Abstract

Purpose: As part of the team objectives for 2017 we wanted to look at a redesign of the Post-Operative Arthroplasty class to improve time efficiency of qualified members of staff and reduce the overall cost of treatment of this patient group. The aim was to do this without compromise of patient safety and patient satisfaction. Through a literature search we found multiple literature reviews that compared supervised to non-supervised exercise programs. They revealed that supervised exercise programs by physiotherapists yielded similar patient outcomes to home based exercise programs for post operative care of TKR/THR surgery. However it did not show or demonstrate overall patient satisfaction with the care provided post rehabilitation. We therefore surmised that to lower costs yet maintain patient satisfaction was to utilise non-qualified members of staff for post-arthroplasty rehabilitation.

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