Description

Orthopaedic Nursing is the a state-of-the-art journal that keeps nurses current on important advances in diagnosis, treatment, resources, and nursing care. The only journal written by and for orthopaedic urses, it's a highly essential resource. Orthopaedic Nursing, the official journal of the National Association of Orthopaedic Nurses (NAON), is an international journal providing continuing education for orthopaedic nurses. It focuses on a wide variety of clinical settings--hospital unit, physician's office, ambulatory care centers, emergency room, operating room, rehabilitation facility, community service programs, the client's home, and others. Each issue provides departmental sections on current events, organizational activities, research, product and drug information, and literature findings. Articles focus on professional development as well as clinical, administrative, academic, and research areas of the orthopaedic specialty. Features include Patient Education; Research and Clinical Practice; NAON News; Professional Opportunities; Continuing Education; Radiology Review; Ethics; and Pharmacology.

Publications in this journal

• Managing change--learning to steer, not row

  Authors: Faler

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 18(2):8.

• By whose standards? Our professional responsibility.

  Authors: V Ohlson

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 4(4):6-7.

• Managing the surgical orthopaedic patient with Parkinson's disease.

  Authors: M Segatore

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 17(1):13-20; quiz 21-2.

  Parkinson's disease is a chronic, progressive, disabling, neurologic disorder that can complicate the diagnosis, clinical course, and recovery from comorbid conditions, such as traumatic fractures.Parkinson's disease is a chronic, progressive, disabling, neurologic disorder that can complicate the diagnosis, clinical course, and recovery from comorbid conditions, such as traumatic fractures. Attention to specific aspects of management ought to minimize morbidity and facilitate orthopaedic recovery, notably medication titration and airway protection, hemodynamic stability, and surveillance proportional to mental capacity. Classical orthopaedic management may have to be altered, especially if the patient has advanced neurologic disease. Optimal management of patients with combined surgical orthopaedic and neurologic disease offers the treatment team an unusual opportunity to collaborate and coordinate multiple facets of care.

• Patient and family perspectives on early discharge and care of the older adult undergoing fractured hip rehabilitation.

  Authors: C A Slauenwhite, P Simpson

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 17(1):30-6.

  To examine the impact of enhanced early discharge on families experiencing repaired hip fracture in an older adult. Qualitative. Convenience sample of 23 care recipients over the age of 60 years whoTo examine the impact of enhanced early discharge on families experiencing repaired hip fracture in an older adult. Qualitative. Convenience sample of 23 care recipients over the age of 60 years who had experienced a hip fracture and their caregivers. Families were interviewed 4 to 6 weeks postdischarge from the hospital. Prior to the interview a questionnaire designed to measure intra-family strain was mailed to the main caregiver. The resulting narratives were analyzed for recurring themes. A high number of clients and their families experienced a high degree of mismatched care, especially in relation to care received by nursing staff. This perception was not influenced greatly by location (i.e., hospital or community) and was exacerbated during periods of transition. Heightened communication involving clients and families, especially during transition from hospital to home, may lessen family/client perceptions of mismatched care. IMPLICATIONS FOR NURSING RESEARCH: Communication methods, role clarification of the professional nurse, and the ability to provide more holistic care during transition phases of health care are areas that need to be explored and developed.

• A review of cardiac medications for the orthopaedic nurse clinician.

  Authors: A Yuan, C L Maxwell-Thompson

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 17(1):43-8.

  Cardiovascular disease remains a major health problem in today's society. It is estimated that more than 6 million people have a history of myocardial infarction and/or angina (Abraham, 1995).Cardiovascular disease remains a major health problem in today's society. It is estimated that more than 6 million people have a history of myocardial infarction and/or angina (Abraham, 1995). Hypertension is another major health problem affecting at least 50 million people in the United States (Johannsen, 1993). Due to the high prevalence of these conditions, many orthopaedic patients will be taking one or more cardiac medications. This article discusses the indications, mechanisms of action, side effects, and nursing implications for the major classes of cardiac medications. The purpose of this article is to enhance the nurse clinician's knowledge of these medications and to optimize the patient's nursing care.

