In the hospital for a special surgery in Florida, in West Palm Beach, there were a number of difficulties that patients faced in their attempts to recover successfully after knee replacement surgery.
Challenge
“First, let’s paint a picture of what appears to be a normative care protocol for knee replacement surgery, before a distance health care technology. “The patient undergoes a knee replacement surgery, and he is often undergoing a physiotherapy session in the hospital or at the surgery center where the surgery has been taken. Then it is sent to the house.
“Often, but not always, the home nursing service is contracted to send a physiotherapy to the patient’s home two to three times a week for a 30 or 45 -minute session,” continued. “It is customary for the patient to be sent to the home with paper instructions for simple exercises from the surgeon’s office that they can perform them independently in their home.”
While this is the standard of care, Summers does not think it is sufficient.
“First of all, the physical therapist to visit the patient’s house can be difficult based on the patient’s geography and the availability of therapists in this field,” he explained. “Sometimes, there are difficulties in coordinating the timing of these visits, and some patients prefer that there are no healers in their homes.
“While patients find these sessions worldwide, they are relatively short sessions that only happen two to three times a week,” he added. “For four to the other five, doctors can only hope that the patient will do the exercises recommended to them at home.”
He pointed out that the wounds are imagining in the shadow of the first standard protocol, patients often reached the first clinic after the surgery to be reprimanded only because there is a harsh knee and interrogated whether they had followed their prescribed exercises.
“In response to this, the patients insisted that they did as much as they could,” said Sames. “The surgeon then urged them to start physical therapy for external patients immediately to reduce hardness and prevent muscle atrophy. The result was often visiting a tense clinic for all concerned.”
an offer
HSS Florida It turned into a distance health care technology From the seller, Romtech, who directly treats many shortcomings in the recovery process after the traditional summer surgery.
“First, technology is very reliable,” he said. “Unlike healthy nursing at home or physical therapy – where the challenges facing scheduling and missing dates with the healers are common – the healthcare seller guarantees up to five sessions directed daily during the decisive few weeks after surgery, all of the comfort of the patient’s home.
“Secondly, it provides the most effective forms of exercise for the post -surgery.” “Surgeons have long been recommended to replace knee with pedal exercises after surgery, however patients often lack the tools needed to perform them. The seller provides a device that bridges the gap, allowing patients to start therapeutic treatment exercises immediately.”
Third, the platform reduces confusion and anxiety of patients by eliminating guessing around daily exercises.
“Instead of relying on the printed instructions from the surgeon’s or routine office on days without the processor visits, patients now follow a simple and organized plan: Use the Romtech Portableconnect five times a day, and they rest in their knees,” explained Summers. “The process is clear, consistent and easy to follow up.”
Facing the challenge
When Samarz learned for the first time this technology, he said it is logical immediately.
“We have long advised patients to perform the pedal based on knee replacement surgery, but we have never provided them with the tools to do this effectively,” he pointed out. “From this perspective alone, the device filled a large gap in care.
“During my training, I saw some surgeons merge the device in plans to recover their patients while others did not.” “Soon it became clear in the clinic that patients who use the device were happier and more confident in their early recovery.”
The most common summer word hears from Patients who describe their experience with health care Technology “Tamkeen”.
“They no longer depend on a nurse or a therapist who visits their home several times a week to complete a fruitful treatment session,” he said. “Instead, they can control their recovery by doing up to five sessions per day, every day, during those decisive first weeks after surgery.
“The device allows them to track their progress in real time, monitor their strength and improve endurance,” continued. “This creates a positive reactions loop – patients enjoy seeing their progress and eager to continue.”
results
After observing patients in the clinic, it seemed that those who used health care technology from a distance were recovering more quickly than those who were not. Although these anecdotal notes were encouraging, HSS Florida did not only want to rely on self -impressions – she wanted objective data to confirm whether patients recover faster with the device.
“To do this, we conducted a study comparing the results of the patient after knee replacement surgery, before and after the Portableconnect executed in our recovery protocols,” Samarz explained. “We made an analysis of the soil retroactively, and we evaluated patients on the basis of the knee scope of movement, dozens of pain and dozens of functional results. The only variable that differs between the two groups was to use a remote health care device.
“When analyzing the degrees of pain, we found that patients who used technology reported much less pain in two weeks, six and twelve weeks after surgery.” “The decrease in pain was not only significant, but also clinically meaningful, exceeding the minimum sill threshold clinically (MCID).”
In terms of knee movement, patients in the technology group showed greater improvements in the extension of the knee, knee bending and the total scope of movement in all time separations after surgery.
“We also evaluated functional results using a knee injury and osteoporosis (Koos).” “These degrees were constantly and much higher in the health care group from all the measured time breaks, with differences again exceeding the MCID threshold, with a highlight of both statistical and secret importance.
“Finally, we have evaluated the cost,” he added. “We have used the use of health care resources-home nursing visits, physical therapy sessions for external patients and other OP-between patients who follow the standard recovery protocol and those who use the device. On average, the technology group incurred $ 2,460 in the total care costs of each patient.”
Advice for others
For healthcare providers interested in updating their recovery protocols after knee replacement surgery, summer strongly encourages them to enter the option to get rid of remotely.
“After introducing this technology in my practice, we noticed an immediate increase in the patient’s satisfaction, a decrease in the patient’s phone calls to our office and improving the results of patients,” he said. “Remote reform provides skill and reassurance for traditional training treatment visits, but with an additional benefit is much larger than standard home therapy.
“And because the patient’s house is convenient, it eliminates the logistical challenges of traveling to treatment centers for external patients – especially during the post -surgery period, when many patients cannot drive,” he said.
The biggest challenge that the Summers team faced when adopting remote rehabilitation was to integrate the demand for surgical scope work.
He said: “There is no medical practice that wants to add more documents or obstacles insurance to the burden of an overwhelming work, but in our experience, the process was amazingly effective.”
“It takes only a minute or two to arrange the repair system remotely, which provides our team at countless hours.” “With the most frequently organized treatment sessions, patients feel more healing, significantly reduced the number of phone calls and concerns addressed to our office.”
Follow Bill Hit coverage on LinkedIn: Bill Seuiki
Email him: bsiwicki@himss.org
Healthcare is Hosz News.
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