related to tissue trauma and reflex muscle spasms associated with the surgery, blood accumulation and edema in the surgical area, and improper positioning of the operative extremity.
|The client will experience diminished knee pain (see Standardized Postoperative Care Plan, Diagnosis 6, for outcome criteria).|
|Nursing Actions and Selected Purposes/Rationales|
- Refer to Standardized Postoperative Care Plan, Diagnosis 6, for measures related to assessment and reduction of pain.
- Implement additional measures to reduce pain:
- maintain operative extremity in proper alignment
- move the operative extremity carefully
- apply ice packs to the operative knee for first 24-48 hours after surgery if ordered to reduce bleeding and edema in the surgical area
- elevate operative leg on pillow (when not in CPM machine) for the first 48 hours after surgery in order to reduce edema in the surgical area; place pillows so knee flexion is avoided
- maintain patency of the wound drainage system if present to prevent accumulation of fluid in the surgical area
- remind client to avoid flexing operative knee beyond prescribed limits
- ensure that knee immobilizer is worn as prescribed in order to prevent strain on the operative area
- administer prescribed analgesics before exercise and ambulation sessions
- apply ice packs to operative knee for 20-30 minutes before and after exercise and ambulation sessions as ordered.