Joint Center
What to Expect
While recovering in the hospital after surgery, our patients follow
a standardized care plan that ensures coordinated nursing care, pain
management and physical and occupational therapy that helps to progress
activity.
Below is an outline of the recovery plan and schedule for our knee
or hip replacement patients.
Day 1: Day of Surgery
| |
Expectations |
| Activity |
- Surgery
- Transfer from the Recovery Room to your room on the orthopedic
unit
- Use your incentive spirometer every hour
- Dangle/sit at the bedside with assistance
- Complete calf/ankle exercises while in bed
- Knee replacement only: Wear your knee immobilizer
while in bed
|
| Nursing |
- Start eating a diet as tolerated
- Vital signs will be taken routinely
- Your intake and output will be monitored
- Wear your pneumatic stockings to prevent clots
- Use your PCA pump for pain management
- You may have blood drawn or other lab work/tests
- Hip replacement only: Wear your abduction
pillow when in bed
|
| Physical
Therapy (PT) |
Start
physical therapy today if ordered by your physician |
| Occupational
Therapy |
Start
occupational therapy today if ordered by your physician |
| Discharge
Planner |
A discharge planner will visit you either today or tomorrow |
Day 2: Post Surgery
| |
Expectations |
| Activity |
- Sit out of bed/in chair for all meals
- Walk to the bathroom with assistance as needed
- Use your incentive spirometer every hour
- Knee Replacement Only: Wear your knee
immobilizer when out of bed
- Complete exercises while in bed
- Knee Replacement Only: Use your CPM
- Begin
LOVENOX® (blood thinner) education
|
| Nursing |
- Vital signs will be taken routinely
- Your intake and output will be monitored – a catheter
may be placed if you are having trouble voiding on your
own
- Pneumatic stockings will be removed
- Hip Replacement Only: Wear your abduction
pillow when in bed
- PCA pump for pain management will be discontinued in
the morning (Remember to ask for pain medication if you
need it)
- You may have blood drawn or other lab work/tests
- Review Patient Education Sheets
|
| Physical
Therapy (PT) |
You
will work on:
- Increasing the range of motion of your hip or
knee
- Transfers
- Walking
- Exercises
- Learning to use a walker
|
| Occupational
Therapy |
You
will work on:
- Transfer on/off the toilet
- Activities of daily living (ADLs) (e.g., bathing, dressing)
- Hip Replacement Only: Learning
to use adaptive equipment
|
| Discharge
Planner |
- Evaluation for discharge
- Start coordinating equipment and home health needs
|
Day 3: Post Surgery
| |
Expectations |
| Activity |
- Sit out of bed/in chair for all meals
- Walk to the bathroom with assistance as needed
- Use your incentive spirometer every hour
- Knee Replacement Only: Wear you knee
immobilizer when in bed
- Complete exercises while in bed
- Knee Replacement Only: Use your CPM
- Continue
LOVENOX® (blood thinner) education
|
| Nursing |
- Your intake and output will be monitored; if you have
a catheter, it may be removed
- If you still have IVs they may be discontinued
- Remember to ask for pain medication 30 minutes prior
to your PT/OT sessions and as needed
- Hip Replacement Only: Wear your abduction
pillow when in bed
- You may have blood drawn or other lab work/tests
- Review Patient Education Sheets
|
| Physical
Therapy (PT) |
You
will work on:
- Increasing the range of motion of your knee or
hip
- Transfers/walking
- Stair training
- Exercises
- Practicing using a walker
- Review home exercise program
|
| Occupational
Therapy |
You
will work on:
- Transfer on/off the toilet
- Activities of daily living (ADLs) (e.g., bathing, dressing)
- Hip Replacement Only: Practicing
using adaptive equipment
- Review strategies for doing ADLs at home
|
| Discharge
Planner |
- Review discharge needs
- Discuss equipment ordered and home care services
- Review discharge
day procedure
|
Day 4: Discharge Day
| |
Expectations |
| Activity |
- Discharge home
- You will go home once cleared by your physician
- Goal is to be picked up by 11 a.m.
- Hip Replacement Only: Wear your abduction
pillow while in bed
- You will be transported downstairs by wheelchair
|
| Nursing |
- Medicate for pain as needed
- REVIEW PATIENT DISCHARGE INSTRUCTIONS
- Precautions
- Medications, Pain medication
- Activity
- Care of surgical site
- Anti-coagulation/LOVENOX®
|
| Physical
Therapy (PT) |
You
will work on:
- Increasing the range of motion of your hip or knee
- Transfers/walking
- Stair training
- Exercises
- Review home exercise program
|
| Occupational
Therapy |
You
will work on:
- Transfer on/off the toilet
- Activities of daily living (ADLs) (e.g., bathing, dressing)
- Hip Replacement Only: Practicing
using adaptive equipment
- Review strategies for completing ADLs at home
|
| Discharge
Planner |
- Review discharge needs
- Confirm equipment
- Review home care services for RN and/or PT/OT
- Review discharge day procedure
|
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