Reducing respiratory complications in total joint replacement patients
Nursing Research on the Green
Beth M. Krage MSN, RN, CNL; Kathryn Parks MS, RN; Jenni Wolk, RN; Barb Tralmer, RN; and Cindy Langaard BSN, RN – Gundersen Health System
- Background: Respiratory complications were identified as a leading complication of Orthopaedic surgery patients at Gundersen Health System. Staff on the Orthopaedic Unit were tasked with finding methods to decrease respiratory complications such as: Hypoxia, Pneumonia, and Acute respiratory failure.
- Significance: The significance is that nurses need to understand and combat the most common complications that their patient types face.
- Purpose/objective: The purpose was to establish consistent nursing interventions to reduce respiratory complication in total joint and hip fracture patients
- Methods/project: Literature Review
"ICOUGH" interventions identified to decrease respiratory complications (Cassidy, 2013)
Plan/Do/Study/Act cycles to measure change
- Results: Decreased respiratory complications to zero on elective total joint patients.
- Clinical implications: Nursing implications include: standardized patient education, reduced need for oxygen, decreased risk for respiratory complications post operatively, and consistent patient care
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