Slye D A
Northwest Hospital, Seattle, Washington.
Nurs Clin North Am. 1991 Mar;26(1):113-32.
Specialized education in the care of orthopedic patients includes an understanding of the common complications for which patients require monitoring. With a socioeconomic backdrop of decreasing hospital stays and prospective payment, patient care must be managed proactively. For all three complications presented, there are unique sets of risk factors that, when present, contribute to a high index of suspicion for morbidity. Clusters of symptoms have also been discussed representing the expected normal patterns. With this knowledge as a foundation, clinical application is essential to incorporate other salient aspects of individual situations. Nurses diagnose and treat human responses to health problems. The end result of human responses to injury or orthopedic conditions can be the development of complications. Stringent adherence to patient monitoring protocols can promote timely nursing interventions to prevent, minimize, or detect complications or treatment side effects. Although definitive treatment is often physician directed, nurses are in a key role to impact final patient outcomes.
骨科患者护理的专业教育包括了解患者需要监测的常见并发症。在住院时间缩短和按预期付费的社会经济背景下，必须积极主动地管理患者护理。对于所呈现的所有三种并发症，都有独特的风险因素集，当这些因素存在时，会增加对发病的高度怀疑指数。还讨论了代表预期正常模式的症状群。以这些知识为基础，临床应用对于纳入个体情况的其他重要方面至关重要。护士诊断和治疗人类对健康问题的反应。人类对损伤或骨科疾病反应的最终结果可能是并发症的发生。严格遵守患者监测方案可以促进及时的护理干预，以预防、最小化或检测并发症或治疗副作用。虽然确定性治疗通常由医生指导，但护士在影响患者最终结局方面起着关键作用。
