JOINT REPLACEMENT SEMINAR
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1 JOINT REPLACEMENT SEMINAR
2 WELCOME! Please write down any questions you may have during the presentation. We will host a question and answer session at the end.!! PRESENTER:! Jennifer Kiermaier, RN! Joint Replacement Specialist, Saint Thomas Joint Replacement Institute!
3 STATISTICS! As of 2012, it is estimated that more than 50 million American adults have some form of arthritis! Arthritis is the nationʼs leading cause of disability! More than $128 billion dollars are spent in the US annually to treat arthritis!
4 WHAT CAUSES JOINT PAIN?! Sprains! Strains! Disease (cancer, liver disease, etc.)! Arthritis (more than 100 different forms of arthritis)!
5 TYPES OF ARTHRITIS! Osteoarthritis! Rheumatoid Arthritis! Lupus! Gout! Psoriatic! Other forms!!
6 SYMPTOMS OF ARTHRITIS! Pain! Swelling! Grinding! Stiffness!
7 HOW IS ARTHRITIS DIAGNOSED?! Physical Exam! Personal and Family History! Blood Tests! Joint Aspiration! X-rays!
8 HEALTHY V/S ARTHRITIC KNEE JOINT!
9 HEALTHY V/S ARTHRITIC HIP JOINT!
10 HEALTHY V/S ARTHRITIC SHOULDER JOINT!
11 EXPECTED OUTCOMES FROM TREATMENT! Reduced Pain! Improved Mobility! Return to your former lifestyle!
12 TREATMENT OPTIONS: MEDICATIONS! Control the Symptoms! Acetaminophren (Tylenol)! Non-steroidal anti-inflammatory drugs (NSAIDs)! Narcotics! Control the Disease! Disease modifying antirheumatic drugs (DMARDs)!!
13 TREATMENT OPTIONS: JOINT PRESERVATION! Lifestyle Changes! Weight loss! Exercise! Diet-O-mega 3s! Limited activity! Orthotics! Assistive Devices! Walker, Cane! Commode risers! Dressing aids!!
14 TREATMENT OPTIONS: INJECTION THERAPY! Cortisone Injections! Helps reduce swelling and discomfort from arthritis! Temporary pain relief! Small risk of infection!! Hyaluronic Acid Injections (Synvisc)! Restores lubrication/fluid in joint! Creates a shock absorber between bones!!
15 TREATMENT OPTIONS: SURGERY! Arthroscopic Surgery! Uni-compartmental or partial! Total Joint Replacement (more than 900,000 performed annually in the US)!
16 TOTAL KNEE REPLACEMENT: COMPONENTS! Femoral replaces arthritis in thigh bone! Tibial replaces arthritic portion of shin bone! Tibial insert replaces cartilage and acts as shock absorber! Patella replaces knee cap!
17 HIP REPLACEMENT SURGERY: COMPONENTS! Stem fits into the femur (thigh bone)! Ball replaces the spherical head of the thigh bone! Cup replaces acetabulum (socket) of the pelvis! Various sizes and materials
18 TOTAL SHOULDER REPLACEMENT: COMPONENTS! Components! Humeral component artificial stem with rounded metal head! Socket replaced with smooth plastic shell!
19 REVERSE SHOULDER REPLACEMENT: COMPONENTS! The procedure is ideal for patients with completely torn rotator cuff and effects of severe arthritis. The new joint is created by reversing normal anatomy.!! Components! Humeral component with a socket replaces the head (ball) of the upper arm bone! Glenoid sphere or ball replaces the socket of the shoulder!
20 NEED JOINT REPLACEMENT WHATʼS NEXT?! 1. Decide which Saint Thomas Health hospital you would like to use! 2. Complete the survey you received when you arrived tonight! 3. See a surgeon associated with your hospital to verify if surgery is medically necessary(history, physical exam and imaging studies)! 4. Ensure you are medically stable to undergo procedure! 5. Precertification from your insurance may be required! 6. Surgery and preop class will be scheduled!
21 NEED JOINT REPLACEMENT WHATʼS NEXT?! 7. You and whoever will be assisting you, will attend class to;! Learn details of hospital stay! Learn what preparations you need to complete before your surgery that will make your transition back home successful! Learn about equipment needs! Develop a discharge plan to meet your needs that is consistent with payer guidelines!
22 OVERVIEW OF HOSPITAL STAY! Majority of patients stay 2 nights! Inpatient therapy: focus on skills needed for discharge ( walking, in/out tub, in/out car, stairs, home exercise program)! Inpatient therapy will train family member/friend in how to assist! 85-90% go home from the hospital! Majority of physicians prefer outpatient therapy for post op rehab!
23 WHY CHOOSE SAINT THOMAS HEALTH?! The regionʼs leader in Joint Replacement Surgery! In the last 6 years, our program has performed 22,866 joint replacements (next highest volume was 9,998)! First in market to attain Joint Commission Certification for Hip and Knee Replacement! Nursing leadership provided by Certified Orthopedic Nurses! Dedicated OR, nursing and rehabilitation staff! Program focused on patient preparation for surgery and patient experience! Choice of campuses!
24 CONCLUSION! Thank you for attending our Saint Thomas Joint Replacement Seminar! We hope you will choose us if should you need surgery! If you need assistance making an appointment with one of our surgeons, please see one of us after the Question and Answer Session!
25 QUESTIONS?!
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