Total Knee Arthroplasty Case Study

The pain that patients report is out of proportion to the severity of the injury. The pain gets worse, rather than better, over time. Eventually the joints become

In the article, “Sometimes Pain Is a Puzzle That Can’t Be Solved”, Abigail Zuger, the author, describes her own experiences with pain along with some examples and generalizations about the feeling. She claims that she is “ruled by (her) elbow” and “it is (her) constant companion, whimpering, and tugging at (her) sleeve.” She goes on to say that many people have the same problems, especially when drugs, “like naproxen and ibuprofen” are unhelpful and “might as well be cornflakes.” Finally, she explains how far we have advanced in the medical field, but “ none of (the) knowledge has translated into new treatments,” to help people such as herself.

Introduction The aim of this review paper is to access the anterior cruciate ligament (ACL) injury of the knee (tibiofemoral) joint, which is a common sport and exercise injury related to the musculoskeletal system. Investigation of the anatomy and physiology of the knee joint, and the diagnosis, etiology, pathophysiology, treatment, rehabilitation and prevention of ACL injuries will provide a descriptive epidemiology. This will aid readers in making informed management and treatment decisions, and guide them to safely perform movements to prevent injury. This review paper will incorporate holistic views on relevant scientific research, including primary resources such as journal articles and lecture notes, which will be cross-referenced

In same studies it showed that among the subjects between 25 and 74 years of age, the prevalence of knee symptoms such as pain, swelling and morning stiffness increased with age and knee pain was slightly higher among women compared to men (Hannan et al, 2000). Knee pain is very likely a health problem with tremendous health care costs, despite the lack of direct cost estimates. In 1996–1997, more than 6 million Americans sought medical care for knee problems (Peat et al

Certified registered nurse anesthetists (CRNAs) are compassionate and driven people tasked with performing a job that requires vigilance, mental acuity and dedication to improving the provision of health care. The decision to research this career is based on the growing need for affordable health care and the CRNAs’ dedication and continual ability to meet these demands. CRNAs demonstrate intelligence, indelible work ethic and an unsurpassed desire to advocate for the patients under their care. CRNAs provide ease and peace of mind throughout the perioperative period by including patients in the discussion and formulation of anesthetic plans. Intraoperatively, CRNAs are charged with the task of providing amnesia, sedation, immobility and analgesia

INTRODUCTION Osteoarthritis of knee joint is supposed to be the most prevalent chronic joint disease. The incidence of osteoarthritis of knee is on a rise because of many factors like complex mechanics of knee joint, high prevalence of obesity and increased life expectancy which leads to increase in number of older individuals. Knee joint is subjected to excessive stress as it is used in almost all activities of daily living. Knee is important for activities like walking, climbing stairs, and rising from a chair, sitting, squatting and other activities. Chronic pain of knee joint may cause inability to perform daily activities.

Some patients prefer not to take pain medication because they fear addiction or may have a history of substance abuse. Educating the patients on their right to be free of pain and having their pain managed aggressively is a priority in the recovery phase. The goals that I hope to achieve during this clinical practicum

Disparity in Pain Management among Patients with Substance Use Disorder Fatimat Odeyemi University of Maryland School of Nursing   Disparity in Pain Management among Patients with Substance Use Disorder Description of the Problem If pain according to Ignatavicius and Workman (2010) is what the patient says it is and it exist when and where the patient says it does, why does research studies show disparity in treatment with patients suspected of substance abuse or those diagnosed with substance abuse disorder? Studies by Morley, Briggs and Chumbley (2015), Morgan (2014) and Paschkis and Potter (2015) all supported the hypothesis that nurses provide inadequate pain relief to their patients because of the perception that constant request

As a nurse working in Labor and Delivery, a hot topic right now is enhanced recovery for cesarean section deliveries. The enhanced recovery program helps women improve their post-op outcomes, so they are more alert and able to bond with their baby (A.Laronche et al., 2017, pg.212). Enhanced recovery allows mothers to be more alert because there are not any narcotics in the enhanced recovery pathway. The reason enhanced recovery is so important in patient care is because we encourage patients to do skin to skin, breastfeed, and bond with their baby as soon after delivery as possible. When the patient was given narcotics, they were drowsy, asleep, or just didn’t feel strong enough to hold their baby, Since the enhance recovery has been introduced, patients are much more AAO x 3, and are able to have bonding time with their baby, which is much more satisfying for the mother and infant.

