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Biomedical subjects

Janie T Best

Publications and source records attributed to Janie T Best.

2 recordsLinked to original sources
PubMedDate not supplied

Understanding spinal stenosis.

Spinal stenosis is a progressive condition that represents approximately 5% of all back disease. Symptoms usually appear around age 50 to 60 and lead to increasing pain and disability as the condition progresses. Understanding the disorder, appropriate diagnostic tests, and treatment options is essential to providing appropriate nursing care and education for this patient population. Included in this article is a review of normal spine anatomy, pathology and symptoms of spinal stenosis, treatment options, appropriate nursing interventions, and patient education for the patient with spinal stenosis.

Activities of Daily Living↗
PubMedDate not supplied

Revision total hip and total knee arthroplasty.

For thousands of patients with advanced degenerative joint disease, total joint arthroplasty provides improved function, decreased pain, and the opportunity to resume a more active lifestyle (Drake, Ace, & Maale, 2002). Although hip and knee replacements are both successful interventions for degenerative joint conditions, complications may arise that require revision of the original surgery. In 1999, approximately 25,000 revisions of knee replacements (ICD Code 81.22) and 30,000 revisions of hip replacements (ICD Code 81.53) were performed in the United States (American Academy of Orthopaedic Surgeons [AAOS], 2002). Approximately 10,000 revision total hip arthroplasty procedures were performed on Medicare patients in 2000. The total cost of revision surgery, including the 10,000 total knee revision procedures performed on this same patient population during that year, exceeds USD 3 billion (Bourne, Maloney, & Wright, 2004). Descriptions of the risk factors and indications for revision total hip and total knee arthroplasty are included in this article. Nursing interventions and patient education specific to these patient populations are outlined, and a discussion of complications following revision total joint arthroplasty is included.

Activities of Daily Living↗