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

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

Description:

• When is it right to have surgery?
• The latest in operative procedures:
• Total Joint Arthroplasty
• Bipolar Hip Arthroplasty
• Internal Fixation for Open Reduction
• Megaprothstetics
• Here are some key strategies to help prevent post-Operative complications/risks
• Success: Planning for rehabilitation goals and discharge
• Joint Commission S.C.I.P. Protocols of the Surgical Care Improvement Project
• Techniques for pain management to achieve realistic patient goals

Joint Replacement surgeries are now commonplace – well, almost everywhere. a Millions of people are served each year. Paul M. LevyMSN., BS., RN. ONC. He is eager to share his expertise on orthopedics with you. a better understanding of Total Joint Replacement Surgery:

• Pre-operative diagnosis: When should you have surgery? What are the alternatives?
• Multiple joint replacements & the implications of each
• The Post prevention is key-Operative complications/risks
• All the options: Megaprosthetic replacements, fixations, joint revisions…
• Success: Planning for rehabilitation goals and discharge

Recent CMS reimbursement changes (Value Based Purchase or VBP) have been made. a Satisfaction of patients is a priority. Hospitals will be reimbursed less if they fail to achieve the baseline HCAHPS score. Additional 30-VBP scores can also be affected by day readmissions. This recording will present strategies to address these areas that could impact VBP.

• Co-morbidity – discussion about medical management of preexisting disorders
• Pain Management – Setting and meeting realistic goals for pain management
• Communication – Focus on patient education, follow-up and communication-up care
• Readmission – focus on tools that reduce infection and post-infection-Operative complications

This recording will go with you a For patients with total joints, it is important to have a clear understanding of all aspects from start through finish. This will allow healthcare professionals from different disciplines to better help patients understand the process and have realistic expectations.

Objectives

1. Consider the following key indicators when deciding when to perform joint replacement surgery.
2. Compare treatment options for severe joint pain.
3. Analyze the options for pre-Operative education is a way to provide multiple learning options for patients.
4. Analyse the rationale behind pre-Operative testing
5. Summarize Joint SCIP Protocols for Commission related to Total Hip Arthroplasty Total Knee
6. Arthroplasty, hip and knee revisions and repair of the hip fracture (ORIF)
7. Assess a Multi-Modal approach to posting-Operative pain.
8. Take preventive steps to avoid the most severe post-There are many surgical complications that could occur.
9. You can distinguish between the most successful strategies for patient success after hospital discharge.

Outline
Pre-Operative Work-Up

• The Pre-operative work-It is up a An essential part of any operative procedure. Not all patients suffering from arthritis need surgery. The information provided by the various treatment options will help patients make informed decisions regarding their care. Case studies will include examples of radiology.

Diagnosis

• Osteoarthritis
• Bone cancers
• Recurrent Infections
• Acute Injury, Falls, i.e.

Treatment Options

• Exercise/Physical Therapy
• Injections
• Operative Treatments

Pre-Operative Planning

• Knowing the process before the surgery can help patients prepare better, reduce anxiety, and set realistic goals and expectations.

• Pre-Operative Testing
• Pre-Clearance Sale
  • Medical
  • Cardiac
  • Pulmonary
  • Other/Individualized
• Obtaining Consent
• Pre-Operative Education
  • One-To-one education
  • Online education
  • Pre-operative joint classes

Surgical Procedures

• Fixation
  • Treatment of fractures that don’t require joint replacement
• Total Joint Replacement
  • Hip
  • Knee
  • Shoulder
  • Other Joints
    • The However, replacements of the elbow, wrist, or ankle are not as common as they used to be. Additionally, currently there is no a Study of disk replacement surgery, but not FDA-approved.
• Megaprosthetic Replacements
  • Replacement Both the joint and a A portion of the bone surrounding it
• Joint Revisions

Immediate Post-Operative Care

• Multi-modal Pain Management
  • Oral vs.
  • Nerve block
  • Ambulation
  • IV acetaminophen/NSAIDs
  • Intra-operative steroid injection
  • Age-Related analgesia
  • Tolerance for opioid
• Physical and occupational therapy
  • Positioning
  • Move restrictions
  • Exercises
  • Assistive devices
• Wound Care / Prevention
  • Dressings
  • Antibiotics
• VTE Prophylaxis
  • Mechanical
  • Pharmaceutical
• Joint Commission S.C.I.P. Protocols of the Surgical Care Improvement Project
• Complications Surgical/Medical

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Post-Follow up and acute Care-Up

• Discharge Planning
  • Skilled Nursing/Acute Rehab
  • Follow-Set up appointments
  • Home medications
• Readmission/complications