Evaluation of an Episode of Care for a Patient/Client/Resident in a Clinical Setting Using Current Evidence and Applying Principles of Best Practice

Evaluation of an Episode of Care for a Patient/Client/Resident in a Clinical Setting Using Current Evidence and Applying Principles of Best Practice

Introduction

TKA or Total knee anthropology is a common surgical practice, with numerous adults having the surgery every year. It is a major procedure in which knee joint parts are replaced with artificial parts however recovery will not come about overnight. Postoperative care after knee replacement starts right away and involves essential care of wound, a step wise activity schedule, and deterrence of complications (Kirwan & Currey, 2008). Over 500,000 TKA surgeries were performed in the year 2006 and the number is predicted to keep on to increasing (Kurtz, 2007). A background in evidence based nursing care will support any nurse appointed in caring for a postoperative Total knee anthropology patient.

Discussion

After a TKA surgery, patients usually feel pain; however their nurses will provide medication to make them feel as relaxed as possible. Management of pain is a significant part of a patient's recovery. Knee movement and walking begins shortly after the surgery, and when the patient feels less pain, he/she can initiate moving earlier and get his/her strength back more rapidly (Rand, 2007). The orthopedic surgeon usually prescribes one or more procedures to prevent blood clots and reduce leg swelling. These may comprise of inflatable leg coverings, special support hose and blood thinners. It is the responsibility of the nurse to encourage the patient to move his/her ankle and foot immediately after the surgery to raise blood flow in his/her leg muscles to aid in preventing blood clots and leg swelling (Rand, 2007).

Evidence Based Practice while Caring for a Patient Experiencing TKA or Total Knee Anthropology

A nurse possessing a background in evidence based nursing care is usually appointed in caring for a postoperative Total Knee Arthroplasty or TKA patient. Effective assessment of pain and re-evaluation skills with a perception of multimodal management of pain helps in controlling the pain and recovering the patient from TKA surgery (Baron, 2007). Safe therapy and mobilization techniques that reveal evidence based practice will help in keeping the patients protected. Presenting nursing interventions that put off impediments from thromboembolism or infections will lessen never events from taking place. Thus, this paper will examine an episode of care for a patient/client/resident in a clinical setting using current evidence and applying principles of best practice of postoperative nursing care for TKA patients.

Management of Pain

Forceful post operative pain management is needed for TKA patients. Effective assessment of the pain of the patient is the very 1st step towards superseding to deal with pain. Interventions of pain management are both pharmacologic as well as nonpharmacologic. Pain management demands a skilled assessment, engagement of patient, and the utilization of a multimodal approach.

Assessment of Pain

Self report is the most unfailing and trustworthy indicator of pain. The nurse is supposed to train the patient to provide details regarding the amount ...