Orthopaedic Nursing最新文献

{"title":"The Lived Experience of Individuals With Prosthetic Joint Infection.","authors":"Margaret M Harding, Kim L Larson, Linda P Bolin","doi":"10.1097/NOR.0000000000001122","DOIUrl":"https://doi.org/10.1097/NOR.0000000000001122","url":null,"abstract":"<p><strong>Background: </strong>Prosthetic joint infection (PJI) is a complication of total joint arthroplasty with a survival rate worse than some cancers.</p><p><strong>Methods: </strong>A qualitative design, using descriptive phenomenology, was used to explore the lived experience of PJI. Twelve interviews were analyzed to report the essence of the phenomenon. A chart review was also conducted to assess surgical outcomes.</p><p><strong>Results: </strong>Participants \"made sense of\" PJI through two themes: \"The Nail in the Coffin\" and \"Struggle with Living.\" \"The Nail in the Coffin\" was represented by losses of independence, identity, and financial security. \"Struggle with Living\" was represented by pain, balance of burden, uncertainty, and emotional responses. Half of participants had poor outcomes including amputation and death.</p><p><strong>Conclusion: </strong>The experience of PJI may be moderated by stage of life. Social support plays an important role, affecting both gratitude and guilt. Loss of independence and identity, pain, burden, and emotional responses are impactful experiences in PJI.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 3","pages":"158-166"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Treatment for Combined Adhesive Capsulitis and Glenohumeral Osteoarthritis - Case Study: RELIEF® Treatment.","authors":"Erin Sullivan, Babak Movassaghi, Aimee Kamat, Abhinav Gautam, Thomas M Best","doi":"10.1097/NOR.0000000000001115","DOIUrl":"10.1097/NOR.0000000000001115","url":null,"abstract":"<p><p>Adhesive capsulitis (AC) of the shoulder is a prevalent condition often characterized by a prolonged clinical course and significant patient morbidity, leading to a high socioeconomic burden. Despite numerous studies evaluating various treatment modalities, an optimized treatment algorithm remains elusive. Similarly, osteoarthritis (OA) of the shoulder presents a comparable clinical and an even higher socioeconomic impact. Advances in diagnostic imaging and short-term pain management options have not yielded effective long-term disease-modifying therapies. With the decreasing average age of patients suffering from glenohumeral OA, there is a growing interest in regenerative treatments aimed at alleviating symptoms, enhancing quality of life, and potentially postponing invasive surgical interventions. This paper provides an overview of the pathophysiology of both AC and glenohumeral osteoarthritis (GHOA), accompanied by a retrospective pilot case study demonstrating the efficacy of a novel orthobiologic approach known as the RELIEF® treatment. This innovative approach yielded promising short-term outcomes, including significantly improved multi-planar shoulder range of motion (ROM) and functional scores at six months post-treatment. The RELIEF® treatment involves diagnostic dynamic ultrasound to identify scarring or abnormalities in the fascia together with a hydrodissection technique using a combination of cryopreserved micronized human amniotic membrane suspension allograft (hAMA) and Isolyte crystalloid IV fluid. Under direct ultrasound guidance, local anesthetic (2% lidocaine with epinephrine 1:200,000) is utilized to perform multiple injections aimed at lysing fibrotic scar tissue and delivering the allograft to affected areas. Pre- and post-treatment assessments of ROM were conducted by a licensed physical therapist utilizing a goniometer. Measurements were taken at baseline (before treatment) and subsequently at two weeks, two months, four months, and six months post-treatment. Additionally, American Shoulder and Elbow Surgeons (ASES) scores and visual analog scale (VAS) pain ratings were recorded. An MRI of the shoulder (without contrast) was subsequently performed 4 months following the second RELIEF® treatment to evaluate for any radiographically significant changes and to correlate these findings with change in patient-reported symptoms and overall functional status.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 3","pages":"167-174"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NAON Announcements.","authors":"","doi":"10.1097/NOR.0000000000001142","DOIUrl":"https://doi.org/10.1097/NOR.0000000000001142","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 3","pages":"201"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Orthopaedic Centers May Require Additional Support to Meet the 2024 TJC and CMS SDOH Requirements.","authors":"","doi":"10.1097/NOR.0000000000001132","DOIUrl":"https://doi.org/10.1097/NOR.0000000000001132","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 3","pages":"E17"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Optimization for Ambulatory Orthopaedic Total Joint Surgery: Utilizing RN-Led Team-Based Care.","authors":"","doi":"10.1097/NOR.0000000000001124","DOIUrl":"https://doi.org/10.1097/NOR.0000000000001124","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 2","pages":"E6-E7"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing Durable Medical Equipment at an Ambulatory Surgery Center.","authors":"Alek Johnson","doi":"10.1097/NOR.0000000000001104","DOIUrl":"10.1097/NOR.0000000000001104","url":null,"abstract":"<p><p>Orthopaedic outpatient surgery in the form of Ambulatory Surgical Centers (ASCs) continues to rise over the past several decades with enhancements for the patient and organization that includes ease of convenience, efficiency, and cost-effectiveness when examining the comparison to a traditional hospital with outpatient departments (Wang, K. Y., Puvanesarajah, V., Marrache, M., Ficke, J. R., Levy, J. F., & Jain, A. (2022). Ambulatory surgery centers versus hospital outpatient departments for orthopaedic surgeries. Journal of the American Academy of Orthopaedic Surgeons, 30(5), 207-214). Furthermore, the rise of ASCs also includes various ownership models such as a sole physician, ASC management company, or a health system, which also commonly results in a blend of all three elements based on the strategy of the group. The purpose of this brief is to examine the unique delivery role that durable medical equipment (DME) plays in the care for patients following an orthopaedic surgery at an ASC when providing DME by Certified Athletic Trainers. Optimizing Certified Athletic Trainers in the ASC space creates opportunities for improving patient satisfaction and surgical staff burden while adding revenue to the ASC.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 2","pages":"127-130"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outpatient in the Home Physical Therapy: A New Postoperative Rehabilitative Setting for Total Joint Replacements.","authors":"Brittany Benson, Donna Williams","doi":"10.1097/NOR.0000000000001106","DOIUrl":"10.1097/NOR.0000000000001106","url":null,"abstract":"<p><p>Total joint arthroplasty (TJA) procedures are being performed at higher rates at ambulatory surgery centers (ASCs) and outpatient hospitals as surgeries continue to progress with minimally invasive approaches. Reducing surgical costs without compromising safety and clinical outcomes are a few driving factors for utilizing ASCs. Similarly, there may be avenues to reduce the rehabilitative costs of traditional home healthcare. Research continues to support the need for early therapeutic interventions after TJA. Historically, patients undergoing total joint replacements have been discharged to a skilled nursing facility or home healthcare. With the frequency of TJAs performed as outpatient procedures, there is an opportunity to change the dynamic of postoperative rehab. Advancements in surgery and anesthesia have led to optimization for TJA patients. As a result of advancements, implants are lasting longer so patients are considering replacements at younger ages. These factors present an opportunity to close a gap in the market, creating an outpatient home physical therapy program. During the initial phases of planning for total joint surgery, physical therapy in the home is initiated and scheduled prior to surgery. This mitigates variables that may affect delays in the rehabilitative process which can drive negative patient outcomes, dissatisfaction, and hospital readmittance.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 2","pages":"123-126"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Synopsis of Core Considerations for Pediatric Care in the Ambulatory Surgical Setting.","authors":"","doi":"10.1097/NOR.0000000000001125","DOIUrl":"https://doi.org/10.1097/NOR.0000000000001125","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 2","pages":"E9-E10"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NAON Announcements.","authors":"","doi":"10.1097/NOR.0000000000001123","DOIUrl":"https://doi.org/10.1097/NOR.0000000000001123","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 2","pages":"143"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: Description of a Nurse Practitioner-Led Orthogeriatric Model of Care: A Health Record Review.","authors":"","doi":"10.1097/NOR.0000000000001130","DOIUrl":"10.1097/NOR.0000000000001130","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 2","pages":"110"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}