MOD 2 Fundamental of Post Surgical Care Flashcards
What are some indications for surgical intervention?
- pain at rest or with activity
- marked limitation in motion
- gross instability of a joint or bony segment
- joint deformity or abnormal alignment
- significant structural degeneration
- chronic joint swelling
- failed non surgical or previous surgical intervention
What is included in pre operative exam and eval?
- pain
- ROM and joint integrity
- skin integrity
- MMT
What are ways to educate a patient before surgery?
- methods and rationale
- overview of the plan of care
- postoperative precautions
- bed mobility and transfers
- initial postoperative exercises
- gait training
- wound care
What is included in post operative management?
- post op exam and eval
- phases:
- max protection
- moderate protection
- minimum protection/return to function
- time based and criterion based progression
- putting rehab into perspective
What are the expectations of max protect phase?
- educate
- decrease post op pain, muscle guarding, or spasm
- minimize post op swelling
- prevent unnecessary stiffness
What are the expectations of the moderate protection phase?
- educate
- gradually restore soft tissue and joint mobility
- establish a mobile scar
- strengthen involved muscles and improve joint stability
What are the expectations of the minimum protection phase?
- continue education
- prevent re injury
- maximize muscle performance, dynamic stability and neuromuscular control
- restore balance and coordinated movement
- acquire or relearn specific motor skills
What are examples of potential post op complications?
- pulmonary complications
- deep vein thrombosis
- subluxation or dislocation after joint surgery
- restricted motion from adhesions and scar tissue
- failure, displacement or loosening of internal fixation
What are precautions to take post op?
- avoid positions that could compromise integrity
- keep the would clean
- avoid high intensity activity
- modify level and selection of physical activities to prevent stress to repaired or reconstructed soft tissue
What are strong risk factors of a DVT?
- fracture
- hip or knee replacement
- major general surgery
- major trauma
What are some moderate risk factors of a DVT?
- arthroscopic knee surgery
- central venous lines
- chemotherapy
What are some weak risk factors of a DVT?
- best rest >3 days
- immobility due to sitting
- increasing age
What is an open procedure?
incision to cut through layers to get to certain tissues?
What is an arthroscopic procedure?
small incisions in order to insert an endoscope/camera and motorized tools
What is an arthoscopically assisted procedure?
combination of open and arthroscopic procedures
