Helping your patient back on track after knee replacement surgery.
Explore the source record for details and available documents.
Arthroplasty, Replacement, Knee↗
Biomedical subjects
S M Leininger
Publications and source records attributed to S M Leininger.
Managing patients with cryosurgical ablation of the prostate and liver.
Cryosurgery is an important alternate treatment for some patients diagnosed with prostate and liver metastasis cancer. The procedure, its benefits and side effects, and implications for nurses are discussed.
Cryosurgery↗
One year later: did the quality circle of geriatric hip fracture care achieve quality outcomes?
In 1 year, the Geriatric Orthopaedic Hip Fracture Program saw various positive results. The accomplishments are as follows: Appropriate use of consulting services. Reduction in the mortality rate. Increase in the number of patients (76%) who returned to home versus skilled nursing facilities. Reduction of LOS. Fifty-seven percent of patients are independent with ADLs at 6 months after hip fracture repair. Sixty-four percent remain independent ambulators and use aids on an as needed basis. Our team has learned that we need to improve certain areas of the program. We need to reinforce to the staff the importance of following skin care and toileting guidelines. Other research articles looking at the overall condition of the geriatric patient have used the Apache score or the Anesthesia Rating score and we plan to follow suit. The Apache and Anesthesia ratings have been used to predict outcomes; the higher the score, the less successful the outcome. Within the cost structure, we needed to become more aware of the comorbidity costs and identify opportunities to address these issues.
Activities of Daily Living↗
Tools for building a successful orthopaedic pathway.
In this arena of ever-changing health care, critical pathways have been identified as a tool to analyze cost as well as improve patient care and resource utilization. The Orthopaedic Department of Allegheny General Hospital was one of the first departments to begin the process of developing critical pathways with DRG #209, Total Joint Replacements. This article explains how the multidisciplinary team members used the Continuous Quality Improvement process through the use of various questionnaires, tools, and tracking documents in identifying ways to improve customer services.
Algorithms↗
The quality circle of hip fracture care.
Elderly patients with hip fractures have many medical, physical, and psychosocial challenges. Their care can become complex and require the integration of various disciplines. In this article, the author describes and explains the hip fracture preoperative assessment tool that contains various "red flag" indicators and tools used for data collection. The case manager can use this tool to assess patients before surgery and appropriately plan for discharge. Outcome results are discussed, including functional status, length of stay, and costs.
Aged↗
Building clinical pathways.
TQM principles change the work environment so that point-of-service personnel can improve health care delivery to patients. The clinical pathway process starts with the principles of TQM. In the era of managed care, health care resources can be managed effectively using a clinical pathway. The multidisciplinary team has the opportunity to improve the health care services provided to patients.
Communication↗