The aim of the study was to reduce postoperative edema in total knee and hip arthroplasty rehabilitation patients.
A pre– and posttest design was used for this quality improvement project at a rehabilitation facility.
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.
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).
Standardized postoperative edema education can improve staff and patient edema knowledge and management.
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: firstname.lastname@example.org
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