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Factors Influencing Discharge Readiness After Total Knee Replacement

Causey-Upton, Renee; Howell, Dana M.; Kitzman, Patrick H.; Custer, Melba G.; Dressler, Emily V.

doi: 10.1097/NOR.0000000000000513
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Total knee replacement (TKR) surgery has been found to achieve positive outcomes for many patients such as reduced pain and increased function. However, some patients experience suboptimal outcomes including falls, readmission to hospital, and reduced functional performance. Preparation for discharge after TKR surgery is often defined related to pain control, walking, knee function, and ability to climb stairs. These measures may not fully encompass aspects of recovery that impact patients' readiness for discharge after surgery. The purpose of this article is to review discharge readiness following TKR surgery and discuss factors that are known to impact preparedness for discharge.

Renee Causey-Upton, PhD, OTD, MS, OTR/L, Department of Occupational Science and Occupational Therapy, Eastern Kentucky University, Richmond.

Dana M. Howell, PhD, OTD, OTR/L, FAOTA, Department of Occupational Science and Occupational Therapy, Eastern Kentucky University, Richmond.

Patrick H. Kitzman, PhD, PT, Department of Physical Therapy and Rehabilitation Sciences, University of Kentucky, Lexington.

Melba G. Custer, PhD, OT/L, Occupational Therapy Department, Spalding University, Louisville, KY.

Emily V. Dressler, PhD, Department of Biostatistical Sciences, Wake Forest University, Winston–Salem, NC.

The authors report no conflicts of interest.

© 2019 National Association of Orthopaedic Nurses