• Reiter's syndrome.

  Authors: G A Bryant

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 17(1):57-62.

  Frustrating and baffling are words used with Reiter's syndrome as there is much yet to be learned about this reactive arthritis. Having an understanding of the pathology, disease manifestations, andFrustrating and baffling are words used with Reiter's syndrome as there is much yet to be learned about this reactive arthritis. Having an understanding of the pathology, disease manifestations, and progress of the condition enables the nurse to better assess and manage care for these patients.

• Nursing care of the child having anterior spinal surgery.

  Authors: C A Brown

  Orthopedic nursing / National Association of Orthopedic Nurses. 1(2):33-5.

• Nursing care of patients undergoing posterior spinal fusion with segmental (Luque) spinal instrumentation.

  Authors: P C Thomas

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 2(3):13-20, 60.

• Dual disabilities: when a stroke patient fractures a hip.

  Authors: K V Lamb, M Waszkiewicz, N Davis-Kipnis

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 15(5):13-20; quiz 21-2.

  The incidence of both hip fracture and stroke increases with age. With the increasing age of the United States population, it is expected that the orthopaedic nurse will be challenged to care forThe incidence of both hip fracture and stroke increases with age. With the increasing age of the United States population, it is expected that the orthopaedic nurse will be challenged to care for clients with the dual disabilities of hip fracture and stroke. This article discusses incidence of these disabilities, describes the pathophysiology of stroke, and uses a case study to outline specific nursing interventions for the patient with hip fracture and stroke.

• The benefits of earning a BSN.

  Authors: L L McKenzie

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 15(5):30-2.

  This article presents several benefits of earning a BSN. In trying to make the decision to return to school, it is easy to focus on the sacrifices one must make. Returning to school can be stressful,This article presents several benefits of earning a BSN. In trying to make the decision to return to school, it is easy to focus on the sacrifices one must make. Returning to school can be stressful, disruptive of family routines, and financially difficult, but at the same time, earning a BSN can offer various benefits. These depend on several factors such as the nurse's years in practice, current position, and career goals.

• Sexual expression after total joint replacement.

  Authors: M M Spica, M D Schwab

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 15(5):41-4.

  Although patients and health care professionals often hesitate to talk about the effects of disease, illness, or surgery on sexuality, it is imperative that sexuality issues be addressed. For manyAlthough patients and health care professionals often hesitate to talk about the effects of disease, illness, or surgery on sexuality, it is imperative that sexuality issues be addressed. For many orthopaedic patients, alterations in sexual function secondary to musculoskeletal changes are a major concern. This article provides guidelines for identification of fears and needs, ideas for approaching total joint replacement (TJR) patients on the topic of sexuality, and appropriate intercourse and outercourse activities.

• Holstein-Lewis fracture. Tillaux fracture.

  Authors: L Mourad

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 15(5):52.

• Meeting the needs of people with arthritis: quality of life programs of the Arthritis Foundation.

  Authors: M L Boutaugh, T J Brady

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 15(5):59-70, 79.

  The Arthritis Foundation's Quality of Life Action Plan (Brady et al., 1993) is a strategic planning document that provides direction for service and education initiatives through the year 2000. ThisThe Arthritis Foundation's Quality of Life Action Plan (Brady et al., 1993) is a strategic planning document that provides direction for service and education initiatives through the year 2000. This plan is a guide for the fulfillment of the quality of life aspect of the Arthritis Foundation's Mission Statement: "To support research to find the cure for and prevention of arthritis and to improve the quality of life for those affected by arthritis." The plan is based on documented needs and challenges that affect the quality of life of people with arthritis, with a focus on physical, psychosocial, and economic issues. This article provides a review of these issues and describes the types of services that the Arthritis Foundation provides to help people with arthritis effectively deal with these problems.

• Step into the future ... the language of change.

  Authors: N A Brunner

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 16(4):7.

• The sling. Shoulder immobilization devices.

  Authors: E G McFarland, L A Curl, M W Urquhart, K Kellam

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 16(4):17-20.

