NOR200209.qxd 5/13/11 1:51 AM Page 215 RESOURCE CENTER New Orthopaedic Books Kelsey M. King Chapters reviewed include My Story, (such as hip arthroscopy, medication, A Practical Guide to Hip Surgery: From Pre-Op to Recovery by M. E. Hecht, How You Know It’s Your Hips, The and activity modification) and evasion North Branch, MN, 2011; An Decision to Have Surgery, Total Hip (such as steroid injections and glu- Introduction to Orthopaedic Nursing Replacement and Resurfacing Step by cosamine/cohondroitin sulfate) as dif- 4th Edition, edited by Cindi M. Step, Complications, Choosing Your ferent ways people often avoid surgi- Mosher and published by National Medical Team and Scheduling Surgery, cal intervention. The author tends to Association of Orthopaedic Nurses, Pre-surgery, In the Hospital, Before You make conservative interventions to Chicago, IL, 2010. Go Home, The First Few Months, and surgery sound extremely temporary Odds and Ends. but does support the “You tell me when Two newly published books were re- The beginning of this guide starts you’re ready for surgery” standpoint. viewed with one being directed to- with an introduction of the author, Dr. Questioning surgery is also acknowl- ward the patient population and the Mary Ellen Hecht, who is an or- edged and encourages prospective pa- other toward the orthopaedic nursing thopaedic surgeon practicing in New tients to receive second and third opin- population. Although both are highly York City. She found herself in the re- ions regarding the need for surgical informative resources, the writing versed role of patient after performing intervention. and delivery of content differs greatly. THRs for many years. After a long Basics of surgery are discussed and Whether academic or patient di- course of conservative treatment along the common questions asked by pa- rected, both publications reviewed with other medical issues, Dr. Hecht tients before undergoing surgery are were found to be useful in advancing was ready to undergo a double THR. addressed. This easy-to-read guide the field of orthopaedics and stan- She had been a teacher of hip surgery goes over incision size and location, dards of patient care. and now found herself as a patient un- surgical procedures, antibiotic usage, dergoing the same procedure she had Foley catheter insertion, use of blood been doing for so many years. This ex- products intraoperatively, and other A Practical Guide to perience inspired her to share her processes to expect in surgery. These Hip Surgery knowledge, thoughts, tips, and experi- standards of care are often routine to The first book reviewed titled A ences through the journey of being a healthcare professionals but can be Practical Guide to Hip Surgery: From knowledgeable surgical patient. overwhelming and unknown to many Pre-Op to Recovery by M. E. Hecht, The publication assists readers in patients. Each step is explained in de- MD, was written to assist prospective recognizing the signs and symptoms tail with medical reasoning for each surgical patients in understanding that often lead to hip surgery and helps intervention. There is clarification be- and preparing for surgery. Surgical patients in deciding whether surgery is tween the two surgical procedures, intervention is an important decision. for them. The author breaks down and THRs and resurfacing, throughout this There are many resources available describes the disease processes that publication. Charts are used as visuals for patients seeking health informa- cause hip symptoms often leading to to show the differences between THRs tion, but between the internet (which surgical intervention. Osteoarthritis, and Resurf’s. Appropriate candidates can be highly unreliable) and medical traumatic arthritis, autoimmune dis- for each are based on factors such as publications (which tend to be over- orders, gout, and hematological prob- age, gender, and other health condi- whelming) some may have a difficult lems are all listed as causes for hip tions. Risks and complications of sur- time finding a quality source to. This arthritis, which often leads to THRs gery are described in detail along publication guides the prospective and Resurf’s. No matter the cause, Dr. with the intraoperative and postoper- total hip replacement (THR) or Hip Hecht states, “if the condition has ative precautions taken by the sur- Resurfacing (Resurf) patient from be- progressed to the point that symp- geon to prevent these problems from ginning to end to aid them in their toms dominate your life, it is time for surgical journey. This book is directed surgery” (p. 19). Ploys, such as defer- Kelsey King, APN, CNP, RN, Nurse Practitioner, toward “the astounding 450,000 peo- ment and evasion, which people use Midwest Orthopaedics, Rush Univeristy, ple who undergo hip replacements an- to avoid surgery were addressed. The Chicago, Illinois. nually in the United States” (p. 4). author describes deferment tactics DOI:10.1097/NOR.0b013e318219aed5 Orthopaedic Nursing • May/June 2011 • Volume 30 • Number 3 215 