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The Total Joint Replacement Patient

The Total Joint Replacement Patient

The Total Joint Replacement Patient

Paul M. Levy, MSN, BS, RN, ONC
Paul M. Levy, MSN, BS, RN, ONC
on behalf of Pesi HealthCare

$200.00 $ 200.00 $ 200.00

$200.00 $ 200.00 $ 200.00

$ 200.00 $ 200.00 $ 200.00
$ 200.00 $ 200.00 $ 200.00
Normal Price: $200.00 $200.00

Review:

Launch date: 23 May 2018
Expiry Date:

Last updated: 22 Jun 2019

Reference: 189400

This course is no longer available

Exam is embedded in the course
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Latest User Comments

Mr JAMES NJOGU KRCHN (5 Feb 2019)
course very educative and informative.
Ms WINFRED MUIRURI BSc (5 Feb 2019)
very educative
Mr CHARLES NDUNG\'U BSc (21 Dec 2018)
i have a question, what a patient has allergies with metal?

I would like to...

Course Availability

This course is only available to trainees days after purchase. It would need to be repurchased by the trainee if not completed in the allotted time period. This course is no longer available. You will need to repurchase if you wish to take the course again.

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Description

When is it time for surgery? The latest in operative procedures: Total Joint Arthroplasty Bipolar Hip Arthroplasty Open Reduction Internal Fixation Megaprothstetics Key strategies to prevent post-operative complications/risks Achieving success: Rehabilitation goals and discharge planning Joint Commission S.C.I.P. (Surgical Care Improvement Project) Protocols Pain management techniques to meet realistic patient goals Joint replacement surgeries have become common place - over a million performed per year. Paul M. Levy, MSN, BS, RN, ONC is excited to share his expertise in orthopedics to provide a better understanding of Total Joint Replacement Surgery: Pre-operative diagnosis: When is it time for surgery? Alternative treatments? Multiple joint replacements & the implications of each The key to preventing post-operative complications/risks All the options: Megaprosthetic replacements, fixations, joint revisions… Achieving success: Rehabilitation goals and discharge planning Recent changes to CMS reimbursement (Value Based Purchasing or VBP) processes have put a premium on ensuring patient satisfaction is achieved. Failure to meet baseline measurements in HCAHPS scores will result in decreased reimbursements for hospitals. In addition, 30-day readmission rates also will affect VBP scores. This recording will provide strategies to address the following areas that can impact VBP: Co-morbidity - discussion of medical management of preexisting conditions Pain Management - setting and meeting realistic pain management goals Communication - focus on patient education and follow-up care Readmission - focus on tools to reduce infection and post-operative complications This recording will leave with you a clear understanding of the entire process from start to finish for total joint patients. This will in turn allow interdisciplinary healthcare professionals to help their patients better understand the process, have realistic expectations, and improved satisfaction following surgical interventions. Objectives Evaluate the key indications for timing of joint replacement surgery. Compare treatment options for patients with severe joint pain. Analyze options for pre-operative education to make multiple learning modalities available to patients. Examine the necessary rationale for pre-operative testing. Summarize the Joint Commission SCIP Protocols as related to Total Hip Arthroplasty, Total Knee Arthroplasty, Hip and Knee Revisions, and Hip Fracture repairs (ORIF). Assess a multi-modal approach to post-operative pain. Determine preventive measures for the most significant post-surgical complications that can occur. Distinguish between the most effective planning strategies for patient success following hospital discharge. Outline Pre-operative Work-up The pre-operative work-up is a vitally important part of the operative process. Not all patients with arthritis require surgery. Knowing the treatment options allows patients to make informed decisions about their care. Radiology examples will be included for case study discussion. Diagnosis Osteoarthritis Bone Cancers Recurrent Infections Acute Injury, Falls, i.e. Treatment Options Exercise / Physical Therapy Injections Operative Treatments Pre-operative Planning Understanding the processes that need to take place prior to the surgery will help the patient better prepare for the surgery, allow for less patient anxiety and establish realistic goals and expectations. Pre-operative Testing Pre-operative Clearances Medical Cardiac Pulmonary Other/Individualized Obtaining Consent Pre-operative Education One-to-one education Online education Pre-operative joint classes Surgical Procedures Fixation Treatment for fractures that do not require joint replacement Total Joint Replacement Hip Knee Shoulder Other Joints The elbow, wrist, and ankle can also be replaced, but these surgeries are performed far less frequently. As well, there is currently a disk replacement surgery in study, but it is not yet FDA approved. Megaprosthetic Replacements Replacement of both the joint and a portion of the surrounding bone Joint Revisions Immediate Post-Operative Care Multi-modal Pain Management Oral vs. IV Nerve blocks Ambulation IV acetaminophen / NSAIDs Intra-operative steroid injection Age-related analgesia Opioid tolerance Physical and Occupational Therapy Positioning Movement restrictions Exercises Assistive devices Wound Care / Infection Prevention Dressings Antibiotics VTE Prophylaxis Mechanical Pharmaceutical Joint Commission S.C.I.P. (Surgical Care Improvement Project) Protocols Surgical/Medical Complications Post-acute Care and Follow-up Discharge Planning Acute Rehab / Skilled Nursing / Home Follow-up appointments Home medications Readmission/complications

