Anterior Hip

More documents

Recommendations

Info

Planning for DischargeCase ManagersAt the Rose Institute for Joint Replacement, wehave specialized case managers on our Pavilion IIfloor. Our case managers are available to assist youand your family in preparing for discharge. A casemanager will not make decisions for you and yourfamily, but will provide information that will assistyou to make the best decision about your careafter discharge.Discharge TimeYour surgeon will determine when you will bereleased from the hospital. Please maketransportation arrangements to leave the hospitalby 11 AM on the day of discharge. This will allowyou to get home and settled, as well as do any lastminute things such as get prescriptions filled oracquire any needed medical equipment. If you haveany questions or if concerns arise, you will be ableto call your surgeon during office hours.Extended Care Facilities/Skilled Nursing Facilities/Rehabilitation UnitsIn some cases, you may be discharged to anextended care facility or skilled nursing facility. Weat the Rose Institute for Joint Replacementunderstand that the decision to continue yourrehabilitation in another facility may be difficult andwe are here to help you with this process. Ourgoal is to make this transition a smooth andcomfortable one. The case manager will provideyou with information on available facilities whichwill help meet your requirements.Placement in these facilities will be determined bythe level of care you need, physician orders, bedavailability and payment source. These facilitiesprovide 24 hour per day care for patients. Becausethe time for selecting a facility can be very limited,it is very important that you and your familydiscuss potential choices with the case manager assoon as possible.Your case manager will also help assist you infinding transportation to the facility. Based on yourcare needs, you may be transported by family car,wheelchair van or stretcher ambulance.InsuranceOnly your insurance company can provide youwith specific information on coverage. It isimportant that you contact your insurancecustomer service or benefits representative todetermine your covered benefits and preferredproviders. The case manager can help facilitateaccessing that information for you.
Tips for After DischargeSwelling/BruisingDue to the nature of joint replacement surgery,swelling of part or all of your surgical extremity iscommon because of the normal inflammatoryresponse the body has to the surgery. Most totaljoint patients can expect some amount of bruisingin their surgical extremity and the bruising tends toget worse a few days out from surgery. Somepatients have a lot of swelling and bruising whileothers may have just a little because everyoneresponds differently to the surgery. Both swellingand bruising can travel up and down yourextremity after surgery because of the effect ofgravity. For example, the more you stand up andwalk, the more gravity will pull the bruising andswelling down your leg. When you elevate yourleg, the reverse effect will happen.StiffnessJoint stiffness is also very common with jointreplacements. The joint stiffness will be worsewhen you have been sitting for a prolonged periodof time and when you first get out of bed in themorning. The stiffness improves with movement ofthe joint so avoiding sitting for prolonged periodsof time within the first few weeks after surgerymay be helpful. Some patients will continue to havesome stiffness in their joint for several months aftersurgery.IceIce is a very effective pain reliever so your surgeonmay order a cold therapy unit for you to use aftersurgery. If not, bags of ice or reusable ice packswork just as well to provide pain relief. Please makesure to protect the skin with a washcloth or pieceof clothing because ice directly on the skin cancause frostbite. You should avoid icing right beforeyou do your exercises because it can tighten thetissues you are trying to stretch out. If using bags ofice or ice packs, icing for twenty minutes at a timeis usually adequate. Cold therapy units can be lefton longer because they do not get as cold. Makesure that the hose on the cold therapy unit doesnot sit directly on your skin because frostbite mayoccur.ElevationThe swelling associated with joint replacementsurgery can cause significant pain or discomfortand the most effective way to reduce swelling is byelevating your surgical extremity above your heart.Placing your leg on an ottoman while sitting in achair will not be very effective in reducing yourswelling. The best way to elevate is to lay flat onthe couch or in your bed and place your surgicalextremity on several pillows so that gravity canhelp pull the fluid out of your extremity.ShowerThe majority of total joint patients will have theirfirst shower in the hospital with an occupationaltherapist one to two days after surgery. Mostincisions can get wet in the shower after you aredischarged home from the hospital. In some cases,your surgeon may want your incision to stay dryfor a few days so you should keep your dressingsdry with a plastic bag while in the shower. Look toyour discharge instructions for any specificdirections for showering. You should avoid soakingyour incision in water, like a bathtub or swimmingpool, until your surgeon tells you the incision hashealed well enough.
Page 1 and 2: Rose Institute forJointReplacementP
Page 3: Rose Knows JointsThe Rose Institute
Page 6 and 7: Rose Medical Center DirectionsDrivi
Page 8 and 9: Family and FriendsLocationRose Medi
Page 10 and 11: Patient Information SheetThis infor
Page 12 and 13: 5. VascularDo you have light headed
Page 14 and 15: 13. AnesthesiaHave you ever had ane
Page 16 and 17: Before Your SurgeryAppointmentsPlea
Page 18 and 19: Upper Body Strengthening ExercisesT
Page 20 and 21: Chair Push Ups1. Sit in a chair wit
Page 22 and 23: AnesthesiaAnesthesia is defined as
Page 24 and 25: Pain ManagementOur GoalOur goal at
Page 28 and 29: Medical EquipmentThe medical equipm
Page 30 and 31: Risks of Joint ReplacementOver 400,
Page 32 and 33: Q:When can I fly?PainA: Since you h
Page 34 and 35: Bed TransfersPlease be sure that yo
Page 36 and 37: Tub TransfersUse a tub seat and gra
Page 38 and 39: DressingYou are not required to use
Page 40 and 41: ShoesSlip-on shoes are generally re
Page 42 and 43: Vehicle Transfers1. You will need t
Page 44 and 45: Use of an Assistive Device forWalki
Page 46 and 47: Going DOWN ONE STEP with a WALKER:1
Page 48 and 49: Going UP A FLIGHT OF STAIRS with CR
Page 50 and 51: Going UP A FLIGHT OF STAIRS with CR
Page 52 and 53: Home Exercise ProgramCongratulation
Page 54 and 55: GLUT SETS1. Lie on your back and ke
Page 56 and 57: SHORT ARC KNEE EXTENSION1. Lie on y
Page 58 and 59: Standing Exercises1. Bend your knee

Anterior Hip

Create successful ePaper yourself

Delete template?

Save as template?