Copyright © 2011 National Association of Orthopaedic Nurses. Unauthorized reproduction of this article is prohibited. NOR200209.qxd 5/13/11 1:51 AM Page 216 occurring. One example given was the detectors, and follow-up office visits for nurses to be knowledgeable on use of sequential compression de- are common questions posed to care both systems (p. 2). After covering the vices, TED hose, anticoagulation ad- providers and answered in the final basics, there are five chapters that sep- ministration, and passive range of chapters. arate the body into specific groups: motion to prevent blood clots and This resource contains a 15-page upper extremity, spine, knee, hip/foot/ pulmonary emboli. Included in these Hip Surgery Organizer at the back of ankle, and trauma. Each chapter sections are some questions that the the book that includes check-off lists, starts with basic anatomy and under- surgeon should be asked. For exam- medication lists, exercise logs, ques- standing on the specific joint. Common ple, what his or her specific infection tion to ask your surgeon, important conditions, symptoms, physical exam- rate is and what specific precautions names and numbers, and a resource ination, imaging, and treatments (both will be taken against infection. list. This useful feature, as well as an conservative and surgical) are discussed Prospective patients are assisted easy-to-use CD that is included with in detail for each body structure cov- on how to find the surgeon that is the guide, keeps patients organized ered. After building an understanding of right for them and how to be organ- and makes sure that they are as pre- these conditions, the nursing considera- ized before entering the hospital. Dr. pared as possible for their upcoming tions at the end of the chapters are Hecht supports referrals from in- THR or Resurf. The Latin phrase used helpful in determining what common ternists, intranet searches, and taking by Dr. Hecht to describe the essence of themes emerge when caring for each into account years of experience. this guide is vade mecum, meaning specific patient population. For exam- Asking the chosen surgeon to provide “go with me.” She wrote this in hopes ple, nurses caring for patients who un- the name of previous patient who un- that “you pack this companion book dergo anterior cervical spine surgery derwent the same operation is en- when you leave for the hospital and should be aware that difficulty swal- couraged. Second opinions, weight keep it with you during your hip lowing is common postoperatively, but loss, “prehab,” research, and insur- replacement or resurfacing experi- airway obstruction due to a hematoma ance coverage should be discussed ence and recovery” (p. 6). A Practical formation is a concern and is an emer- and settled ahead of time. These Guide to Hip Surgery is easy to gent situation. These considerations chapters also cover ideas in preparing read, easy to comprehend, and full of for nursing care are extremely educa- a “hip proof house,” which will be useful concrete medical information. tional and necessary for the staff car- beneficial and safe for postoperative Although directed toward the prospec- ing for the orthopaedic population. recovery. Simple To Do List’s are listed tive surgical patient, this publication Within the specific chapters, com- for 6–8 weeks preoperation, 2–3 weeks will be useful for practicing nurses, mon surgical interventions are listed. preoperation, 1 week preoperation, practitioners, and assistants who There are pictures of injuries as well and the night before surgery. engage in patient teaching and surgical as pictures and explanations of the in- People tend to handle stress better preparation. dicated surgical correction. One im- with education and preparation. This portant factor noted are pictures of guide covers what to expect during the An Introduction to medical equipment utilized, such as hospitalization period. From admis- casts, braces, external fixation, and sion to discharge, all aspects of care Orthopaedic Nursing, traction. This prepares nurses for are addressed in detail. Descriptions 4th Edition what to expect and how to manage this are given regarding what procedures The second resource titled An equipment. This knowledge is neces- will occur, where procedures will Introduction to Orthopaedic Nursing, sary in that nurses are most often the occur, and why these procedures are 4th edition, comes from the National ones to prepare and educate the family necessary. These in-depth bullet point Association of Orthopaedic Nurses. This on how to handle the equipment when lists prepare prospective patients for scholarly text was written and reviewed they are discharged home. everything from hospital equipment, by various registered nurses, nurse prac- There is often one commonality therapeutic activities, and pain man- titioners, and physical therapists from between all of these different or- agement to rehabilitation and dis- all over the United States. This book is thopaedic conditions and that is pain.