Nursing diagnosis for total knee arthroplasty. Struggling with a nursing diagnosis/care plan for TKA 2022-12-18

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Nursing diagnosis is a crucial aspect of the nursing process, as it helps to identify the specific health problems or issues that a patient is experiencing. In the case of total knee arthroplasty, or knee replacement surgery, there are several potential nursing diagnoses that a nurse may consider.

One potential nursing diagnosis for a patient undergoing total knee arthroplasty is pain. It is common for patients to experience pain after surgery, and this can significantly impact their ability to move and perform activities of daily living. To address this issue, a nurse may work with the patient to develop a pain management plan that includes medications, physical therapy, and other supportive interventions.

Another potential nursing diagnosis for a patient undergoing total knee arthroplasty is impaired physical mobility. This can be caused by pain, swelling, or other factors that make it difficult for the patient to move around. To address this issue, a nurse may work with the patient to develop a rehabilitation plan that includes exercises and other activities to improve mobility and strength.

In addition to pain and impaired physical mobility, a nurse may also consider a diagnosis of risk for infection. Total knee arthroplasty involves the insertion of foreign materials into the body, which can increase the risk of infection. To prevent infection, a nurse may work with the patient to ensure that proper infection control measures are followed, such as washing hands regularly and using antibiotics as prescribed.

Finally, a nurse may consider a diagnosis of risk for falls. After total knee arthroplasty, a patient may be at increased risk of falls due to weakened leg muscles, decreased mobility, and the use of medications that can affect balance and coordination. To address this issue, a nurse may work with the patient to identify and address any factors that may contribute to the risk of falls, such as poor lighting or tripping hazards in the home, and may also provide education on fall prevention techniques.

In conclusion, nursing diagnosis is an essential aspect of the nursing process, and it is particularly important for patients undergoing total knee arthroplasty. By identifying and addressing issues such as pain, impaired physical mobility, risk for infection, and risk for falls, nurses can help to ensure that patients are able to recover from surgery and return to their normal activities as quickly and safely as possible.

Knee Replacement Nursing Diagnosis and Nursing Care Plan

nursing diagnosis for total knee arthroplasty

And independent t-tests and χ 2-tests are respectively utilized to analyze the categorical variable and continuous variable. When a TKR is completed, the top of the tibia and lower end of the femur are replaced. Continuous drainage from an incision may indicate a forming skin tract, which can amplify the infectious process, and pus, non serous, foul-smelling drainage is suggestive of infection. Arthritis patients who develop such infections would notice a significant worsening in their pain as well as some of the other symptoms listed above. The prosthesis may be metallic or polyethylene or a combination implanted with a methylmethacrylate cement, or it may be a porous, coated implant that encourages bony ingrowth.

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[Solved] What are 3 nursing diagnosis for Knee Replacement (including...

nursing diagnosis for total knee arthroplasty

Reduces muscle tension, promotes comfort, and increases participation easier. Wharram was able to outline all of her current problems. However, supervised therapy--which is best done in an outpatient physical therapy studio--is extremely helpful and those patients who are able to attend outpatient therapy are encouraged to do so. The knee is a hinge joint, meaning it's a freely moveable joint that moves in one plane, also known as a synovial joint. Systemic signs and symptoms that may develop include a low-grade fever, weakness, fatigue, and anorexia.


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Total Knee Replacement: A Patient's Guide

nursing diagnosis for total knee arthroplasty

These arrangements are made prior to hospital discharge. On the first postoperative day, active movement normally starts with a brief walker stroll around the room with the assistance of a therapist. To prevent complications associated with a TKR, flexion of the knee joint should begin shortly after surgery. Vital signs should be checked every shift and as needed once the patient has returned to the unit. A TKR can improve quality of life for a relatively long period of time, with an expected duration of 10 to 15 years or longer. Obviously the overall risk of surgery is dependent both on the complexity of the knee problem but also on the patient's overall medical health.

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Struggling with a nursing diagnosis/care plan for TKA

nursing diagnosis for total knee arthroplasty

He first developed pain over his right elbow, then right knee and both shoulders. She continues to experience edema of the left operative extremity; no thromboembolus was identified and her physician ordered an additional diuretic. Disclosure: Included below are affiliate links from Amazon at no additional cost from you. The progress of nursing profession in nursing surgical service personnel is obvious; there are clear examples in safety policy of surgical patients, good instrument operation procedures and disinfection in operating room, nursing intervention is conducive to the safety of patients and reduced the risks related to surgery and anesthesia. Color: Are both lower extremities the same color? Her hip issues were congenital and led to the diagnosis of a hip labral tear. The patient is a former smoker with COPD; she quit smoking just prior to the current surgery and seems to be managing this well.

