Using Modern Neuroscience to Inform Opioid Use and Abuse Liability in Adolescents
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Departments: CE Tests Source Type: research

Using Modern Neuroscience to Inform Opioid Use and Abuse Liability in Adolescents
This report overviews these topics as they relate to orthopaedic procedures employed for adolescent patients. (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

Perioperative Pain Management for the Chronic Pain Patient With Long-Term Opioid Use
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Departments: CE Tests Source Type: research

Perioperative Pain Management for the Chronic Pain Patient With Long-Term Opioid Use
This article aims to review the challenges presented by these complex patients and provide strategies for treating acute postoperative pain in opioid-tolerant patients. (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

Multimodal Pain Management for Major Joint Replacement Surgery
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Departments: CE Tests Source Type: research

Multimodal Pain Management for Major Joint Replacement Surgery
Effective pain management for orthopaedic major joint replacement is key to achieving earlier recovery, better functioning, and high rates of patient satisfaction. In an effort to decrease opioid dependency, practitioners are turning to multimodal pain management, which involves the use of multiple analgesic agents and techniques. To utilize this technique, a patient's history of and preoperative consumption of medications to treat pain impacts the success of this regimen. Multimodal pain management involves the use of nonsteroidal anti-inflammatory drugs, acetaminophen, N-methyl-D-aspartate antagonists, gabapentin, seroto...
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

Approaches to Pediatric Musculoskeletal Pain: Opioids and So Much More
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Departments: CE Tests Source Type: research

Approaches to Pediatric Musculoskeletal Pain: Opioids and So Much More
This article will review strategies for collaborating with families and the multidisciplinary team, provide an overview of pediatric pain assessment including assessment of acute musculoskeletal pain in children, and discuss pharmacological and nonpharmacological options for managing pain after acute injury or surgery. (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

Managing Opioid Use in Orthopaedic Patients Through Harm Reduction Strategies
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Departments: CE Tests Source Type: research

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Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Departments Source Type: research

Managing Opioid Use in Orthopaedic Patients Through Harm Reduction Strategies
Opioids are commonly prescribed in orthopaedics for acute or chronic pain for a variety of conditions, including injury, trauma, degenerative processes, and postsurgical. Patients who are taking opioids because of a substance use disorder (SUD) are also seen in orthopaedics. Patients who are prescribed opioids are at risk of developing an opioid use disorder (OUD). Ten percent of Americans will develop an SUD, which is considered a chronic medical condition that develops due to an imbalance in brain chemistry. In studies, orthopaedic surgeons have a high rate of prescribing opioids, but this rate is decreasing along with n...
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

Management of Opioid Use Disorder Treatment: An Overview
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Departments: CE Tests Source Type: research

Management of Opioid Use Disorder Treatment: An Overview
It is important for nurses not working in the area of addictions to be informed of the diagnosis and treatment of opioid use disorder so that they may serve as a resource, educate others, and influence and refer individuals to seek treatment on the basis of best evidence. In this article, we provide an overview of the postscreening diagnosis and treatment of opioid use disorders with an emphasis on medication-assisted treatment, starting with the definition of substance use disorder, tolerance, dependence, and addiction. (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

The Tightrope Walk: Pain Management and Opioid Stewardship
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Departments: CE Tests Source Type: research

The Tightrope Walk: Pain Management and Opioid Stewardship
Pain and pain management are a major focus for an orthopedic nurse. However, reliance upon opioid monotherapy creates adverse effects for patients and has contributed to the opioid epidemic across the United States. There have been strategies developed locally and nationally to address the epidemic. Nurses, too, have an ethical and moral obligation to balance the management of pain therapies to alleviate the suffering of their patients, all while being good stewards of opioid medications. Nurses must also take the time to properly educate their patients on good stewardship techniques including proper use and disposal of th...
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

A Population Health Approach to America's Opioid Epidemic
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Departments: CE Tests Source Type: research

A Population Health Approach to America's Opioid Epidemic
This article reviews the current status of the opioid epidemic, the trends over the last 30-40 years that may have contributed to the epidemic, and a population health approach to addressing the epidemic. The epidemic is conceptualized from a population health perspective—an upstream and midstream perspective focusing on prevention and a downstream perspective targeting access to evidence-based interventions and maximizing health whether using or abstaining. Within the context of acute care, this approach will include patient screening for opioid use and other risk factors for addiction, use of opioid-sparing analges...
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

Opioid Epidemic
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Naon Position Statement Source Type: research

The More You Know About the Opioid Crisis ....
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Departments: Editorial Source Type: research

NAON Moving Forward and What Lies Ahead
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - March 1, 2019 Category: Nursing Tags: Departments: From the President Source Type: research

NAON Congress Program
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Original Articles: PDF Only Source Type: research

New Certificants July 1 to September 30, 2018
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

Tear of the Anterior Cruciate Ligament
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Departments: CE Tests Source Type: research

Knee Orthoses for Treating Patellofemoral Pain Syndrome
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Cochrane Corner Source Type: research

A Review on the New and Old Anticoagulants
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Departments: CE Tests Source Type: research

A Review on the New and Old Anticoagulants
This article will provide a review of clinically important information regarding the most commonly used anticoagulants and their reversal agents. (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Pharmacology Source Type: research

Bacteria on the Soles of Patient-Issued Nonskid Slipper Socks: An Overlooked Pathogen Spread Threat?
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Departments: CE Tests Source Type: research

