Nursing Care for Orthopedic Patients in New Normal to Next Normal Era
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Abstract
The COVID-19 epidemic has affected the treatment of all patients, including orthopedic patients, who have problems with the musculoskeletal system such as bones, muscles, and ligaments. The treatment for orthopedic patients includes operations, medications, and others. With improper management, orthopedic patients are at risk of COVID-19 infection, which can lead to complications and death. During the COVID-19 outbreak situation, the patient care system of the healthcare facility has been changed, making access to health services more difficult. Thus, in the care of orthopedic patients, patients are divided into groups based on the characteristics of their injuries, and guidelines for the management of orthopedic patients following orthopedic conditions for treatment are available. Then, based on factors and treatment methods such as surgery or non-surgery from the disease's condition, signs and symptoms, duration, and other related factors such as aged, comorbidities, critical criteria, physical functional status, including healthcare resources such as medical equipment and healthcare professionals, were assessed among patients undergoing operative treatment using the criteria of the American Society of Anesthesiologists. As a result, orthopedic patients were delayed in surgery and had to wait longer than usual. The non-surgery or medication therapy group or who are waiting for surgery adopted the new normal nursing care via telehealth support, which encourages their knowledge, follow-up, and continuous clinical change monitoring. However, the new normal of orthopedic nursing care aims to promote social distancing and prevention of infection control to the next normal era. This article discusses orthopedic patients in the COVID-19 outbreak, the management of orthopedic patients with COVID-19 pandemic, and nursing care for orthopedic patients from the new normal to the next normal era. Furthermore, some orthopedic patients are capable of self-care management. Among these are lowering the risk of complications such as joint dislocation, stiffness and prosthesis joint infection, as well as improving quality of life.
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บทความที่พิมพ์ในวารสารสถาบันป้องกันควบคุมโรคเขตเมือง ถือว่าเป็นผลงานวิชาการ งานวิจัยและวิเคราะห์ ตลอดจนเป็นความเห็นส่วนตัวของผู้เขียนเอง ไม่ใช่ความเห็นของสถาบันป้องกันควบคุมโรคเขตเมือง หรือคณะบรรณาธิการแต่ประการใด ผู้เขียนจำต้องรับผิดชอบต่อบทความของตน
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