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Kebeh M, Dlott CC, Kurek D, Morris JC, Johnson CB, Wiznia DH. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization: Diabetes and Cardiovascular Disease-Part 3 of the Movement Is Life Special ONJ Series. Orthop Nurs 2024; 43:2-9. [PMID: 38266257 PMCID: PMC10832337 DOI: 10.1097/nor.0000000000000997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2024] Open
Abstract
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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Affiliation(s)
- Martha Kebeh
- Martha Kebeh, BA, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Chloe C. Dlott, BS, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Donna Kurek, MSN, MHA, RN, ONC, CMSRN, National Association of Orthopaedic Nurses and Movement is Life, Chicago, IL; and OrthoVirginia, Chesterfield, VA
- Jensa C. Morris, MD, Hospital Medicine Service and Smilow Cancer Hospital, Yale New Haven Hospital, New Haven, CT; and Yale School of Medicine, New Haven, CT
- Charla B. Johnson, DNP, RN-BC, ONC, Franciscan Missionaries of Our Lady Health System, Baton Rouge, LA
- Daniel H. Wiznia, MD, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
| | - Chloe C Dlott
- Martha Kebeh, BA, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Chloe C. Dlott, BS, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Donna Kurek, MSN, MHA, RN, ONC, CMSRN, National Association of Orthopaedic Nurses and Movement is Life, Chicago, IL; and OrthoVirginia, Chesterfield, VA
- Jensa C. Morris, MD, Hospital Medicine Service and Smilow Cancer Hospital, Yale New Haven Hospital, New Haven, CT; and Yale School of Medicine, New Haven, CT
- Charla B. Johnson, DNP, RN-BC, ONC, Franciscan Missionaries of Our Lady Health System, Baton Rouge, LA
- Daniel H. Wiznia, MD, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
| | - Donna Kurek
- Martha Kebeh, BA, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Chloe C. Dlott, BS, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Donna Kurek, MSN, MHA, RN, ONC, CMSRN, National Association of Orthopaedic Nurses and Movement is Life, Chicago, IL; and OrthoVirginia, Chesterfield, VA
- Jensa C. Morris, MD, Hospital Medicine Service and Smilow Cancer Hospital, Yale New Haven Hospital, New Haven, CT; and Yale School of Medicine, New Haven, CT
- Charla B. Johnson, DNP, RN-BC, ONC, Franciscan Missionaries of Our Lady Health System, Baton Rouge, LA
- Daniel H. Wiznia, MD, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
| | - Jensa C Morris
- Martha Kebeh, BA, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Chloe C. Dlott, BS, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Donna Kurek, MSN, MHA, RN, ONC, CMSRN, National Association of Orthopaedic Nurses and Movement is Life, Chicago, IL; and OrthoVirginia, Chesterfield, VA
- Jensa C. Morris, MD, Hospital Medicine Service and Smilow Cancer Hospital, Yale New Haven Hospital, New Haven, CT; and Yale School of Medicine, New Haven, CT
- Charla B. Johnson, DNP, RN-BC, ONC, Franciscan Missionaries of Our Lady Health System, Baton Rouge, LA
- Daniel H. Wiznia, MD, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
| | - Charla B Johnson
- Martha Kebeh, BA, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Chloe C. Dlott, BS, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Donna Kurek, MSN, MHA, RN, ONC, CMSRN, National Association of Orthopaedic Nurses and Movement is Life, Chicago, IL; and OrthoVirginia, Chesterfield, VA
- Jensa C. Morris, MD, Hospital Medicine Service and Smilow Cancer Hospital, Yale New Haven Hospital, New Haven, CT; and Yale School of Medicine, New Haven, CT
- Charla B. Johnson, DNP, RN-BC, ONC, Franciscan Missionaries of Our Lady Health System, Baton Rouge, LA
- Daniel H. Wiznia, MD, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
| | - Daniel H Wiznia
- Martha Kebeh, BA, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Chloe C. Dlott, BS, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Donna Kurek, MSN, MHA, RN, ONC, CMSRN, National Association of Orthopaedic Nurses and Movement is Life, Chicago, IL; and OrthoVirginia, Chesterfield, VA
- Jensa C. Morris, MD, Hospital Medicine Service and Smilow Cancer Hospital, Yale New Haven Hospital, New Haven, CT; and Yale School of Medicine, New Haven, CT
- Charla B. Johnson, DNP, RN-BC, ONC, Franciscan Missionaries of Our Lady Health System, Baton Rouge, LA
- Daniel H. Wiznia, MD, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
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