Unrelieved postoperative pain

The Longitudinal Study of Pain Control following Total Knee Arthroplasty


The longitudinal study looks at how pain can be controlled following a total knee arthroplasty because of the unrelieved postoperative pain. As a result, the research focuses on areas such as pain intensity, factors determining the severity of worst and acute average pain following total knee arthroplasty.


Research Methodology


Aside from the Lee Fatigue Scale and the Hospital Anxiety Depression Scale, the study relies on demographic questionnaires completed by 203 patients. The method employs a more complex Short Illness Perception Questionnaire, which allows for the inclusion of a Brief Pain Inventory prior to surgery and during the postoperative period (Lindberg et al., 2016). The clinical data that was extracted from the patients’ medical records demonstrates that several factors can be associated with the preoperative and postoperative pain levels. Such factors as older age and high levels of fatigue are established to be precursors of the worst pain under preoperative circumstances (Lindberg et al., 2016). Moreover, the high emotionality and identity respond to osteoarthritis exhibited the propensity for preoperative levels of pain as the worst one. From the gender perspective, it is noted that males, especially those with lower preoperative scores, according to the severity scale, will experience the elevated rates of the worst pain as a result of the surgery. The patients who experience it during TKA are established to be worried before the surgery.


Results and Recommendations


According to the results of the research, it has been established that during TKA, the patients tend to experience the various form of pain most of which relate to preoperative pain. Therefore, the risk and the level of the severity of preoperative and postoperative pain are determined by assessing such factors as gender, emotionality, and emotional response (Lindberg et al., 2016). It can be recommended that future studies should focus on establishing the efficacy of the interventions that will modify the perception of OA patients.


Conclusion


To sum up, the research examines the effects of total knee replacement in patients. By discussing the comprehensive clinical, demographic, and psychological predictors, the researchers draw the link between the preoperative and postoperative pains the patients endure during total knee arthroplasty. The research reveals that the experienced pain varies depending on the patient’s gender and psychological disposition.

Reference


Lindberg, M. F., Miaskowski, C., Rustøen, T., Rosseland, L. A., Paul, S. M., & Lerdal, A. (2016). Preoperative pain, symptoms, and psychological factors related to higher acute pain trajectories during hospitalization for total knee arthroplasty. PloS one, 11(9), 1-21.

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