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Running head: HEALTH EDUCATION HEALTH EDUCATION Name of the student: Name of the university: Author note:
1 HEALTH EDUCATION Total knee replacement or total knee arthroplasty is a surgical process which mainly concerns around the replacement of the knee joints with artificial parts called the prostheses. In normal cases, a knee usually functions as a hinge joint between the upper leg bone which is called the femur and the lower leg bone called the tibia and fibula (Moulton, Evans, Starks & Smith, 2017). In course of time, the surface where the two bones meet may get worn out over time. This may be due to arthritis as well as other conditions which result in excessive swelling. It also causes tremendous pain. The main reason for which patients usually opt for knee replacements are to relive from pain and to restore the function performed by a proper knee (White, Joshi, Murray-Weir, Alexiades & Ranawat, 2017). Another reason behind the surgery is that when other treatments like weight loss, exercise or physical education, injections and medication therapy fail to provide the patients with relief from the arthritis associated pain. Recently, researchers are of the opinion that health education to such patients before surgery helps to reduce many complications(Caplan & & Kader, 2014). Theassignment will mainly focus on the discussion of the benefits of the education and how the patients of the case study may be benefitted from such education. Pre-operative education: Literature articles have defined preoperative education as a process of educational intervention which is provided to the patient before surgery. The main motive of this form of education is the improvement of the people’s knowledge as well as health behaviors and different health outcomes(Ibrahim, Khan, & Nizam, 2013). Many researchers over the years have foundgreat benefits with the help of the different resources used in the preoperative studies forthesepatients.Theseincludewrittenbrochures,audiovisualinteractionsaswellas combination of these methods to educate the patients about the procedure. It has been found that
2 HEALTH EDUCATION educators found this method a very vital one. This is because it helps the patients to learn about the procedure and also help them to clarify if they have any sort of questions. Often researchers have seen that a patient’s willingness to proceed with the surgery is usually influenced by the consideration about how completely the patients’ questions have been answered. Most of the randomized trials conducted by researchers have provided results which have shown that the education contributes to observed improvement and outcomes. Often through the different articles, it has been seen that the content of the preoperative education often varies from patients to patients as well as from medical professionals to others. However a typical form of education mainlycontainsinformationwhichremainsrelatedtothatofthedifferentpre-surgical procedures(Jones, 2017). They also contain information about the actual steps in surgical procedures and also about different discharge disposition. Most essential part which also remains included in the education procedure is the proper post-operative care. All these also give knowledge to the patient about potential complications that may arise from surgical as well as non – surgical processes. They also have information that provide relevant answers to the differentfrequentlyaskedquestionsofthepatientsaswellasthepostoperativepain management details. It also important contact numbers and emails that the patients can find of help if he or she is in emergency(Biau, Porcher, Babinet, Rosencher, & Chevret, 2015). There has been debate between researchers about the affectivity of the intervention of postoperative education. Although many do not align with the concept, however a larger number of researchers are positive about this intervention’s affectivity. The trials have shown positive results in the patients health outcomes where the intervention had shown to decrease pre as well as post operative anxiety. It also helped in reduction of the decreased post operative pain. The patients were found to be able to cope with the situation in a much better way and also helped in
3 HEALTH EDUCATION the improvement of the length of stay in the hospitals. It also reduced the frequencies of decrease in the number of readmissions and also helped in improvement of home damage A very interesting finding has been observed from the work of many researchers. They have stated that patients who undergo joint surgery often have high expectations from the surgery (Alattas et al., 2016). In many cases, these expectations are even found to be much higher than the expectation of the surgeons and the doctors. A very strong correlation has been notedbymanyresearchersbetweenthepatientsatisfactionandthefulfillmentoftheir expectation in pain relief as well as in functional outcome. It has been shown by researchers that there is evidence which shows 20% of all the total knee arthroplasty patients are not at all satisfied with the outcome and this predictor was not at all meeting g the expectations(Livbjerg, Froekjaer, & Simonsen, 2013). It is found after trialsthat preoperative education help in improving the patients’ expectation and help them to understand how such pain relief they can expect after the surgery. These help to overcome many issues that arise from patient’s higher expectations. This also help the patients to understand what they can expect from the surgery as the nurse gives a proper review about her after effects. With this intervention, nurses can prepare thepatientpsychologicallyfortheaimsofrehabilitationbyprovidingthemwithclear explanations and expectations of the recovery procedures(Conditt, Gustke, Coon, Kreuzer, & Branch, 2016). This providing information to the patients alsohelps the nurse to increase their sense of successful surgery and also help them to develop the believed that they will be able to successfully cope with the surgeries. After the topic of expectations of patients, the next topic that is important to discuss is the anxiety of the patients who go for his kind of surgery. A positive correlation has been found between the increase of preoperative anxiety levels as well as pain after total knee replacements.
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