This is an AOA presentation that, again, focuses on the patient as a determinant of the outcome of orthopaedic surgery.
The authors point out that functional improvement after surgery is poorer in patients with poor emotional health, such as anxiety, depression, poor coping skills, and poor social support. They recommend a focus on patient self-efficacy (a person’s belief in his or her ability to succeed in a particular situation) with the use of self-management programs such as the Arthritis Self-Management Program (ASMP). They note that these interventions have been successful in relieving pain and improving function as well as in improving the perception of self-efficacy, in decreasing depression, and in reducing health service utilization.
They underscore the importance of addressing emotional health conditions prior to the performance of orthopaedic procedures. They remind us that patients with emotional health challenges (such as depression or grieving), are at risk of having less functional improvement after orthopaedic surgery.
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