: __Total Knee Arthroplasty____ (as specified by instructor) QSEN: Evidence Based Practice, Informatics, Client Centered Care. SLO: 1, 2, 4 1. 2. 3. Use ATI-HealthAssess- Muscuoloskeletal & Neurological and Cardiovascular (extremities) modules for a resource Pre-operatively 1. 2. 3. . , Nursing Assessment Post-operatively 1. 2. 3. . 1. 2. 3. 1.
Total Knee Arthroplasty (TKA), also known as total knee replacement, is a surgical procedure that aims to relieve pain and restore function in patients with severe knee arthritis or injury. This procedure involves replacing the damaged joint surfaces of the knee with artificial components. In recent years, TKA has become an increasingly common surgical intervention, with over 600,000 procedures performed annually in the United States alone (Singh et al., 2019).
The purpose of this paper is to explore the key aspects of TKA, focusing on evidence-based practice, informatics, and client-centered care. These three elements are essential considerations in providing quality healthcare to patients undergoing TKA. Evidence-based practice involves integrating the best available evidence from research into clinical decision-making to ensure optimal patient outcomes (Melnyk & Fineout-Overholt, 2018). Informatics refers to the use of technology and information systems to improve healthcare delivery and patient outcomes (McGonigle & Mastrian, 2017). Client-centered care emphasizes the importance of involving patients in their care decision-making process to meet their unique needs and preferences (QSEN, 2018). By examining the role of these three elements in relation to TKA, we can gain a comprehensive understanding of the best practices in this procedure.
To assess a patient pre-operatively for TKA, it is important to conduct a comprehensive nursing assessment. The ATI-HealthAssess- Musculoskeletal & Neurological and Cardiovascular (extremities) modules can be used as a resource for this purpose. The musculoskeletal assessment will help evaluate the patient’s range of motion, joint stability, and presence of pain or deformities in the knee joint (ATI, n.d.). The neurological assessment can help identify any peripheral neuropathy or nerve damage that may impact the success of the surgery (ATI, n.d.). The cardiovascular assessment of the extremities can assess for any peripheral vascular disease or circulatory issues that could affect wound healing post-operatively (ATI, n.d.).
Post-operatively, the nursing assessment will continue to play a crucial role in monitoring the patient’s recovery. The assessment should include monitoring the surgical site for signs of infection, assessing the patient’s pain level, monitoring vital signs, assessing the range of motion and stability of the knee joint, and evaluating the patient’s ability to walk and perform activities of daily living (ADLs) (ATI, n.d.).
In terms of evidence-based practice, there are several key factors to consider in TKA. A systematic review by Singh et al. (2019) found that a multimodal approach to pain management, including the use of opioids, non-steroidal anti-inflammatory drugs (NSAIDs), and regional analgesia, can provide effective pain relief and reduce opioid consumption in patients undergoing TKA. Additionally, the review highlighted the importance of pre-operative education and counseling for patients, as it can significantly improve patient satisfaction and outcomes following TKA (Singh et al., 2019).
Informatics plays a crucial role in TKA, particularly in the pre-operative planning phase. The use of computer-assisted navigation systems can enhance the accuracy of implant placement and alignment, leading to improved surgical outcomes (Babazadeh et al., 2015). These systems provide real-time feedback to the surgeon, allowing for precise measurements and adjustments during the surgery (Babazadeh et al., 2015). Furthermore, the use of electronic health records (EHRs) can enhance communication and coordination of care among healthcare providers, allowing for seamless transition and continuity of care for TKA patients (McGonigle & Mastrian, 2017).
Client-centered care is essential in TKA, as it is a major decision that can have a significant impact on a patient’s quality of life. Involving patients in the decision-making process and considering their preferences and goals can help ensure that the chosen treatment aligns with their individual needs (QSEN, 2018). Providing pre-operative education and counseling can also help alleviate patient anxiety and empower them to actively participate in their recovery (QSEN, 2018).
In conclusion, TKA is a complex surgical procedure that requires a multidisciplinary approach to provide optimal care to patients. Evidence-based practice, informatics, and client-centered care are all crucial elements to consider in the delivery of care for TKA patients. By incorporating the best available evidence, utilizing technology and information systems, and involving patients in their care decision-making process, healthcare providers can optimize patient outcomes and improve the overall quality of care in TKA.