title: Total hip and total knee replacement: preoperative nursing management.
abstract: Total hip replacement (THR) and total knee replacement (TKR) surgery are carried out for the relief of hip or knee pain, usually caused by osteoarthritis. This is the first of two articles on THR and TKR. It will outline the different types of replacement used in lower limb joint replacement surgery. Preparation of patients for surgery requires attention to physical, psychological and social factors and these are explored in detail. The organization of services along the patient pathway to ensure comprehensive preparation is considered and the nursing role highlighted. The second article, to be published in the next issue, will discuss recovery and rehabilitation from THR and TKR surgery.
authors.affiliation: Whipps Cross University Hospital NHS Trust, London, UK.
authors.forename: Brian
authors.initials: B
authors.lastname: Lucas
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000451:nursing* / Q000523:psychology / Q000706:statistics & numerical data; D019645:Arthroplasty, Replacement, Knee / Q000451:nursing* / Q000523:psychology / Q000706:statistics & numerical data; D019091:Critical Pathways; D004739:England; D055318:Evidence-Based Nursing; D006801:Humans; D024802:Nurse's Role / Q000523:psychology; D009730:Nursing Assessment; D016530:Orthopedic Nursing / Q000458:organization & administration; D010343:Patient Admission; D010353:Patient Education as Topic; D018579:Patient Selection; D013527:Perioperative Nursing / Q000458:organization & administration; D011300:Preoperative Care / Q000379:methods / Q000451:nursing* / Q000523:psychology; D012017:Referral and Consultation; D020377:Self Efficacy; D012944:Social Support; D014850:Waiting Lists; D014852:Wales