While pain is a subjective experience, pain assessments need to be as objective and unbiased as possible; this should be an ongoing goal among all health care providers. Based on current evidence, quality PCPM is often linked back to the health care provider and his/her ability to listen, communicate and advocate for the patient, therefore quality PCPM is possible and achievable with a change in our daily practice. Effective communication with patients may enhance their understanding of pain scores, reveal questions and concerns, and strengthen the trust between patients and staff – all important factors in customizing

When Dr. Erik Nilssen recognized the anxiety and frustration that patients were dealing with as they sought medical care through the traditional system, he decided to create a state-of-the art facility centered around the patient: It is this vision that led to the creation of Nilssen Orthopedics. Upon creating this facility, Dr. Nilssen’s goal was to provide patients from around the world with a center of excellence offering them an array of orthopedic services at a single location. Moreover, he is expanding Nilssen Orthopedics by inviting additional physicians to practice in his facility. One of these physicians is Dr. Sonya Ahmed. Dr. Sonya Ahmed – Board Certified, Fellowship-Trained Orthopedic Surgeon Dr. Ahmed brings with her an expertise

The purpose of the study was to test the effect of rocking chair motion on POI duration, total pain medication received, and time of discharge in patients with cancer recovering from abdominal surgery (Massey, 2010, p. 60). To help determine the effectiveness of rocking chair motion both genders were used. A randomized control trial sample was used to conduct this study at The University of Texas M.D. Anderson Cancer Center between July 2005 and February 2007. The inclusion criteria consisted of the following: patients 21 years and older, abdominal surgery for gastrointestinal cancers, receive patient controlled epidural or IV analgesia, cognitively intact, speak English, tolerate rocking or sitting in chair, and were able to ambulate (Massey, 2010, p. 60).

To continue with the example of knee pain in the holistic approach, there was a study conducted on massage therapy and osteoarthritis in the knee. This study gathered the participant’s responses to the quality of their care when treated with massage therapy in stating that “responses noted empowerment with an improved ability to perform activities of daily living after experiencing massage therapy. The majority of statements were consistent with their quantitative changes on standard osteoarthritis measures” (Ali, Rosenberger, Weiss, Milak, & Perlman, 2016). This study demonstrates that those individuals treated by massage therapy for osteoarthritis in their knees had success in relieving the discomfort. Meanwhile, a closely related commentary discusses the allopathic side in regards to patients taking prescriptions for osteoarthritis derived knee pain.

Another significant aspect for the patient is to develop coping skills and to be able to recognise negative emotions which they will be able to overcome with the correct educating and information. Implementing these changes can effectively help the individual feel more in control of their body with regard to pain they experience. The skills learned through the interventions can empower and enable patients to become active applicant in managing their

Inadequate pain assessment is one of the most difficult barriers to achieving good pain management. Insufficient education of pain from both nurses and patients, poor pain assessment tools, and patients’ fear of complications associated with analgesic drugs are some of the factors that contribute to inadequate pain assessment. Some of the barriers to effective pain management resulting from nurses’ lack of training and inexperience of pain evaluation are nurses’ inattentiveness to patient signs of pain, nurses’ differing interpretations of pain, and nurses’ delayed response to assess pain. Moreover, nurses’ deficiency of understanding patients’ attitudes, beliefs, and previous pain experience, nurses’ lack of knowledge in selecting appropriate