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GENERAL PURPOSE: To present the findings from a survey conducted as part of a study to describe the current design of preoperative education for total knee replacement across the United States.


LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:


1. Outline practice trends in preoperative education for total knee replacement that were identified in the review of the literature.


2. Analyze the findings from the authors' survey and the implications for practice.



1. Swinkels and colleagues reported that, in the months after undergoing total knee replacement (TKR) surgery, as many as 11.8% of patients


a. sustain a fall.


b. have reduced knee function.


c. are readmitted to the hospital.


2. According to Chen and colleagues, education prior to TKR surgery


a. reduces infection risk.


b. improves pain control.


c. promotes self-efficacy.


3. Large systematic reviews showed no difference between patients who attended preoperative education and those who did not, except for small variations in


a. home care needs.


b. recovery times.


c. anxiety levels.


4. According to Louw and colleagues, the length of preoperative education sessions varies from 12 minutes to


a. 1.5 hours.


b. half a day.


c. eight hours.


5. After nurses, which of the following health care professionals were most often reported in the literature as providing preoperative education?


a. occupational therapists


b. physician assistants


c. physical therapists


6. Results of the authors' study indicated that, after nurses, which of the following was the most common discipline involved in preoperative education?


a. physical therapy


b. home health care


c. occupational therapy


7. Participants in the authors' study reported that preoperative education was most commonly provided in which of the following formats?


a. individual


b. online


c. group


8. When patients with planned TKR were educated with patients who had other planned surgeries, which other surgery was the most common?


a. rotator cuff repair


b. total hip replacement


c. total shoulder replacement


9. The topic most commonly covered in preoperative education was


a. pain management.


b. weight-bearing status.


c. how to prepare for surgery.


10. Of the following education delivery methods, which was the least common?


a. online


b. written


c. demonstration


11. The majority of survey respondents provided preoperative education how far in advance of the planned surgery?


a. three days


b. one week


c. two weeks


12. For most education programs, respondents reported that patients attended how many preoperative education sessions?


a. one


b. two


c. three


13. Respondents most commonly identified that they would like to add which of the following disciplines to their current preoperative education team?


a. pharmacy


b. case management


c. pain management


14. The topic the respondents most often wanted to add to their preopertive education programs was


a. driving after surgery.


b. caregiver training.


c. nutrition.


15. Participants most commonly identified that having patients attend preoperative education how long before surgery would be ideal?


a. two weeks


b. three weeks


c. four weeks


16. The majority of participants felt that attending how many sessions before surgery would be ideal?


a. one


b. two


c. three


17. Contradicting findings from the authors' study, which of the following health care professionals have not been reported in the literature as one of the more common preoperative education providers for patients undergoing TKR?


a. social workers


b. physical therapists


c. occupational therapists


18. Chetty and Ehler previously reported that patients preferred which of the following as an educational delivery format?


a. video instruction


b. verbal education


c. written materials