  Currently a myriad of devices are available for immobilization of the injured or postsurgical upper extremity. Some of these devices are straightforward and easily used, but some are more complicatedCurrently a myriad of devices are available for immobilization of the injured or postsurgical upper extremity. Some of these devices are straightforward and easily used, but some are more complicated and require more familiarity for their successful application. However, even simple devices have the potential for misapplication and thus prevent their benefit to the patient. This article is the first in a 3-part series. The goals of the series are (1) to present and review several devices on the market used by shoulder surgeons to immobilize the upper extremity, and (2) to discuss proper application and precautions of their use. It is intended that this series will benefit nurses, therapists, and trainers involved in the use of these devices.

• Improving pain management in an acute care setting. The Crawford Long Hospital of Emory University experience.

  Authors: S J Carey, C Turpin, J Smith, J Whatley, D Haddox

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 16(4):29-36.

  PURPOSE: To identify which of three pain intensity measurement scales is most appropriate for use with patients admitted to the inpatient units of the study hospital. The following questions werePURPOSE: To identify which of three pain intensity measurement scales is most appropriate for use with patients admitted to the inpatient units of the study hospital. The following questions were addressed: Is one of the scales easier for most patients? Is the choice of scales influenced by nursing unit, age, education, race, SES, diagnosis, or type of pain experienced? Do patients perceive that a rating scale helps them describe their pain more effectively? SAMPLE: 267 patients admitted over a 3-week period completed a four-page questionnaire and demographic form distributed on admission. The primary admitting diagnosis for 39.5% of the sample reflected acute pain, 40.3% chronic pain, and 20.2 no pain. METHODS: Three pain rating scales were presented: two visual analogues (one contained a 100 mm line; the other contained six faces depicting graduated levels of distress); and a cognitive number rating scale. Each scale used a 0 (no pain) to 10 (worst pain possible) rating format. Patients completed the questionnaire by rating the intensity of pain experienced using each of the three scales once over the next 24 hours. The last page contained questions related to which of the scales was easiest to use, whether the scale was helpful or needed further explanation, and work and education information. The demographic form was completed from information contained in the patient record. FINDINGS: The scale selected most frequently was the visual analogue containing faces (48.6%), followed by the number (35.3%) and line scales (16.1%). None of the demographic information was found to significantly influence choice of preferred scale. A majority (85.8%) indicated a rating scale as helpful; only 13.6% indicated a need for further explanation. The means for pain intensity ranged from 5.09 to 5.75. The interval between pain ratings for the majority (> 71%) was less than 2 hours. Patients tended to tell the nurse about their pain when the intensity exceeded the midpoint on the scales. A reliability coefficient for the three scales was computed at alpha = 0.88. CONCLUSION: The use of rating scales for pain assessment in adult inpatient units was viewed positively by patients. Recommendations for incorporating self-ratings of pain intensity are set forth. Involving both patients and providers in the process is essential to improving both our processes and the outcomes achieved.

• Understanding bone banking.

  Authors: B G Larkin

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 16(4):49-53; quiz 54-5.

  Allograft bone tissue is frequently used in orthopaedic reconstructive surgery. At many major medical centers, this procedure is as routine as the implantation of manmade metallic prosthetics. TheAllograft bone tissue is frequently used in orthopaedic reconstructive surgery. At many major medical centers, this procedure is as routine as the implantation of manmade metallic prosthetics. The harvesting, preparation, and delivery of bone used for transplantation is a complex and intricate process coupled with varying practices among different bone banks. This article provides the reader with information on current standards and practices in bone banking and transplantation. This will help the perioperative orthopaedic nurse deliver safe patient care during procedures using cadaveric bone and tissue.

• Entrepreneurship: I am an orthopaedic nurse!

  Authors: M S Mock

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 16(4):57-9.

  In this time of downsizing and rightsizing, orthopaedic nurses are looking for new ways to apply their knowledge and remain orthopaedic nurses. For the experienced orthopaedic nurse, entrepreneurshipIn this time of downsizing and rightsizing, orthopaedic nurses are looking for new ways to apply their knowledge and remain orthopaedic nurses. For the experienced orthopaedic nurse, entrepreneurship may be in your future as an alternative to employment in the traditional health care settings. This article provides the realities and personal qualities required of an entrepreneur through the personal experiences of an orthopaedic nurse entrepreneur.

