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Bilateral Total Knee Antrhoplasty
This surgery is needed when the knee joint has been damaged from rheumatoid arthritis, trauma, or other conditions and the patient begins to lack mobility and has pain at rest. During the surgery, damaged cartilage and bone from the knee joint is removed and resurfaced. That area is then replaced with metal and plastic to be used as a shock absorber (Varacallo et al., 2020).
Nursing diagnosis: Impaired physical mobility related to musculoskeletal impairment as evidenced by a muscle strength of 2+ with the lower extremities (Doenges et al., 2010).
(National Association of Orthopaedic Nurses, 2018)
Nursing diagnosis: Low self-esteem related to body image as evidenced by negative thoughts about altered structures of body (Doenges et al., 2010).
(National Association of Orthopaedic Nurses, 2018)
Nursing diagnosis: Self-care deficit related to activity tolerance as evidenced by weakness in the lower extremities (Doenges et al., 2010).
(National Association of Orthopaedic Nurses, 2018)
ECG
Chest Radiography
Knee Radiography
Reasoning: Used to check for lung abnormalities such as lung disease or enlarged heart that can delay surgery.
Results: No signs of infiltration or enlarged heart.
Reasoning: To check to see if heart has any rhythm abnormalities.
Results: Normal sinus rhythm. No abnormalities noted.
Reasoning: Used to assess for fractures or joint degeneration.
Results: Signs of degeneration in joint space.
(Ignatavicius et al., 2018)
Lab Results
(Ignatavicius et al., 2018)
References
Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2010). Nurse's pocket guide:
Diagnoses, prioritized interventions, and rationales (12th ed.). Philadelphia, PA: F.A. Davis Company.
Ignatavicius, D., Workman, M. L., & Rebar, C. (2018). Medical- Surgical
Nursing: Concepts for Interprofessional Collaborative Care (9th ed., Vol. 1). St. Louis, MO: Elsevier.
National Association of Orthopaedic Nurses. (2018). Patient Education
Manual Total Knee Replacement. NAON. Retrieved from www.orthonurse.org
Varacallo M, Luo TD, Johanson NA. (2020). Total Knee Arthroplasty (TKA)
Techniques. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Retrieved from www.ncbi.nlm.nih.gov/books/NBK499896/