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 Last revised October 2012
2 Introduction Paperwork Washrooms Things that beep
3 Today s Main Message: Your hospital stay will be 3 days or less 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 Watch Pre-Op Education Multimedia video clip to learn more about hip replacement surgery
7 3 months of Hip Precautions Watch Pre-Op Education Multimedia video clip to learn more about Hip Precautions. REMEMBER: NO Bending, NO Twisting, NO Crossing
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 Watch Pre-Op Education Multimedia video clip to learn more about full knee replacement, partial knee replacement, and bilateral (both) knee replacement
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 Watch Pre-Op Education Multimedia video clip to learn more about how to get on and off a chair after surgery
16 Home Set-up: Toilet Watch Pre-Op Education Multimedia video clip to learn more about how to get on and off the toilet after surgery using a raised toilet seat
17 Home Set-up: Bathtub Watch Pre-Op Education Multimedia video clip to learn more about how to get in and out of the bathtub after surgery using a tub transfer bench
18 When can I shower? Need to keep incision dry Staples in for 7-14 days NO showering until staples removed OR Use a waterproof dressing Discuss with hospital staff
19 Equipment to Bring to Hospital Walker Standard or 2 wheeled Crutches High-density 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
23 Two-Wheeled Walker Watch Pre-Op Education Multimedia video clip to learn more about how to walk using a 2-wheeled walker
24 Walking with Crutches Watch Pre-Op Education Multimedia video clip to learn more about how to walk using crutches
25 Using a sock aid Watch Pre-Op Education Multimedia video clip to learn more about how to put on socks using a sock aid
26 Dressing with a long-handled reacher Watch Pre-Op Education Multimedia video clip to learn more about how to get dressed using a long handled reacher
27 Pre-Admission Clinic Hospital will call you Health history Medication review bring ALL medications & supplements Anesthetic consult Bathing &/or use of antibacterial wipes before surgery * Sometimes done by phone*
28 Surgery Time Call your surgeon s office the day before surgery Monday surgeries, call Friday If you can t reach anyone by 4pm, call Admitting
29 Before you come in for surgery Wash with regular soap UNLESS If you were given special instructions at Pre-Admission Clinic, follow them Pack: comfortable clothes walking shoes toiletries No valuables please
30 Day of Surgery Check-in at Admitting Operating room Recovery Room Orthopedic ward
31 Average Length of Stay Total Joint Replacement 3 days or LESS You will be sent home when you meet discharge criteria Partial KNEE Replacement Overnight Bilateral KNEES / HIPS Longer hospital stay, more rehab
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
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 You may receive a follow-up phone call 30 days after your surgery (National Surgical Quality Improvement Program)
36 Getting in and out of bed Watch Pre-Op Education Multimedia video clip to learn more about how to get in and out of bed
37 Up and down stairs Watch Pre-Op Education Multimedia video clip to learn more about how to go up and down the stairs
38 Getting in and out of a car Watch Pre-Op Education Multimedia video clip to learn more about how to get in and out of a car
39 Car Travel-When can I drive? Depends on: Surgical leg Strength, response time Standard or automatic Other options: Handidart SPARC parking pass Talk to your doctor or physiotherapist before you start 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 Injection daily For up to one month
43 Dental Visits After Surgery Tell your dentist you ve had a joint replacement You might need antibiotics before your appointment
44 Prevent constipation Get moving Drink plenty of fluids High fibre diet Stool softeners, laxatives
45 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
46 Questions/Comments Thank you and Good Luck!!!
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