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5 Total Joint (Knee, Hip) Replacement Nursing Care Plans

nursing diagnosis for total knee arthroplasty

It is important to avoid using narcotics such as Tylenol 3, vicoden, percocet, or oxycodone to treat knee arthritis. Osteotomy involves cutting and repositioning one of the bones around the knee joint. Elevate the entire length of the leg with a pillow and place the heel on a water glove to protect it if a burning sensation is observed. Such severe symptoms require immediate medical attention. Reduces joint stiffness and muscular spasms caused by inactivity.

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Care Plan #blog.sigma-systems.com

nursing diagnosis for total knee arthroplasty

With few exceptions it does not need to be done urgently and can be scheduled around important life-events. Fast-forward to today and the TKR is a commonly performed procedure with relatively high success rates. Seth Leopold demonstrates minimally invasive knee replacement surgery and discusses the benefits to patients. Fazey i think you've put the cart before the horse. However, inflammatory arthritis patients who decide to have total knee replacement have an extremely high likelihood of success. Promote engagement in ADLs. Do not treat any person based on the information given in this care plan.

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Nursing Diagnosis For Total Knee Replacement Essay Example for Free

nursing diagnosis for total knee arthroplasty

Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Author contributions Pingfang Liu plans the study design and writes the manuscript. Nichols, H, 2017 … Sclerosis Case Summary BACKGROUND The patient is an 18-year-old female Division I collegiate golf player. Urgency Total knee replacement is elective surgery. Swimming, water exercises, cycling, and cross country skiing and machines simulating it, like Nordic Track can provide a high level of cardiovascular and muscular fitness without excessive wear on the prosthetic joint materials. The patient is a 60-year-old female server who incurred a work-related injury to her right knee when she slipped on the floor. Her past medical history is noteworthy for fibromyalgia from which the patient experiences considerable disability.

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Nursing Care Plan

nursing diagnosis for total knee arthroplasty

Writing — original draft: Su Fu. Next, specialized alignment rods and cutting jigs are used to remove enough bone from the end of the femur thigh bone , the top of the tibia shin bone , and the underside of the patella kneecap to allow placement of the joint replacement implants. Preoperative education adequately prepares the patient for the procedure and postoperative care such as pain management, effectively reducing anxiety and increasing empowerment. During this time, their vital signs are monitored and recorded every 5 to 10 minutes for the first hour or until they reach a stable condition, and then every fifteen minutes until PACU discharge. Opioid consumption is also recorded. Very often the distance one can walk will improve as well because of diminished pain and stiffness. As a result, scarring of the knee can occasionally happen and motion may be more restricted, especially in patients who had limited motion before surgery.

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Total Knee Arthroplasty: Current Concepts in Physical Therapy Management

nursing diagnosis for total knee arthroplasty

In a partial joint replacement, the doctor just replaces one portion of the knee joint. For the first 15 to 20 seconds, instruct them to slowly lift their toes upward toward the ceiling and then downward. However, while the list of complications is long and intimidating, the overall frequency of major complications following total knee replacement is low, usually less than 5 percent one in 20. HT practitioner utilizes the light touch to carry out the techniques of HT. Facilities A large hospital usually with academic affiliation and equipped with state-of-the-art radiologic imaging equipment and medical intensive care unit is clearly preferable in the care of patients with knee arthritis. It has over 100 care plans for different nursing topics. The patient will verbalize 3 comfort measures or distraction techniques that reduce their pain level by 1900 on the day of care.

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Nursing intervention using healing touch in total knee repla... : Medicine

nursing diagnosis for total knee arthroplasty

Nam risus ante, dapibus a molestie consequat, ultrices ac magna. High impact activities, excessive body weight and wearing out of the polyethylene component may all contribute to the loosening or dislodgement of prostheses. The control group and experimental group receive an informative and separate session via nursing about the operation preparation and operation process. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. TKA clients should use firm seat cushions that are about 18-20 inches off the floor and footstools for periodically elevating the legs.

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