Orthopaedic Nursing最新文献

While nurses record pain scores relatively infrequently, hospital-based patients may be more available to routinely document their own pain scores to complement the data collected by nurses. This study compared patient self-recorded versus nurse-recorded pain scores in postsurgical orthopaedic patients to better understand the discrepancies between the two sets of scores and inform future treatment strategies. Orthopaedic trauma service patients were enrolled in this study and asked to fill out a pain report, which was compared to nurse-recorded pain scores. Analyses were performed to assess if patient-recorded and nurse-recorded pain scores were significantly different and if patient-recorded pain scores added useful information to nurse-reported pain scores. Data from 20 patients were available for analysis after 506 individuals were screened. On average, patient-recorded pain scores were more frequently reported than nurse-recorded pain scores. Differences between patient self-recorded and nurse-recorded pain scores were statistically nonrandom and exhibited notable patterns in most of the patients analyzed. These differences were clinically significant 44.3% of the time during which the nurse-recorded and patient self-recorded pain scores overlapped. More frequent self-reporting of postsurgical pain scores in orthopaedic patients reveals statistically nonrandom and clinically significant deviations from nurse-recorded pain scores, suggesting that capturing patient-reported postsurgical pain is an important opportunity to collect information to support the overall medication strategy.

Bone cement, a polymer material frequently used in orthopaedic joint replacement procedures, has been in use since the 1870s when prostheses were crafted from plaster and resin. The meticulous preparation of bone cement is a crucial task handled by operating room nurses to ensure patient safety. During the preparation of bone cement, an irritating and pungent vapor is exposed due to the methyl methacrylate monomer. Special vacuum mixing techniques are used to minimize exposure to this vapor, protecting both patients and medical staff during surgeries. These methods increase safety by reducing the spread of methyl methacrylate monomer vapor to the environment and contribute to the success of the surgery by ensuring that the cement is homogeneous. However, any mistakes or oversights in the application process can result in serious health issues. Given the dangers associated with breathing in or touching methyl methacrylate monomers, it is essential for operating room nurses to carry out this process correctly by strictly following safety rules. This review aims to discuss bone cement preparation methods, safety precautions, and potential challenges based on literature.

Interruption of anticoagulation for a surgical procedure is individualized and based on balancing the risk of perioperative thromboembolism versus the risk of bleeding. Risk assessment for thromboembolism is based on the indication for anticoagulation and a variety of patient-specific factors. Bleeding risk assessment is also largely based on patient factors, such as age and comorbidities, but also the type of procedure being done. The post-operative bleeding risk of surgical procedures can be categorized as high-risk, low-to-moderate-risk, and minimal risk. Each risk category has unique recommendations regarding how long to hold anticoagulation prior to the procedure and when anticoagulation can be safely resumed. Lastly, the type of anticoagulant plays a role in the perioperative strategy based on the duration of action and onset of anticoagulation. Nurses play an important role in risk assessment, patient education, and administration and monitoring of anticoagulants in the perioperative setting.