Essential knowledge for nurses: Evidence-based non-drug options for pain relief post knee replacement

Drug-Free Interventions to Reduce Pain or Opioid Consumption After Total Knee Arthroplasty: A Systematic Review and Meta-analysis
by Dario Tedesco, MD1,2Davide Gori, MD2Karishma R. Desai, PhD1et al

JAMA Surg. Published online August 16, 2017. doi:10.1001/jamasurg.2017.2872

It’s important for nurses to keep up to date with evidence-based interventions to help their patients with pain management. Many patients continue to experience high levels of pain post-op, so any new options nurses can incorporate into their pain management strategies have the potential to make an important impact on patient suffering.

In this review the authors sought to answer the following question: Which of the nonpharmacological interventions used for postoperative pain after total knee arthroplasty are effective?

If you want to know the ‘answer’, click here!

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Absence of evidence is not evidence of absence

An invisible unicorn has been grazing in my office for a month…Prove me wrong.
by Martin Burton, Evidently Cochrane

invisible-unicorn

An excellent blog on interpreting the findings from research evidence – the importance of effect size and an sufficiently large sample size from which to draw meaningful conclusions. In fact, caution is urged in drawing any firm conclusions from any one study. But what if there were a million people in each arm of a randomised clinical trial? Surely that is enough to be able to be sure that a treatment actually works or does not? The answer to that might surprise you…

What should we be eating, and advising patients to eat?

What should we be eating? by Dr Andrew Weil

Andrew Weil does a fantastic job of summarising what we should be eating and why in this presentation at the College of Medicine entitled, ‘What should we be eating?’.

What should we be eating? Dr Andrew Weil

There won’t be any surprises here for those of you who have been staying up to date with advances in nutrition science (basically, the Mediterranean diet is good for you) but Dr Weil’s delivery is well thought out, succinct and persuasive – so whether this is new to you or revision, a very worthwhile 40 minutes. The next question after ‘What should we be eating?’ is, ‘How do we get patients to eat more healthily?’ Well, we know that’s a tough nut to crack, but what better place to start than to be persuaded that our growing understanding of what it means to eat healthily also embraces getting pleasure from food. Cheers to that!

Role for nutrition in enhanced recovery for hip/knee replacement? RCN Society of Orthopaedic and Trauma Nursing International Conference

A review of the literature related to the role of nutritional supplementation for an enhanced recovery pathway for hip and knee replacement
by Branney, J*., Wainwright T.W.**, Dyall S.*, Middleton R.G.*
*Faculty of Health and Social Sciences, Bournemouth University
**Orthopaedic Research Institute, Bournemouth University, Bournemouth, UK

Delighted to present this work at the Royal College of Nursing (RCN) Society of Orthopaedic and Trauma Nursing International Conference and Exhibition, 8-9 September 2016, Cardiff, Wales. Headline? At present, the evidence base does not support the use of nutritional supplementation in enhanced recovery after surgery pathways for hip/knee replacement. To find out more (full size poster), click here.

I’d be delighted to hear from anyone involved with any enhanced recovery after surgery (ERAS) pathway, particularly in orthopaedics, who has views on this, particularly those who have any practice and/or research experience related to the role of nutrition in ERAS pathways.

Orthopaedic Manipulative Physical Therapy and Chiropractic – (not so) subtle parallels?

IFOMPT 2016 – Some not so subtle parallels with developments in the chiropractic profession

Presenting work on mechanism of spinal manipulation at IFOMPT 2016

Presenting work on mechanism of spinal manipulation at IFOMPT 2016

I had considered writing a blog on my experience of attending my first physiotherapy conference, IFOMPT 2016. This was an excellent experience, and I’ve written a bit more about the conference here, on Bournemouth University’s Research Blog. (You can get copy of the poster here). What I was considering adding in this blog was a consideration of some of the striking parallels between the themes than ran through this conference and the delegation of orthopaedic/manipulative physical therapists/physiotherapists, and that which permeate the chiropractic profession too. Luckily for me, I was beaten to it, which saved me writing it. For chiropractors interested in recent developments and controversies in the profession, read this blog by Canadian physiotherapist Jesse Awenus. Sound familiar?

 

IFOMPT 2016 poster presentation – Does cervical lordosis change after spinal manipulation? A prospective cohort study

IFMOPT 2016

For any IFOMPT 2016 attendee (or anyone else!) who wants a copy of the poster, please click here: Poster IFOMPT 2016 A4 size, and if you want to find out more, the study was published here shortly after the abstract was accepted for presentation.

This blog contains some more information about my research into the mechanism of spinal manipulation. More will follow.

Please get in touch if you’ve any feedback: jbranney@bournemouth.ac.uk

Best wishes

Jonny Branney

Neck injury leads to death of Katie May. What can chiros/osteos/physios learn from this case?

Death following a neck injury: What can we learn from the case of Katie May?

Katie May has died age 34, Instagram

Katie May has died age 34, Instagram

Click here to read well written blog by Alan Taylor who explores the evidence on stroke and manual therapy with respect to the sad case of Katie May who died at the age of 34 from a suspected neck injury.