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Improving Orthopedic-Related Postoperative Edema Management in a Rehabilitative Nursing Setting

Kluga, Katie L., DNP, APRN, NP-C, OCN, CHPN, CMSRN1,2; Weber Buchholz, Susan, PhD, ANP, FAANP3; Semanik, Pamela A., PhD, MS, APRN3,4,5,6

doi: 10.1097/rnj.0000000000000104
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Purpose The aim of the study was to reduce postoperative edema in total knee and hip arthroplasty rehabilitation patients.

Design A pre– and posttest design was used for this quality improvement project at a rehabilitation facility.

Methods Staff and patient edema education was standardized. Staff pre- and posttests were administered. Patients were interviewed to assess for knowledge of edema management. Chart audits were assessed for edema management and length of stay.

Findings Average staff knowledge scores (n = 50) increased pre- to posteducational video (64% vs. 70%). Of patients interviewed posteducation (n = 24), 38% were able to list two characteristics of edema. Two chart audits completed pre- and posteducation demonstrated that the majority of patients (n = 30 per group) had edema upon admission (96% vs. 97%). However, length of stay decreased by 3 days (19.2 vs. 16.3).

Conclusion Standardized postoperative edema education can improve staff and patient edema knowledge and management.

Clinical Relevance Edema education is recommended for orthopedic patients in rehabilitation facilities.

1 Department of Adult Health and Gerontological Nursing, Rush University College of Nursing, Chicago, IL, USA

2 Department of Adult Health and Gerontological Nursing, Rush University Medical Center, Chicago, IL, USA

3 Department of Adult Health and Gerontological Nursing, Rush University College of Nursing, Chicago, IL, USA

4 Department of Physical Medicine Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

5 Total Joint Venture, LLC, Chicago, IL, USA

6 Rehabilitation Institute of Chicago, Chicago, IL, USA

Correspondence: Katie L. Kluga, 1836 Essex Pl, Downers Grove, IL 60516, USA. E-mail: kkluga@gmail.com

Cite this article as: Kluga, K., Weber Buchholz, S., & Semanik, P. A. (2019). Improving Orthopedic-Related Postoperative Edema Management in a Rehabilitative Nursing Setting. Rehabilitation Nursing, 44(3), 151–160. doi: 10.1097/rnj.0000000000000104

© 2019 Association of Rehabilitation Nurses.
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