Bacteria on the Soles of Patient-Issued Nonskid Slipper Socks: An Overlooked Pathogen Spread Threat?
CONCLUSION: This study demonstrates cross-contamination of bed linen with potentially pathogenic bacteria present on the hospital floor via contact with patient-worn nonskid slipper socks. A simple practice change regarding the wearing of slipper socks could play an important role in preventing pathogen transfer to the bed linen. Awareness of the likelihood of hand contamination after touching the sock bottoms that have come in contact with the hospital floor should also be considered. (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

Hand Assessment for Elderly People in the Community
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Departments: CE Tests Source Type: research

Hand Assessment for Elderly People in the Community
CONCLUSIONS: Most elderly persons did not seek medical attention for their hand condition until the late stages. Nurses can play an important role in providing community hand assessment, education on hand symptoms, information about available treatment, and adaptive approaches to maximize functioning. (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

Calendar
Upcoming Events (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Departments Source Type: research

Nurse Practitioners in Orthopaedic Surgical Settings: A Review of the Literature
CONCLUSION: A need exists for NPs in orthopaedic surgical settings to both improve access to healthcare for patients and reduce the burden on orthopaedic surgeons. (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

Factors Influencing Discharge Readiness After Total Knee Replacement
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Departments: CE Tests Source Type: research

Factors Influencing Discharge Readiness After Total Knee Replacement
Total knee replacement (TKR) surgery has been found to achieve positive outcomes for many patients such as reduced pain and increased function. However, some patients experience suboptimal outcomes including falls, readmission to hospital, and reduced functional performance. Preparation for discharge after TKR surgery is often defined related to pain control, walking, knee function, and ability to climb stairs. These measures may not fully encompass aspects of recovery that impact patients' readiness for discharge after surgery. The purpose of this article is to review discharge readiness following TKR surgery and discuss ...
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

Summary: NAON's Best Practice Guideline, Total Hip Replacement (Arthroplasty)
This article summarizes the Best Practice Guideline for Total Hip Replacement (Arthroplasty) recently released by the National Association of Orthopaedic Nurses (NAON). The summary highlights the process of content development utilizing a systematic literature review and resulting recommendations for nursing care strategies throughout the patient care continuum. The authors of the Best Practice Guideline are expert nurses working in Joint Commission Disease Specific Certified clinical settings. The Summary concludes reminding readers of the purpose and focus of the guideline to enhance clinician knowledge and to improve pa...
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Original Articles Source Type: research

Managing the Changes in Orthopaedic Care
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Departments: Editorial Source Type: research

Nursing Shortage: Myth or Fact?
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - January 1, 2019 Category: Nursing Tags: Departments: From the President Source Type: research

New Certificants April 1–June 30, 2018
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - November 1, 2018 Category: Nursing Tags: Original Articles Source Type: research

Two Books: One on Clinical Orientation and Onboarding and the Second About Everyday Bias
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - November 1, 2018 Category: Nursing Tags: Resource Center Source Type: research

Tibial Stress Fracture in a Runner
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - November 1, 2018 Category: Nursing Tags: Departments: CE Tests Source Type: research

Calendar
Upcoming Events (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - November 1, 2018 Category: Nursing Tags: Departments Source Type: research

Bone Marrow Aspirate Concentrate for Orthopaedic Use
Biological-based therapies are rapidly expanding for different musculoskeletal conditions because of their potential benefits including their minimal invasiveness, capacity for unprecedented healing, and potential for rapid recovery. In this regard, although several approaches have been reported in the literature, most of the body of the literature is increasingly based on platelet-rich plasma, bone marrow aspirate concentrate, and cell-based therapy studies. Although further basic science and clinical research is needed to elucidate the long-term outcome of these therapies in the treatment of several injuries, there is co...
Source: Orthopaedic Nursing - November 1, 2018 Category: Nursing Tags: Innovations Source Type: research

The Impact of a Phone Assistance Nursing Program on Adherence to Home Exercises and Final Outcomes in Patients Who Underwent Shoulder Instability Surgery: A Randomized Controlled Study
CONCLUSION: The phone assistance nursing program was an effective procedure to significantly improve the outcomes of conventional physiotherapy in patients who have undergone an operation for shoulder instability. (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - November 1, 2018 Category: Nursing Tags: Original Articles Source Type: research

Does Information Become Actual Knowledge in Surgical Spine Patients? A Qualitative Study
CONCLUSIONS: This study points to the challenges of supporting patients to assimilate information and affect health-related behaviors, recognizing that knowledge and behavior change are emergent processes in patients and not a linear outcome of information. (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - November 1, 2018 Category: Nursing Tags: Original Articles Source Type: research

Snapping Hip Syndrome
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - November 1, 2018 Category: Nursing Tags: Departments: CE Tests Source Type: research

Snapping Hip Syndrome
This article reviews how to perform a physical assessment and treatment options such as medications, stretching, physical therapy, articular injections, and possible surgical interventions. Complications from conservative treatments are rare, but weakness, infection, nerve damage, and atrophy may occur following surgical procedures. (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - November 1, 2018 Category: Nursing Tags: Original Articles Source Type: research

Surgical Complications Associated With Cervical Spine Surgery
No abstract available (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - November 1, 2018 Category: Nursing Tags: Departments: CE Tests Source Type: research

Surgical Complications Associated With Cervical Spine Surgery
This article reviews basic anatomy and surgical anatomy of the cervical spine. The common surgical approaches to the cervical spine as well complications that can occur from an anterior and posterior perspective are discussed. Cervical spine surgery when used in the appropriate clinical scenarios can be very successful. It is important to remember that risk reduction begins prior to the surgery with appropriate planning, identification of any anatomical anomalies, and adequate preparation. (Source: Orthopaedic Nursing)
Source: Orthopaedic Nursing - November 1, 2018 Category: Nursing Tags: Original Articles Source Type: research