Objectives

Evaluate the key indications for timing of joint replacement surgery.
On completion of this course, the learner will be able to evaluate the key indications for timing of joint replacement surgery.
Compare treatment options for patients with severe joint pain.
On completion of this course, the learner will be able to compare treatment options for patients with severe joint pain.
Analyze options for pre-operative education to make multiple learning modalities available to patients.
On completion of this course, the learner will be able to analyze options for pre-operative education to make multiple learning modalities available to patients.
Examine the necessary rationale for pre-operative testing.
On completion of this course, the learner will be able to examine the necessary rationale for pre-operative testing.
Summarize the Joint Commission SCIP Protocols as related to Total Hip Arthroplasty, Total Knee
On completion of this course, the learner will be able to summarize the Joint Commission SCIP Protocols as related to Total Hip Arthroplasty, Total Knee
Arthroplasty, Hip and Knee Revisions, and Hip Fracture repairs (ORIF).
On completion of this course, the learner will be able to arthroplasty, Hip and Knee Revisions, and Hip Fracture repairs (ORIF).
Assess a multi-modal approach to post-operative pain.
On completion of this course, the learner will be able to assess a multi-modal approach to post-operative pain.
Determine preventive measures for the most significant post-surgical complications that can occur.
On completion of this course, the learner will be able to determine preventive measures for the most significant post-surgical complications that can occur.
Distinguish between the most effective planning strategies for patient success following hospital discharge.
On completion of this course, the learner will be able to distinguish between the most effective planning strategies for patient success following hospital discharge.
Paul M. Levy, MSN, BS, RN, ONC

Author Information Play Video Bio

Paul M. Levy, MSN, BS, RN, ONC
on behalf of Pesi HealthCare

PAUL M. LEVY, MSN, BS, RN, ONC, is a Registered Nurse with certification in Orthopaedic Nursing. Throughout his career, he has specialized in Orthopedics, specifically Total Joint Replacement Surgery, Sports Medicine, and Musculokeletal Oncology. Paul has worked on post-operative orthopedic units, serving as a staff nurse, charge nurse, preceptor, and mentor. In Paul’s current role as Clinical Education Specialist for Orthopedics and Emergency Medicine at a hospital in Pittsburgh, PA, he is responsible for staff development and training, coordinates the Geriatric Fracture Program and the Crisis Management Training. In addition to his years of training experienced orthopedic staff, Paul has also developed an “Ortho for Non-ortho Nurses” program to help resource pool, staff, and new orthopedic nurses better understand orthopedic care. He also developed an Orthopedic Reference Guide for nurses to assist staff when orthopedic patients are admitted “off-service.” Paul is committed to his area of expertise. He has spoken at the National Association of Orthopaedic Nurses Annual Congress, and other national and local conferences focusing on a variety of orthopedicrelated topics, and currently serves as the Chapter President of the Pittsburgh Chapter of the National Association of Orthopaedic Nurses. Financial: Paul Levy has an employment relationship with UPMD St. Margaret. He receives a speaking honorarium from PESI, Inc. Nonfinancial: Paul Levy is a member of the National Association of Orthopaedic Nurses. He is Chapter President for the Pittsburgh Chapter of the National Association of Orthopaedic Nurses. Mr. Levy indicates that he has a bias as an opponent of single payer healthcare delivery.

Current Accreditations

This course has been certified by or provided by the following Certified Organization/s:

  • American Nurses Credentialing Center (ANCC)
  • 6.25 Hours
  • California Board of Registered Nursing (CBRN)
  • 6.00 Hours
  • Iowa Board of Nursing (IBON)
  • 7.50 Hours

Faculty and Disclosures

No relevant financial relationships, No relevant financial relationships

No relevant financial relationships, No relevant financial relationships

No relevant financial relationships

Additional Contributors

Conflicts Declared

Conflicts of Interest declaration by Author:

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User Reviews (3)

Go Back
Mr JAMES NJOGU KRCHN (5 Feb 2019)
course very educative and informative.
Ms WINFRED MUIRURI BSc (5 Feb 2019)
very educative
Mr CHARLES NDUNG\'U BSc (21 Dec 2018)
i have a question, what a patient has allergies with metal?

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