outpatient surgery patient guidebook · from n. cedar crest blvd., turn right at the dunkin donuts...

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1 PATIENT GUIDEBOOK OUTPATIENT SURGERY Please bring this guidebook with you to all future appointments. © December, 2017

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Page 1: OUTPATIENT SURGERY PATIENT GUIDEBOOK · From N. Cedar Crest Blvd., turn right at the Dunkin Donuts and follow the road leading behind the shopping center. 1503 North Cedar Crest Blvd

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PATIENT GUIDEBOOK

OUTPATIENTSURGERY

Please bring this guidebook with you to all future appointments.

© December, 2017

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This book is designed to walk you through your journey step-by-step.

THANK YOU FOR CHOOSING COORDINATED HEALTH FOR YOUR OUTPATIENT SURGERY

The Coordinated Health Rapid Recovery Program • Most advanced pain management protocol. • Expert use of local anesthesia for faster recovery. • Lower risk of infection and complications than other surgical hospitals in the region.* • Dedicated rehab experts • Physical therapists work directly with surgeons and are with you every step of the way

Coordinated Health Surgical Hospitals offer quality care and service that cannot be beat. • Low nurse to patient ratio • Visitor-friendly, easy-to-find hospitals • Very low infection rates

Coordinated Health is committed to providing the highest quality of care to our patients. Our physicians are consistently evaluated to ensure quality and cost effective care.

CH BETHLEHEM IS THE ONLY HOSPITAL IN THE LEHIGH VALLEY TO EARN 5 STARS IN MEDICARE’S QUALITY STAR RATINGS SYSTEM** IN 2016.

2016 BUSINESS OF THE YEAR

*Healthgrades national comparison of patient records.**https://www.medicare.gov/hospitalcompare/Data/Measure-groups.html

2016 & 2017Bethlehem Hospital

2017 Bethlehem Hospital2016 Allentown and

Bethlehem Hospitals

2017 & 2018 Allentown Hospital

2018 Bethlehem Hospital

2018 Allentown Hospital

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TABL

E OF C

ONTE

NTS

This guidebook is designed to walk you through each step of your surgery, from the time you decide to have surgery until you are fully recovered. Please bring this guidebook with you to all future appointments.

How to Prepare for SurgeryPreparing for SurgeryPresurgery Appointments Anesthesia ReviewSmoking Cessation Preparing Your Home Packing for the Hospital Day Before Surgery Call Day Before Surgery Instructions Preoperative Patient Interview

080910111213141516

17181920212223

Day of SurgeryRegistration Preoperative Area Operating Room Recovery Room Family Expectations Multimodal Pain Management Discharge

242627293334353637384041

What to Expect after SurgeryRehabilitation & RecoveryWound CarePain ManagementComplicationsBlood Clot Prevention ChartCare on DemandFollow-up Appointments OutcomesPerformance FitnessNon-discrimination Statement Commonly Asked Questions Notes

Appointment ScheduleDirections Contact Information

050607

Surgery Scheduling

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APPOINTMENT SCHEDULEPre-Admission Testing Appointment

Date & Time:Location:

Primary Care Physician Evaluation

Date & Time:Location:

Preoperative Cardiology Evaluation

Date & Time:Location:

Surgery

Date & Time:Location:*You will receive a phone call the day before surgery with your surgery time.

1st Physical Therapy Appointment after Surgery

Date & Time:Location:*Can be changed depending upon discharge.

1st Postoperative Appointment

Date & Time:Location:

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DIRECTIONS

Allentown Hospital1503 North Cedar Crest BoulevardAllentown, PA 18104

From N. Cedar Crest Blvd., turn right at the Dunkin Donuts and follow the road leading behind the shopping center. 1503 North Cedar Crest Blvd will be straight back, and to the left.

Bethlehem Hospital2310 Highland AvenueBethlehem, PA 18020

From Route 22 West, exit at 512 and take 512 north. Turn right onto Highland Avenue. The hospital will be on your right in approximately 1 mile.

East Stroudsburg ASC511 VNA RoadEast Stroudsburg, PA 18301

From I-80 East, take exit 308. Follow PA-447 N. The Ambulatory Surgery Center (ASC) will be on your left.

Allentown Hospital

Bethlehem Hospital

East Stroudsburg ASC

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Location Role Phone Number

Allentown Hospital Director of Nursing 610-861-8080 Extension 24146

Bethlehem Hospital Director of Nursing 610-861-8080 Extension 21224

East Stroudsburg ASC Director of Ambulatory Surgery 610-861-8080 Extension 23516

Coordinated Health Solution Center 610-861-8080 Available 24/7

Coordinated Health Patient Navigator 484-891-1103

CONTACT INFORMATION

Only CMS* 5-Star Hospital in the Region

*In 2015 and 2016, CH Bethlehem was the only hospital in the Lehigh Valley to earn 5 stars in Medicare’s Quality Star Rating System.

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Your journey begins with the decision to have surgery.

At this appointment, you and your surgeon will:1. Confirm the diagnosis.2. Set expectations for surgery. • Your surgeon will explain the following to you: - Pain management - Medical equipment needed after surgery - Physical therapy consult, if necessary - Care provider needs3. Pick a surgery date and location.4. Your surgery scheduler will help you schedule the following appointments, if applicable: • Pre-Admission Testing • Primary Care Physician Evaluation • Preoperative Cardiac Evaluation • Postoperative Physical Therapy • Postoperative Surgeon Appointment

Your safety is #1The pre-surgery evaluation is an important part of your care. It will help you: Decrease the risks of surgery Decrease complications and allow us to manage any potential concerns Decrease recovery time

PREPARING FOR SURGERY

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At the time your surgery is scheduled, you will be informed whether you require additional appointments to prepare for surgery.

