A patient with Musculoskeletal Limitations Complicated by a medical Illness

A patient with Musculoskeletal Limitations Complicated by a medical Illness

A patient suffering from Musculoskeletal Limitations Complicated by a medical condition: The Surgical Care Improvement Project (SCIP) was launched as a commitment to improving surgical patient safety by lowering post-operative complications. Although some surgical complications are unavoidable, surgical care can be improved by adhering to evidence-based practice more closely.

Case Study: A 60-year-old patient with a long history of right knee pain has been diagnosed with osteoarthritis, and a total left knee arthroscopy has been recommended to relieve chronic discomfort and improve mobility.

The patient has a history of hypertension and an irregular heart rate. The patient claims that he has no allergies.

At 1 p.m., the patient arrives at the hospital for a left knee replacement. After completing a medication reconciliation, the patient reports taking the following medications with a sip of water at 8:00 p.m.:

• Lisinopril 10 mg PO once a day

• Toprol 25 mg PO once a day

• Celebrex 200 mg PO once a day

Vital signs are taken while in the pre-operative holding area and are within normal limits. There was no hair removal. At 2:30 p.m., the patient was ordered and received Ancef 1 gram IV mini bag. The patient was taken to the operating room, where anesthesia monitoring began at 3:00 p.m., a urinary catheter was placed, and a forced air warming device was installed to keep the patient warm.

The patient was transferred to a surgical floor after recovering in the post-anesthesia care unit (PACU). Post-operative orders included the following:

• 1 gram Ancef IV mini bag every 8 hours

• While in bed, apply long leg TED hose and sequential compression stockings to the right leg.

• Lovenox 30 mg subcutaneously every morning beginning the next morning

• On post-operative day 1, the urinary catheter will be removed at 3:00 p.m.

A patient suffering from Musculoskeletal Limitations Complicated by a medical condition

The patient made good progress in terms of pain management and mobility. While in bed, TED hose and sequential compression stockings were worn. The first dose of Lovenox was given at 1000 a.m., and the last dose of Ancef was given at 2:30 p.m. on the first post-operative day. After the urinary catheter was removed, the patient was able to urinate. The patient made good progress and was discharged home on post-operative day 5.

According to data, more than 45 million surgical procedures are performed in the United States each year. Approximately 40% of surgical procedures result in a surgical complication. The Surgical Care Improvement Project (SCIP) was launched to improve surgical patients’ quality of care by reducing surgical complications. Nurses play a critical role in this process by adhering to evidence-based and best practice protocols.

A patient suffering from Musculoskeletal Limitations Complicated by a medical condition

Answer the following questions using evidence-based practice from two professional nursing journals and/or your nursing textbooks:

1. Describe one of the SCIP core measures and how it has impacted surgical complications prevention. 2. Describe why no hair removal was necessary for the surgical procedure. Explain the appropriate technique if hair removal was requested.

3. What procedures were used to ensure that the recommended VTE/DVT prophylaxis was followed, and why is timing critical? Provide evidence to back up your reasoning.

A patient suffering from Musculoskeletal Limitations Complicated by a medical condition

Write a two (2) to three (3) page paper (excluding the cover and reference page) addressing the case study in APA format. A minimum of two (2) recent professional references are required. Professional nursing publications published within the last five (5) years, as well as textbook(s) used for the course that are no more than one (1) edition old, are examples of current references. Websites should not be used as professional resources or sources of information.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource