Key result
Nurse navigators optimize preoperative diabetes and cardiovascular risk before total joint arthroplasty.
Why the study?
Diabetes and cardiovascular disease are major risk factors for complications after total joint arthroplasty, and nurse navigators coordinate preoperative optimization programs to improve outcomes.
Cross-Sectional (n=25)
Nurse navigators can play a critical role in optimizing preoperative health for total joint arthroplasty patients by coordinating education, guidelines, and specialist referrals for diabetes and cardiovascular disease.
May support nurse navigator-led CV optimization pre-TJA; hypothesis-generating pending prospective trials.
Diabetes and cardiovascular disease are some of the most common risk factors for complications after total joint arthroplasty (TJA). Preoperative optimization programs are dependent on nurse navigators for coordination of interventions that improve patients' health and surgical outcomes. This article uses information regarding the current practices for diabetes and cardiovascular disease management to provide recommendations for nurse navigators when managing these risk factors prior to TJA. We consulted nurse navigators and conducted a literature review to learn about strategies for addressing diabetes and cardiovascular disease in preoperative optimization programs. Nurse navigators can play a critical role in addressing these conditions by providing patient education and implementing preoperative optimization protocols that incorporate discussion regarding guidelines for diabetes and cardiovascular disease management prior to surgery. This article shares recommendations and resources for nurse navigators to help address diabetes and cardiovascular disease as part of preoperative optimization programs.
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Kebeh et al. (2024) conducted a cross-sectional in Preoperative optimization for total joint arthroplasty (diabetes and cardiovascular disease) (n=25). Orthopaedic nurse navigator coordination and preoperative optimization protocols was evaluated on Current practices and strategies for diabetes and cardiovascular disease management prior to surgery. Orthopaedic nurse navigators play a critical role in preoperative optimization by coordinating patient education, implementing protocols, and facilitating specialist referrals to manage diabetes and cardiovascular risk before total joint arthroplasty.
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