...Knee Replacement Therapy: Precautions, complexities involved and more How to determine if you need knee surgery Noticing the symptoms before something hazardous happens is most important and timely advice from the doctor directly depends upon your recovery. Only after a close examination can a doctor determine if the pain and the stiffness in your joints require a knee replacement or not. This particular surgery is only reserved for the people who are suffering from arthritis and are above 50 years of age. How knee replacement surgery is done It is an intricate process which requires the patient to be put to sleep through anesthesia. The affected knee is operated by cutting it about an inch and completely removing the damaged part from bones. The involved...
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...Mandatory Pre-op for Total Knee Replacement The decision to undergo elective knee surgery can be very stressful for many patients. It is important for patients to be well prepared. Total knee arthroplasty has increased by eighty-four percent from 1997 to 2009 (Fawzi, 2012, para. 1). By making the Pre-op Total knee Arthroplasty class mandatory patients and their family members will be more educated and prepared for surgery and recovery. During the class patients will be able to ask any questions they may have, learn how to better prepare for surgery and ways to prevent infection during their hospitalization. Physical therapist will also discuss exercises and pain management techniques. By using the John Hopkins evidence based practice model a change can be made in the pre-op process for all total knee replacement patients. Change Model Overview The John Hopkins Nursing Evidence-Based Practice Process is defined as a problem-solving approach to clinical decision-making within a health care organization (Dearholt, & Dang, 2012, p. 4). Nurses often use this model to facilitate change within their organization....
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...Managing Mobility After a Total Knee Replacement November 15, 2011 INTRODUCTION In Kindred Rehabilitation, the patient had a total knee replacement due to osteoarthritis. Osteoarthritis causes degenerative changes, within the joints causing bone stiffening and reactive inflammation. My patient was admitted on 10/21/11 with osteoarthritis and a left total knee replacement. Her PT and INR were a concern because she had developed mild thrombocytopenia which resulted in the elevation and potential bleeding. The physician had to take her off of Lovenox and switch her to an oral anti-coagulant Xarelto at 10mg once daily. During her care I was educated by the interdisciplinary teams managing mobility, safety, and the more modern approaches with a total knee replacement. The purpose of this clinical summary paper is to discuss managing mobility after a total knee replacement. REVIEW OF RELATED LITERATURE In seeking out information on this topic, I used the Amarillo College Library Network and CINAHL database on campus and opened as many articles that I believed would aid in my research. The words I used for searching were: TKR, total knee care, and managing total knee replacement. The contributing factors gave me the articles that related to my patient that I had cared for in clinicals. These searches took me to the information that I was in need of for my paper. Turner’s (2011) primary focus was about care prior to surgery, during, post-operatively...
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...ball. Every die-hard sports fan knows that games of such irrelevance are endured with hopes for next season, and fingers crossed that no key players get injured. Unfortunately for Vikings supporters, though, minutes into the second half, star running back Adrian Peterson suffered a brutal hit to the outside of his left knee, rupturing his anterior cruciate ligament (ACL). While...
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...CAM Therapeutic Modalities Paper In today's world, there are many treatment methods for the different ailments people encounter. Although traditional medical practices are the predominant choice among Americans, many also use complimentary or alternative medicine (CAM) to treat certain conditions. According to NCCAM Clearinghouse (n.d.), CAM is defined as "a group of diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine" (Defining CAM). In this paper alternative, complementary and integrative medicine will be defined and differentiated, and the role of conventional medicine in these medicines will be discussed. There will also be a comparison of the regulations and oversights in conventional and non-conventional medicine in the United States, a review of the CAM philosophy, and a description of the domains of therapies according to the NCCAM website. Finally, a CAM treatment modality within one of the domains will be described and evaluated. Alternative medicine is the use of CAM as a replacement for conventional medicine such as faith healing ("alternative medicine," 2014). Conventional medicine does not play a role in alternative medicine because the conventional methods are discarded for the alternative methods. "An example of an alternative therapy is using a special diet to treat cancer instead of undergoing surgery, radiation, or chemotherapy that has been recommended by a conventional doctor"...
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...American dream for many people. This dream means one can be their own boss and express their own ideas. Successful entrepreneurs tend to follow multiple steps to achieve their goal is business. These processes include four distinct stages: (1) identify and evaluate the opportunity, (2) develop a business plan, (3) determine what resources are necessary, (4) managing the new business (Hisrich, Micheal, & Shepherd, 2005). It is these four stages that give the entrepreneur a better understanding of the organizational and financial feasibilities of the new business (Barringer & Ireland, 2010). It is the order of these stages, which allow the entrepreneur to determine the best course of action to ensure the success of the new business. This paper will cover the order of the stages and importance of the stages from an individual and corporate perspective. Identify and Evaluate the Opportunity The first stage in the entrepreneurial process is to identify and evaluate the business opportunity. There are four environmental trends: (1) economic, (2) social, (3) technological advances, and (4) political and regulatory changes (Barringer & Ireland, 2010). Understanding these trends is helpful in determining the location of the business and the technology appropriate for the area. First is to understand the economic and social trends in the market place. When the economy is at its best, people are more...
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...disease. Technology is not limited to medical milestones through research and the creation of new drugs but also how people can obtain the information regarding medical procedures, receive medical care and information about living healthy lifestyles (Williams & Torrens, 2010). The most common concept that one considers is technology within the health care field is the research that creates life-saving medical procedures through surgery and medication. Large companies such as Pfizer, Merck, and other companies possess the abilities to fund ground breaking research in order to find cures for diseases like HIV/AIDS and many types of cancers or to help treat the ongoing symptoms. Their concept of technology also applies to the materials that many surgeons use during surgeries such as knee/hip prosthetics for knee and hip replacements. In the 1960s these types of surgeries were unheard of and have grown to a $600 market for the research and development to produce such devices through companies like Stryker (McGill, 1989). Significant technology Technology within the healthcare field is not merely limited to ground breaking research to treat illness and disease but specifically how physicians can access patient health records in order to better management current chronic conditions and medical accidents. The most significant requirement for healthcare is the mandated conversion of medical health records from paper form to electronic form by 2014 (Sanchez, 2012). A complete conversion...
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...Unit 1 Research Paper 1 Injectable Tissue Engineering Brand Zae GS1140 Injectable Tissue Engineering Introduction Every year more than700,000 Americans undergo a form of joint replacement surgery. The procedure-in which a knee or a hip is replaced with an artificial implant-is highly invasive, and many patients delay said surgery for as long as they can. A doctor by the name of Jennifer Elisseeff , a biomedical engineer at Johns Hopkins University, hopes to change that with a simple and quick procedure that does away with surgery entirely. Dr. Elisseeff and her colleagues have developed a way to inject joints with specially designed mixtures of polymers, cells, and growth stimulators that solidify and form healthy tissue. This form of technology can eliminate the need for many expensive and dangerous surgeries. Surgeries involving muscle development, the cardio vascular system, and even limb repair after a traumatic incident. This form of technology can improve our health care system dramatically and open new windows of opportunity for new forms of medicine. Even the possibility for new cures for diseases that we currently fight every day such as cancer and possibly even HIV, eliminating the need for long and expensive treatments. As well as repairing worn or damaged tissue, this form of engineering can also be used in the future for growing new organs or limbs to replace old damaged or missing ones. If a patient is in need of a new heart...
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...decades, as well as marital problems and finances. However, personal health was not a barrier until respondents were in their fifties when some had knee replacements, neck and back ailments, and heart...
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...The Difference in competencies between Nurses prepared at the Associate Degree level versus the Baccalaureate Degree level. Frances Frederick-Whiteman Grand Canyon University NRS-430V-0500 January 31, 2016 As one progresses through life, they are given many opportunities to become distinguished among others. This opportunity is given to all, but only few will uptake them, and even fewer are able to see through with the opportunity at hand. This situation in itself can be used to identify the differences in competences between nurses prepared at the associate-degree level versus the baccalaureate degree level. When receiving an education in nursing care, you are taught guideline procedures to handle a situation at hand. However, while practicing nursing care, you may need to deviate from the educational process taught to handle the situation. For example, during your educational process, you may have been taught to handle a fallen patient in a certain manner. However, because of the many complications that the patient may have, you may have to alter the way in which you must handle the patient. Students and educational administrators involved in nursing education are responsible for providing appropriate development and use of nursing knowledge. Nurses can receive...
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...of clamping the indwelling urinary catheter in patients with hip fracture Critical Appraisal In this quantitative research article, the authors have dealt with one of the most common clinical problem i.e. clamping of urinary catheter after hip surgery. Hip surgery is very common among the people of old age group especially above 75 years. Further, older women are more susceptible to hip fracture and commonly undergo hip injury (Johansson & Christensson, 2010). Bladder catheterization is a common clinical practice in surgeries. It helpful in monitoring urine output in patients. However, it is also associated with one of the major clinical problems, i.e. operative urinary retention (POUR). It can be defined as the inability of a patient to pass urine in spite of full bladder (Baldini, Bagry, Aprikian, & Carli, 2009). It is has been reported that patient of hip surgery are at higher risk of urinary retention (Balderi & Carli, 2010; Johansson & Christensson, 2010; Singh et al., 2010). In the case of hip replacement the incidence of POUR has been reported to be between 12- 84%. Similarly, in case of hip fracture the prevalence of POUR is 18% to 56% (Borghi et al., 2004; Oishi et al., 1995). The most effective intervention reported till date for reducing the risk of urinary retention is clamping of urinary catheter. The main objective of this paper was to investigate the efficacy of clamping of urinary catheter through randomized controlled trial in patients undergone...
