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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Implementing a nurse-led prehabilitation program for patients undergoing spinal surgery.

Lisa B E Shields1, Lisa Clark, Jenna Reed

  • 1Lisa Shields is a medical research associate at Norton Neuroscience Institute, Norton Healthcare. Lisa Clark is the program manager for Neurosurgery at Norton Healthcare. Jenna Reed is the rehabilitation supervisor at the Norton Neurosciences and Spine Rehabilitation Center. Stephanie Tichenor is a neurosurgery nurse practitioner at the Norton Neuroscience Institute.

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Prehabilitation, or prehab, optimizes patient strength, function, and nutrition before surgery. This project outlines strategies for implementing prehab programs, highlighting nursing

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Area of Science:

  • Surgical patient care
  • Evidence-based practice

Background:

  • Prehabilitation (prehab) enhances patient outcomes by optimizing health before surgery.
  • Spinal surgery patients require specific preparation for lifestyle changes.

Purpose of the Study:

  • To present strategies for implementing a prehabilitation program for spinal surgery patients.
  • To emphasize the role of nurses in preoperative patient education.

Main Methods:

  • Evidence-based practice project.
  • Development of implementation strategies for prehab programs.
  • Focus on nursing interventions for patient education.

Main Results:

  • Identified key strategies for successful prehab program implementation.
  • Highlighted the critical role of nurses in patient preparation.
  • Demonstrated the benefits of prehab for spinal surgery readiness.

Conclusions:

  • Prehabilitation is a vital component of optimizing patients for spinal surgery.
  • Nurses are essential in educating patients on prehab and lifestyle adjustments.
  • Implementing prehab programs can improve surgical patient outcomes.