• Tuberculosis drugs.

  Authors: M A Gray

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 16(4):64-7.

  Tuberculosis is an old disease, and for some time thought to be almost eliminated in industrial societies. With the advent of the AIDS epidemic, it has made a comeback and often in a form moreTuberculosis is an old disease, and for some time thought to be almost eliminated in industrial societies. With the advent of the AIDS epidemic, it has made a comeback and often in a form more virulent than was seen in the past. This article summarizes the drugs used to treat the disease and suggests ways nurses may help keep this once underestimated problem in control.

• Nurse entrepreneur ... what are you waiting for?

  Authors: L G Vonfrolio

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 12(2):19-22.

  With the wealth of knowledge and experience many nurses have, they could become successful nurse entrepreneurs. This article presents several possibilities for nurses to consider: independentWith the wealth of knowledge and experience many nurses have, they could become successful nurse entrepreneurs. This article presents several possibilities for nurses to consider: independent practitioners, case managers, writers, seminar leaders, and video producers. Useful tips on marketing yourself are included.

• A look at nursing's agenda for health care reform.

  Authors: D C Schoen

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 12(2):37-40.

  Nursing organizations have united behind a program for restructuring health care. Nursing's Agenda for Health Care Reform proposes 1) universal health care insurance coverage for a wide range ofNursing organizations have united behind a program for restructuring health care. Nursing's Agenda for Health Care Reform proposes 1) universal health care insurance coverage for a wide range of health care services; 2) greater freedom of consumer choice and access to a variety of providers (including nurses); and 3) incentives to reduce costs, including managed care and a shift in emphasis toward preventive health care services.

• Prevention and management of dance injuries.

  Authors: G L Petrucci

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 12(2):52-60.

  Dancing is the loftiest, the most moving, the most beautiful of the arts, because it is no mere translation or abstraction from life; it is life itself (Ellis, 1923). Despite the "magic" thatDancing is the loftiest, the most moving, the most beautiful of the arts, because it is no mere translation or abstraction from life; it is life itself (Ellis, 1923). Despite the "magic" that professional dancers display, they, too, are subject to physical limitations. As an old German proverb suggests, "If you want to dance, you must pay the piper." In a recent interview, Samuel Bennett of Ballet Chicago speculated that many dance injuries are the result of attempting to achieve a physical ideal that probably doesn't exist. The following is an overview of dance injuries, their prevention, and their treatment. The focus is on ballet.

• Empowering nurses through nursing ethics committees.

  Authors: J A Erlen

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 12(2):69-72.

  Nurses are patient advocates who often feel powerless when implementing that role in ethical situations. One strategy to empower nurses in their advocacy role is the development and use of nursingNurses are patient advocates who often feel powerless when implementing that role in ethical situations. One strategy to empower nurses in their advocacy role is the development and use of nursing ethics committees within health care institutions.

• Getting nursing's message into the media.

  Authors: L J Shinn

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 12(2):9-10.

  Nursing has a story to tell--a story about competent caring professional men and women who can and are making a difference daily in the health of the nation. Orthopaedic nurses can help tell theNursing has a story to tell--a story about competent caring professional men and women who can and are making a difference daily in the health of the nation. Orthopaedic nurses can help tell the story by being informed, telling the stories, writing, networking, and monitoring.

• Developing continuing education for contact hour approval.

  Authors: C C Cutilli

  Orthopaedic nursing / National Association of Orthopaedic Nurses. 14(6):22-5.

  Developing quality nursing continuing education for contact hour approval requires a basic understanding of the nursing continuing education system and the application process. The Regional EducationDeveloping quality nursing continuing education for contact hour approval requires a basic understanding of the nursing continuing education system and the application process. The Regional Education Approver Unit (REAU) of the National Association of Orthopaedic Nurses (NAON) helps providers (i.e., members, chapters, corporate members) develop educational activities and grants contact hour approval. This article reviews terminology used in nursing continuing education and the application process for contact hour approval through NAON.

Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.