient education and follow-up careReadmission – focus on tools to reduce infection and post-operative complicationsThis recording will leave with you a clear understanding of the entire process from start to finish for total joint patients. This will in turn allow interdisciplinary healthcare professionals to help their patients better understand the process, have realistic expectations, and improved satisfaction following surgical interventions.ObjectivesEvaluate the key indications for timing of joint replacement surgery.Compare treatment options for patients with severe joint pain.Analyze options for pre-operative education to make multiple learning modalities available to patients.Examine the necessary rationale for pre-operative testing.Summarize the Joint Commission SCIP Protocols as related to Total Hip Arthroplasty, Total KneeArthroplasty, Hip and Knee Revisions, and Hip Fracture repairs (ORIF).Assess a multi-modal approach to post-operative pain.Determine preventive measures for the most significant post-surgical complications that can occur.Distinguish between the most effective planning strategies for patient success following hospital discharge.OutlinePre-operative Work-upThe pre-operative work-up is a vitally important part of the operative process. Not all patients with arthritis require surgery. Knowing the treatment options allows patients to make informed decisions about their care. Radiology examples will be included for case study discussion.DiagnosisOsteoarthritisBone CancersRecurrent InfectionsAcute Injury, Falls, i.e.Treatment OptionsExercise / Physical TherapyInjectionsOperative TreatmentsPre-operative PlanningUnderstanding the processes that need to take place prior to the surgery will help the patient better prepare for the surgery, allow for less patient anxiety and establish realistic goals and expectations.Pre-operative TestingPre-operative ClearancesMedicalCardiacPulmonaryOther/IndividualizedObtaining ConsentPre-operative EducationOne-to-one educationOnline educationPre-operative joint classesSurgical ProceduresFixationTreatment for fractures that do not require joint replacementTotal Joint ReplacementHipKneeShoulderOther JointsThe elbow, wrist, and ankle can also be replaced, but these surgeries are performed far less frequently. As well, there is currently a disk replacement surgery in study, but it is not yet FDA approved.Megaprosthetic ReplacementsReplacement of both the joint and a portion of the surrounding boneJoint RevisionsImmediate Post-Operative CareMulti-modal Pain ManagementOral vs. IVNerve blocksAmbulationIV acetaminophen / NSAIDsIntra-operative steroid injectionAge-related analgesiaOpioid tolerancePhysical and Occupational TherapyPositioningMovement restrictionsExercisesAssistive devicesWound Care / Infection PreventionDressingsAntibioticsVTE ProphylaxisMechanicalPharmaceuticalJoint Commission S.C.I.P. (Surgical Care Improvement Project) ProtocolsSurgical/Medical ComplicationsPost-acute Care and Follow-upDischarge PlanningAcute Rehab / Skilled Nursing / HomeFollow-up appointmentsHome medicationsReadmission/complicationsTag: The Total Joint Replacement Patient: Supporting a Successful Journey – Paul M. Levy Review. The Total Joint Replacement Patient: Supporting a Successful Journey – Paul M. Levy download. The Total Joint Replacement Patient: Supporting a Successful Journey – Paul M. Levy discount.