Before, During and After Hip and Knee Replacement
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1 Working Together for Healthy Joints Before, During and After Hip and Knee Replacement December 2017
2 Introduction Paperwork Washrooms Things that beep
3 Today s Main Message: Your hospital stay is short so BE PREPARED
4 Today s Session: Hip Surgery & Precautions Knee Surgery & Precautions How to prepare yourself How to prepare your home What to expect in hospital Everyday activities after surgery Medications
5 Hip X-Rays Healthy Hip Joint Damaged Hip Joint Pfizer 2004 The Arthritis Society
6 Hip Surgery; Dr. Nelson Greidanus Play video: Pre-op education Joint Replacement Surgery
7 3 months of Hip Precautions Play video: Pre-op education Joint Replacement Surgery
8 WHY Hip Precautions? Reduce risk of HIP DISLOCATION Bone growth Heal soft tissue Stretch/strengthen muscles
9 Knee X-Rays Healthy Knee Joint Damaged Knee Joint Pfizer 2004 The Arthritis Society
10 Knee Surgery; Dr. Bas Masri Play video: Pre-op education Joint Replacement Surgery
11 3 months of Knee Precautions NO pillow behind the knee NO Squatting NO Kneeling NO Twisting
12 WHY Knee Precautions? To reduce knee STIFFNESS Heal soft tissue Stretch/strengthen muscles
13 BEFORE Surgery How to get yourself ready
14 Home Set-up: General Remove clutter Raise up regularly used items Increase chair and bed heights 2 inches above knee height Pet care Meal preparation
15 Home Set-up: Seat Height Play video: Pre-op education Managing Everyday Activities after Surgery
16 Home Set-up: Toilet Play video: Pre-op education Managing Everyday Activities after Surgery
17 Home Set-up: Bathtub Play video: Pre-op education Managing Everyday Activities after Surgery
18 When can I shower? Need to keep incision dry Staples in for days Use a waterproof dressing OR NO showering until staples removed Discuss with hospital staff
19 Equipment to Bring to Hospital Walker 2 wheeled Crutches Very firm foam cushion Dressing equipment Long-handled reacher Long-handled shoe horn Sock aid Cryotherapy unit (if you purchased one) Please label your equipment!!
20 Equipment continued Have a friend/family member bring your equipment up to the ward after surgery If you are on your own, or from out of town, bring the equipment with you when you check in Bring your Before, During & After book
21 Where to get equipment Medical supply stores Rental or purchase Check extended medical Red Cross depots On loan for 3 months Need signed form Supply can be limited Accepts donations Friends, family
22 Weight-bearing Status Most people are weight bear as tolerated Revision surgery may be different
23 Two-Wheeled Walker Play video: Pre-op education Managing Everyday Activities after Surgery
24 Walking with Crutches Play video: Pre-op education Managing Everyday Activities after Surgery
25 Using a sock aid Play video: Pre-op education Managing Everyday Activities after Surgery
26 Dressing with a long-handled reacher Play video: Pre-op education Managing Everyday Activities after Surgery
27 Pre-Admission Clinic Hospital will call you Health history Medication review bring ALL medications & supplements Anesthetic consult Bathing & use of antibacterial wipes before surgery * Sometimes done by phone*
28 Surgery Time Your surgeon s office will call you the day before surgery For Monday surgeries, they will call Friday If your surgeon has given you different instructions, follow them If you haven t heard from anyone by 4:00pm, call Admitting
29 Before you come in for surgery Shower the night before and the day of surgery unless otherwise instructed by Pre- Admission No shaving for 2 days prior to surgery (electric razor okay) Pack (lightly!): comfortable clothes walking shoes toiletries no valuables please
30 Day of Surgery Check-in at Admitting PreOperative area Operating room Recovery Room Orthopedic ward
31 Average Length of Stay Total Joint Replacement From 8 hrs to 2 days You will be sent home when you meet discharge criteria Partial KNEE Replacement Overnight Bilateral KNEES / HIPS Longer hospital stay, more rehab Revision surgery variable length of stay
32 Pain scale Pain medication Post-Op Pain Control breakthrough pain medication Possible side effects: nausea, constipation
33 Activity and Rest Deep breathing and coughing Leg exercises Change position, move when awake Remember: good oral hygiene reduces your risk of complications too!
34 Physiotherapy After Hospital Generally continues 2 to 3 months after surgery Depends on where you live To be planned by the ward physiotherapist
35 Heading home Arrange for a ride home Have someone stay with you or nearby for the first 3 days you are home
36 Getting in and out of bed Play video: Pre-op education Managing Everyday Activities after Surgery
37 Up and down stairs Play video: Pre-op education Managing Everyday Activities after Surgery
38 Getting in and out of a car Play video: Pre-op education Managing Everyday Activities after Surgery
39 Car Travel-When can I drive? Depends on: Surgical leg Strength, response time Standard or automatic Other options: Handidart SPARC parking pass Check your insurance policy before you start driving It may take 6 weeks or more before driving
40 AIR Travel You may set off metal detectors Do leg exercises hourly to promote blood flow up your legs
41 Other Everyday Activities You may have questions about: Cooking Housework Returning to work Sexual activity Speak to your OT!
42 Preventing Blood Clots Pill or injection, determined by your surgeon (kidney function, clotting history) Fill your prescription at a pharmacy near the hospital Take the medication as prescribed! Pill daily for up to 35 days Injection daily for 2 weeks
43 Prevent constipation Get moving Drink plenty of fluids High fibre diet Stool softeners, laxatives Resource: HealthLinkBC Pharmacist, dietitian or nurse
44 Keys to a successful surgery: PREPARATION Equipment; get it and learn how to use it Support of friends, family PATIENCE Follow physio exercise plan People heal differently
45 Questions/Comments Thank you and Good Luck!!!
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