Improving Orthopedic-Related Postoperative Edema Management in a Rehabilitative Nursing Setting.

Abstract

The aim of the study was to reduce postoperative edema in total knee and hip arthroplasty rehabilitation patients. A pre- and posttest design was used for this quality improvement project at a rehabilitation facility. Staff and patient edema education was standardized. Staff pre- and posttests were administered. Patients were interviewed to assess for knowledge of edema management. Chart audits were assessed for edema management and length of stay. Average staff knowledge scores (n = 50) increased pre- to posteducational video (64% vs. 70%). Of patients interviewed posteducation (n = 24), 38% were able to list two characteristics of edema. Two chart audits completed pre- and posteducation demonstrated that the majority of patients (n = 30 per group) had edema upon admission (96% vs. 97%). However, length of stay decreased by 3 days (19.2 vs. 16.3). Standardized postoperative edema education can improve staff and patient edema knowledge and management. Edema education is recommended for orthopedic patients in rehabilitation facilities.