Development and Implementation of a Preoperative Therapy Program for Individuals Undergoing  Total Joint Surgical Procedures

Manspeaker, Trevor D.

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Development and Implementation of a Preoperative Therapy Program for Individuals Undergoing Total Joint Surgical Procedures

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MLA citation style (9th ed.)

Manspeaker, Trevor D. Development and Implementation of a Preoperative Therapy Program for Individuals Undergoing Total Joint Surgical Procedures. Dale, Lucinda.University of Indianapolis. 2019. uindy.hykucommons.org/concern/generic_works/cb53aec8-f2f3-475e-8958-76a4cf6ec15a.

APA citation style (7th ed.)

M. T. D. (2019). Development and Implementation of a Preoperative Therapy Program for Individuals Undergoing Total Joint Surgical Procedures. https://uindy.hykucommons.org/concern/generic_works/cb53aec8-f2f3-475e-8958-76a4cf6ec15a

Chicago citation style (CMOS 17, author-date)

Manspeaker, Trevor D. Development and Implementation of a Preoperative Therapy Program for Individuals Undergoing Total Joint Surgical Procedures. University of Indianapolis. 2019. https://uindy.hykucommons.org/concern/generic_works/cb53aec8-f2f3-475e-8958-76a4cf6ec15a.

Note: These citations are programmatically generated and may be incomplete.

Following the completion of a needs assessment at Saint Joseph Regional Medical Hospital, an increase of medical spending, a lack of patient expectation fulfillment, and the decreased functional outcomes postoperatively were all identified as problems impacting the joint replacement population. The purpose of the doctoral capstone experience was to develop and implement a preoperative therapy program to address the above needs. Cabilan, Hines, and Munday (2016) defined pre-habilitation as the preoperative optimization of physical functionality to enable the individual to maintain a normal level of function during and after surgery (p. 224). During the initial development of the program, a preoperative therapy team was created to begin data collection and resource creation. In conjunction with the therapy staff, the team created multiple educational handouts corresponding to preoperative exercises, adaptive devices, surgical expectations, and home modifications. Data were collected to assess the financial impact a preoperative therapy program could have at this site. Data demonstrated an annual saving of 118,000 dollars due to decreased post-acute care utilization. Following the development of the program, the team began the implementation phase by completing chart reviews. Implementation trials yielded positive results indicating improved postoperative outcomes and satisfaction fulfillment. The occupational therapy (OT) student presented the program to administration staff, and it was accepted for implementation to care. Throughout the experience, the OT student utilized leadership and advocacy skills to complete objectives. The experience provided great opportunities for continued learning and professional growth.

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