Orthopaedic nursing
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Orthopaedic nursing · Jul 2016
ReviewThe Impact of Prehabilitation on Postoperative Functional Status, Healthcare Utilization, Pain, and Quality of Life: A Systematic Review.
"Preoperative rehabilitation" or prehabilitation has been increasingly studied alongside the deleterious effects of surgery and functional decline. Prehabilitation is the preoperative optimization of physical functionality to enable the individual to maintain a normal level of function during and after surgery. This systematic review evaluates the effectiveness of prehabilitation on functional status, healthcare utilization, quality of life, and pain postoperatively. ⋯ There is no evidence to show that prehabilitation has significant benefits in function, quality of life, and pain; however, it may reduce admission to rehabilitation after knee or hip arthroplasty for osteoarthritis. There is insufficient evidence to make inferences in other surgical populations, notwithstanding initial evidence does not demonstrate advantages.
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Orthopaedic nursing · Jul 2016
ReviewThe Impact of Prehabilitation on Postoperative Functional Status, Healthcare Utilization, Pain, and Quality of Life: A Systematic Review.
"Preoperative rehabilitation" or prehabilitation has been increasingly studied alongside the deleterious effects of surgery and functional decline. Prehabilitation is the preoperative optimization of physical functionality to enable the individual to maintain a normal level of function during and after surgery. This systematic review evaluates the effectiveness of prehabilitation on functional status, healthcare utilization, quality of life, and pain postoperatively. ⋯ There is no evidence to show that prehabilitation has significant benefits in function, quality of life, and pain; however, it may reduce admission to rehabilitation after knee or hip arthroplasty for osteoarthritis. There is insufficient evidence to make inferences in other surgical populations, notwithstanding initial evidence does not demonstrate advantages.
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Orthopaedic nursing · Jul 2011
ReviewDelirium in the older adult orthopaedic patient: predisposing, precipitating, and organic factors.
Delirium is a common problem with a reported incidence of 13%-61% in orthopaedic patients. The mortality rate for patients who develop delirium can be as high as 37%. Recent research indicates that delirium may not be completely reversible in all patients. ⋯ Inadequate pain management and polypharmacy are major precipitating factors for the disorder. New models of delirium pathophysiology are focused on the effects of both direct brain insults and aberrant stress responses. This article will provide a brief overview of the clinical problem of delirium with a focus on the current research evidence regarding predisposing, precipitating, and organic factors that lead to delirium in elderly orthopaedic patients.