Overview of Orthopedic Rehabilitation Nursing
Presented by Cheryl Lehman
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Rehabilitation of the person with an orthopedic condition has changed over the past decade. More and more people with orthopedic conditions are being treated in the skilled nursing setting, rather than in the inpatient rehabilitation facility. All patients in all settings, however, may experience orthopedic conditions as a primary or secondary issue. This chapter will review rehabilitation care for the patient needing post-operative orthopedic rehabilitation, orthopedic rehabilitation after trauma, or rehabilitation after disease-related orthopedic effects.
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Meet your instructor
Cheryl Lehman
Dr. Cheryl Lehman has been a registered nurse since graduating from the Decatur Memorial Hospital School of Nursing in 1978. Since that time, she earned a BSN from Maryville University-St. Louis in 1990; an MSN in Adult Health Nursing from the University of Texas Medical Branch (UTMB) at Galveston in the Clinical Nurse…
Chapters & learning objectives
1. Osteoporosis
This chapter introduces the concept of osteoporosis. Osteoporosis may be a cause of orthopedic injury (and thus, surgery) or may be a co-morbidity in other rehabilitation populations. The risk factors, causes, types, pathophysiology of osteoporosis will be explored, and the diagnostic measures and treatments will be explained. Implications for rehabilitation nurses will be emphasized.
2. Arthritis
This chapter provides a review of the several types of arthritis, with a focus on osteoarthritis and rheumatoid arthritis. Causes, symptoms, diagnostics, and interventions will be described, and rehabilitation nursing interventions emphasized.
3. Hip Fracture and Hip Replacement
Hip fracture and hip replacement are surgeries that used to be seen for rehabilitation in the IRF setting – but now are most often seen in the SNF. With differing risk factors, causes, post-operative restrictions, and outcomes, patients who experience either of these surgeries depend upon the rehabilitation nurse to employ knowledge and skills to ensure their good outcomes. This chapter reviews both surgeries and their rehabilitation, with a focus on the rehabilitation nurses’ care.
4. Knee Replacement and Amputation
Two final orthopedic surgeries will be discussed in this chapter – knee replacement and amputation. Risk factors, indications, comorbidities, assessment parameters, restrictions, and nursing interventions will be considered for each condition.