NAON’s Practice Points are efficient, evidence-based documents that include the definition, risk factors, causes, prevention, assessment, and treatment information about specific orthopaedic-related patient issues. These resources can be used in a variety of settings to provide quick access to accurate information. Practice Points are free to NAON members and once access has been granted they can be found in the Online Store Downloads section.
Acute Pain Management
Acute pain is a reaction to either traumatic stimulation of nociceptors in the peripheral nervous system or damage to the central nervous system. Acute pain is classified as duration of less than 3 months. It is immediate pain due to illness, accident, injury, trauma or surgery. This Practice Point suggests best practice in the management of acute pain following a musculoskeletal trauma/injury. Learn more.
The prevention, assessment, and treatment of chronic pain are challenges for health providers and systems due to its complex nature. For treatment, a full range of therapeutic options needs to be considered by healthcare professionals. This Practice Point suggests treatment plans which utilize safe and effective pharmaceuticals to reduce pain and improve function. Learn more.
Compartment syndrome occurs as a result of increased pressure within a confined myofascial space, resulting in circulatory compromise, ischemia, and ultimately tissue necrosis.This Practice Point includes information on assessment and treatment of compartment syndrome. Learn more.
Fat Embolism (FE) and Fat Embolization Syndrome (FES)
Surgical procedures involving bones or disruption of fat, such as intramedullary nailing, arthroplasties, liposuction, and bone marrow harvesting are highly associated with incidences of FE and FES. This Practice Point outlines treatment plans to manage the patient and their care team. Learn more.
Non Union/Delayed Union
Non-union after a repaired orthopedic fracture is the permanent failure of the bone to heal. The U.S. Food and Drug Administration (FDA) defines non-union as a fracture that is at least 9 months old and has not shown any signs of healing for three consecutive months. Learn more.
Delirium is an acute decline in cognitive status and attention characterized by fluctuations in course and variations in presentation. This Practice Point provides the reader with an array of tools to identify, assess, and treat delirium postoperation. Learn more.
Postoperative Nausea and Vomiting
Postoperative nausea and vomiting (PONV) is defined as nausea and/or vomiting occurring within 24 hours after surgery. This Practice Point provides the reader with an array of tools to identify and intervene when presented with nausea and vomiting after surgery. Learn more.
Postoperative Urinary Retention
Urinary retention is the inability to empty the bladder; postoperative urinary retention (POUR) is defined as impaired voiding after surgery. Urinary retention is a syndrome and is also known as ischuria. This Practice Point provides treatment plans and best practices for suffering patients based on a myriad of health and wellness factors, including age and gender. Learn more.
A pressure injury is localized damage to the skin and/or underlying soft tissue, usually over a bony prominence or related to a medical device. The injury can present as intact skin or an open ulcer and may be painful. This Practice Point suggests treatment plans on a case-by-case basis. Learn more.
Thromboembolic disease or venous thromboembolism (VTE) is a dangerous, possibly fatal, event. Deep vein thrombosis (DVT) is the formation of a blood clot (embolus) in a deep vein of an extremity, creating venous occlusion. The goal is to understand the scope, cost, demographics, causes, trends and effectiveness of prevention techniques. Learn more.