ABSTRACT
Diet plays an influential role in the cure of diseases and restoration of health as it supplies nutrients required for tissue repair. Better nutrition helps to fight against infection and cope with stress effectively. Diet is an essential component of treatment for a disease, injury, or infection and must meet altered dietary requirements of the body resulting from these conditions. While providing care to orthopedic patients, clinical outcomes such as wound healing, mobility, and functional ability are positively influenced by adding therapeutic nutrition to the patient care plan alongside routine care. There is a close relationship between nutrition, infection, and immunity so therapeutic nutrition must hold a significant place in the care plans of orthopedic patients to boost their immunity, and treat infection. This clinical anecdote provides insight into how the process of wound healing, especially in children with infective bone pathology, is enhanced by systematically planned dietary monitoring and dietary supplementation. An 8-year old, male child, diagnosed with osteomyelitis of the left tibia with septic arthritis (left knee) developed numerous complications including septic shock. Initiation of intensive dietary monitoring enabled the healthcare team to analyze the need for dietary correction. Hence, carefully planned dietary supplementation was implemented, which contributed to positive clinical outcomes such as enhanced wound healing, improved mobility, weight gain, and reduced length of hospital stay. Orthopedic nutrition must start from the preliminary assessment of patients at an outpatient clinic and must continue until the final follow-up.
Subject(s)
Osteomyelitis , Wound Healing , Child , Family , Humans , Length of Stay , Male , Nutritional RequirementsABSTRACT
Background of the topic revealed that orthopedic surgery is one of the most painful surgeries in which music therapy is found to be effective for reducing pain and anxiety. This study aimed to examine the effect of music therapy on pain, anxiety, and the use of opioids among patients who underwent orthopedic surgery. Methods include a comprehensive search was conducted in PubMed/MEDLINE, Embase, Ovid, Clinical Key, and Google Scholar for relevant randomized controlled trials (RCTs) and quasi-experimental studies published until December 2020 in the English language regarding music therapy in comparison to standard care on pain, anxiety, and opioid use among postoperative orthopedic patients. Results of the study included 13 studies, having a total of 778 patients included in a systematic review comprising ten RCTs and three quasi-experimental studies. Meta-analysis was performed on ten RCTs. The results showed a significant difference between the two groups regarding the use of music therapy in reducing the pain [standard mean difference (SMD) = -0.27; p = 0.002] and anxiety (SMD = -0.40; p = 0.0009). No statistically significant difference was found in the use of opioids and physiological variables between the two groups. Conclusion of the current evidence demonstrated that music therapy significantly reduces pain and anxiety among postoperative orthopedic patients. Researchers recommended using it in the routine care of orthopedic patients for managing their subjective feelings like pain and anxiety. Musical intervention timing, duration, and type of music can be changed according to specific clinical settings and medical teams.
