opiates such as morphine are one of the most effective classes of medication prescribed to treat both acute and chronic pain.they act to suppress pain through mu-receptor activation on primary afferent nerve fibers, dorsal horn neurons and supraspinal pain center neorons. when morphine is administered epidurally, it diffuses to the cord substance, producing analgesia [1],the aim of this study w...

Background: Achieving quality care is an important issue which is often paied attention to in providing nursing care. It seems that communication skills can affect the quality of care. Aim: This study investigated the effect of training the communication skills on the quality of nursing care in patients. Methods: The study was a pretest/posttest experimental design with control group. 60 nurses...

This study aimed to clarify the therapeutic effects of postoperative ambulation after total knee arthroplasty (TKA) on deep venous thrombosis (DVT) in patients with osteoarthritis (OA) and rheumatoid arthritis (RA) after TKA. Subjects of this study were thirty-seven inpatients (21 inpatients: OA, 16 inpatients: RA) undergoing TKA (32 female and 5 male). Subjects were divided into two groups, de...

The aims of this study were to identify the preoperative factors influencing ambulation ability at different postoperative time points after total hip arthroplasty (THA) and to examine the cutoff values of predictive preoperative factors by receiver operating characteristic (ROC) curves. Forty-eight women with unilateral THA were measured for hip extensor, hip abductor, and knee extensor muscle...

Introduction: Total knee arthroplasty is associated with moderate to severe pain, and effective analgesia is essential to facilitate postoperative recovery. This retrospective cohort study examined the analgesic and rehabilitation outcomes associated with 48-hour continuous femoral nerve block, local infiltration analgesia, or local infiltration analgesia plus adductor canal nerve block. Method...

Background: Total hip replacement surgeries are one of the most common orthopedic performed today1. This number continues to rise. One way accommodate growing need for inpatient beds is through high hospital turnover. High turnover can possibly be accomplished early ambulation. The goal study see if standing or walking before eight hours post-operative decreased overall length stay. Methods: re...