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Nursing strategies to reduce length of stay for persons undergoing total knee replacement: integrative review of key variables.

Abstract
Decreasing the length of stay for persons undergoing total knee replacement surgery can improve patient and organizational outcomes while reducing health care costs. This integrative review examined selected nurse-driven variables that assist the interdisciplinary team to reduce length of stay. Findings suggest that a targeted clinical pathway including comprehensive preoperative patient education, physical therapy on the day of surgery, multimodal pain control, and proactive discharge planning may provide the best practice with this patient population.
AuthorsShelly Hass, Camilla Jaekel, Bonnie Nesbitt
JournalJournal of nursing care quality (J Nurs Care Qual) 2015 Jul-Sep Vol. 30 Issue 3 Pg. 283-8 ISSN: 1550-5065 [Electronic] United States
PMID25485792 (Publication Type: Journal Article, Review)
Topics
  • Arthroplasty, Replacement, Knee (nursing, rehabilitation)
  • Humans
  • Length of Stay (economics)
  • Pain Management (nursing)
  • Patient Care Team
  • Patient Discharge
  • Patient Education as Topic
  • Physical Therapy Modalities

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