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...What makes a Top 100 Hospital Abstract This paper explores the reasons Kaiser is one of the top 100 hospitals, using research conducted online and offline, by using patient and customer feedback, and also by explaining how Kaiser Permanente achieves its quality of care to become a top hospital. Kaiser Permanente has marketed itself as one of the top 100 hospitals in the U.S., proclaiming their exceeded cares for those who are Kaiser Permanente Members. They have been administering healthcare for many years, through inpatient and outpatient care. A plethora of accolades in various categories shows Kaiser Permanente’s success in keeping long term patients under their provided care. Keywords: Kaiser Permanente Today’s Top 100 Hospitals In today’s world, people believe in researching who can provide the best quality service in the healthcare industry. We are keenly aware of how our health service is provided when we are struck with an illness or injury, which makes it imperative to learn who ranks among the top hospitals. Kaiser Permanente has been well known to give the best quality care for those who are Kaiser Permanente Members. They are known to be highly ranked in various aspects, ranging from internal medicine, cancer research, surgery, cardiology, orthopedic care, pediatrics, and geriatrics, to name a few. Back in the 80’s and 90’s, Kaiser Permanente was well known for its less than stellar reputation. At the time, it was not fathomable that Kaiser...
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...It seems that since the discovery of fire humanity has attempted to imitate and manipulate phenomena that nature has had billions of years to develop and perfect. Cloning is a perfect example of such attempts. In nature, cloning is the process by which genetically identical organisms are produced by way of asexual reproduction. With some success, scientists have been working on ways to reproduce this phenomenon through biotechnology, in a laboratory setting. In biotechnology, cloning refers to the process used to create copies of DNA, cells, or entire organisms. Each of these forms of cloning will be described in this paper, which will then explore the issues surrounding cloning from biological, technological and public health standpoints. Molecular cloning, or DNA cloning, is the process of making multiple copies of an isolated sequence of DNA fragments (Strachan & Read, 1999). This form of cloning is most often used in biological research, but is also used in more practical applications such as genetic profiling and protein production. In practice, techniques such as this are often used producing vaccines and researching cures to common ailments. Molecular cloning isolates a desired segment of a DNA and links this fragment to a primary DNA sequence that is capable of replicating itself and the fragment DNA linked to it. Once this new DNA sequence has been formed, it is then inserted into a cell which will make identical genetic copies of the...
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...Robotic Surgery Table of Contents Introduction 3 Historical Development of Robotics 4 Political and Legal Influences 6 Economic Considerations 8 Technology in Today’s Culture 10 Environmental Concerns 12 Moral and Ethical Implications 13 Psychological and Sociological Effects 17 Conclusion 18 References 20 Introduction Robotic surgery, or computer-assisted surgery, is the term used to describe the technology of using robotic systems to aid in surgical procedures. It was developed to help surgeons and medical health professionals overcome the human limitations of minimally-invasive surgery and enhance the abilities of the surgeons performing these procedures. It has many benefits to not only surgeons and medical facilities but for the patients as well. After years of development, training, and global awareness of the technology, medical manufacturers of the robots, surgeons, and medical professionals hope the technologies benefits will outweigh and overcome the environmental, financial, legal and ethical controversies. Dr. James McEwen, Dr. Brian Day and a team of engineering students, developed the very first surgical robot in 1983. It was used on March 12, 1984 for an orthopedic surgical procedure in Vancouver, Canada. Over sixty minimally invasive joint surgeries were performed in the first 12 months after the first successful surgery. After this, several other robotic devices were developed. A surgical scrub nurse was created...
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...have to depend on government assisted help nor would be struggling day to day. I have not been in a situation where I myself needed help, however I do know some people who are truly needed help and received yet, as well as others who honestly did not need the help but did not want to work hard. I am hoping my paper shows both the good and bad of today’s situation with people struggling, and hopefully some readers will have changed opinions on this whether it be good or bad. My Paper is written in APA format. Ending Poverty One Meal at a Time After reading the article “On the Edge of Poverty” by Sheryl Gay Stolberg[->0], it’s realized that it was written from a point of view that shows the many down falls of a situation where a SNAP card is needed yet doesn’t point much at improving it. In many ways it supports the food stamp system, or Supplemental Nutrition Assistance Program (SNAP) as it is currently laid out. Stolberg starts off by phrasing Dustin Rigsby from Tennessee. She goes on to lay out that he is a struggling mechanic who reluctantly accepts food stamps as a way to feed his family of three. It goes on to say that while he is off work due to a knee injury his wife only works part time as a cashier at a local JC Penney. Having more than half the...
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