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hospital stay, increased postoperative complications, and overall worse postsurgical outcomes.6,8-11 Lower levels of musculoskeletal health literacy have also been associated with decreased Western Ontario and McMaster Universities Osteoarthritis Index outcome scores after TKA as well as decreased postoperative satisfaction.8 Miscommunication and distrust between patients and physicians

American College of Rheumatology/American Association of Hip and Knee Surgeons guideline for the perioperative management of antirheumatic medication in patients with rheumatic diseases undergoing elective total hip or total knee arthroplasty. Arthritis Care Res (Hoboken). 2022;74(9):1399–1408. The role of genetic susceptibility has also been

hospital should then be transferred to the home care provider, who will continue the training process in the patient’s home. Figure 6.1 on page 100 provides an example of a checklist.27 Patients discharging to alternate sites may not need to be educated on catheter care and infusion pump

associated with infectious complications, organ failure, increased days on mechanical ventilation, and greater risk for mortality.18-20 The American Society for Parenteral and Enteral Nutrition (ASPEN) guidelines recommend maintaining serum glucose between 140 and 180 mg/dL for hospitalized

American College of Rheumatology/American Association of Hip and Knee Surgeons guideline for the perioperative management of antirheumatic medication in patients with rheumatic diseases undergoing elective total hip or total knee arthroplasty. Arthritis Care Res (Hoboken). 2022;74(9)1399-1408. In addition to DMARDs, patients who have been

American Medical Association (AMA) and the US Food and Drug Administration (FDA) that include a daily requirement for vitamin K. Box 3.3 lists the daily requirements for adult parenteral vitamins.17 Multivitamin preparations are available with and without vitamin K to accommodate patients receiving anticoagulation therapy. The need

associated with an increased incidence of catheter-related bloodstream infection (CRBSI) in hospital setting. Clin Nutr ESPEN. 2021;46:S782. doi:10.1016/j.clnesp.2021.09.676 22.Gahlot R, Nigam C, Kumar V, Yadav G, Anupurba S. Catheter-related bloodstream infections. Int J Crit Illn

American Association of Hip and Knee Surgeons (AAHKS).19 However, with the increase in outpatient THA, consideration is being given either to not administering additional postoperative doses or to extended oral antibiotic prophylaxis.20 Antiemetics Antiemetics are often ordered by the anesthesiologist for PACU care. A recent study

hospital complications.68 Another study utilizing the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database compared outcomes, including mortality, major and minor complication rates, and discharge disposition of patients receiving spinal versus general anesthesia (GA).69 Patients receiving GA were more likely to have major

associated liver disease. Clin Liver Dis (Hoboken). 2020;15(2):59-62. doi:10.1002/cld.888 7.Kumpf VJ. Complications of parenteral nutrition. In: Chan, L-N ed. ASPEN Adult Nutrition Core Curriculum. 4th ed. American Society for Parenteral and Enteral Nutrition; 2025:467-486. 8.Mirtallo JM, Ayers P, Boullata