Pre-Admission Testing (PAT) AppointmentAll testing must be completed within 30 days of surgery. This testing is performed to make sure you are safe for surgery.

Pre-admission testing may consist of all or some of the following: • Blood work (fasting is NOT required) • Electrocardiogram (EKG) • Chest x-ray (CXR)

Please bring your insurance card and photo ID and arrive approximately 15 minutes prior to your scheduled appointment to complete any necessary paperwork. Please bring a list of your current medications. The list should include medication name, dosage, and frequency.

Primary Care Physician EvaluationPrimary Care Physician (PCP) evaluation may be required prior to surgery. At this appointment, your PCP will review and address the testing you had performed at your PAT appointment and clear you for surgery. Your PCP office will be required to send your clearance paperwork to your surgeon’s office at Coordinated Health. This is needed no later than 8 days prior to your surgery.

Preoperative Cardiac EvaluationWhile the risk of a cardiac complication after surgery is low, some patients have a higher risk than others and require evaluation by a cardiologist. If a cardiac evaluation is required, we will schedule your cardiology appointment, which lasts about one hour. During this appointment, the cardiologist may perform additional cardiac testing.

PRESURGERY APPOINTMENTS

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Why do I need anesthesia clearance prior to surgery?

Anesthesia providers need to review all of your test results to make sure you are safe for surgery. Again, the number one goal of our team is the safety of our patients.

Only after anesthesia completes this review is your surgery confirmed.

ANESTHESIA REVIEW

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Why should I stop smoking prior to surgery?

You are advised to stop the use of any nicotine products, including, but not limited to cigarettes, nicotine patches, nicotine gum, and vapor cigarettes. Nicotine has been shown to interfere with skin, muscle, and bone healing, which can slow recovery and increase the risk of postoperative complications.

SMOKING CESSATION

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It is important that you begin to prepare your home for your return from the hospital prior to your surgery. Below are some important guidelines to help you.

PREPARING YOUR HOME

• Re-arrange furniture• Clear the area of throw rugs, cords, toys, and other obstacles• Consider placing nightlights from your bed to the bathroom

Establish clear pathways throughout your house:

• Consider setting up a temporary bedroom downstairs while you are recovering

If you are having surgery on your lower extremity:

• Set up a shower chair• Install non-slip tape in your shower or bathtub• Install a grab bar

Set up your bathoom:

• Consider having someone care for your pets while you are recovering

• Be aware that pets can pose a serious fall risk

Pets:

• Prepare meals that can be frozen and easily be reheatedPrepare food:

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PACKING FOR THE HOSPITAL

Patient Guidebook

CHECKLIST

Loose Fitting Clothing

Tennis Shoes or Supportive Shoes

Eyeglasses

Contact Lens & Case

A List of All Medications

Walker and/or Crutches

(Nightgowns that are knee length, shorts, t-shirts, and/or sweat clothes.)

Include dosages and allergy information.

Supportive shoes should have a rubber sole, a firm back, and tie. Avoid tight-fittingor slip on shoes. Avoid rocker-bottom shoes. Velcro and elastic laces are OK.

If you have a walker and/or crutches, bring them with you the day of surgery. Walkers with 2 front wheels are recommended. If you do not have any equip-ment, physical therapy will determine your needs and provide you with the appropriate equipment at the time of discharge. Depending on your insurance coverage, you may be responsible for all or a portion of the equipment costs.

(if applicable)

Leave all valuables at home and label all possessions with your name.Do not bring any medications with you to the hospital unless otherwise

instructed at your Pre-Admission Medical Evaluation.

There is a lot to think about when preparing for the hospital. Please use this checklist to determine what to bring.

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The day prior to your surgery (or Friday prior to Monday surgeries), you will receive a phone call from the hospital staff.

They will instruct you on:• The time you should report to the hospital• Where to report once you arrive• Which items to bring with you• The medications that you should and should not take the morning of your surgery

The preoperative patient interview instructions will be reviewed with you. Please fill in the blanks.

DAY BEFORE SURGERY

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DAY BEFORE SURGERY INSTRUCTIONS

No food or drink should be consumed after midnight. You may consume up to 6 ounces of clear liquid up to 4 hours before surgery.Clear liquids include: black coffee, water, apple juice.Clear liquids DO NOT include: milk, creamer, orange juice.

A responsible adult must be available to transport you to and from Coordinated Health. Please note that a parent and/or guardian of a minor must remain in the building the entire time the minor is present. A responsible adult must stay with you at home for 24 hours following surgery.

Please do not bring children to the hospital unless there is another adult with you who will be responsible for them during your procedure.

Please do NOT shave any body part within 24 hours of surgery.

If you develop severe cough or flu-like symptoms, fever, or infection in the days prior to your procedure, please notify your surgeon and/or anesthesiologist.

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The following Patient Instruction Sheet will be reviewed with you during your call the day before surgery. Please fill in the blanks.

Review any preoperative instructions that you received from your physician’s office. Bring a photo ID (e.g. driver’s license) and your insurance card or proof of insurance. Bring a written list of the medications that you take, including strength and frequency. A responsible adult must be available to pick you up when you are discharged. Minors only: a parent/guardian must remain in the facility while the patient is under our care. Wear loose fitting clothing and sneakers. Do not shave the affected extremity within 24 hours of surgery. Prior to your arrival, please remove all jewelry/piercings, contact lenses, and toenail polish (foot surgery only). Leave all valuables at home. If applicable: bring crutches, walker, cane, sling, etc. You may consumer clear liquids until am/pm (4 hours prior to arrival). You may consume a light meal consisting of toast/clear liquids before am/pm (8 hours prior to arrival).

Take morning medications with a sip of water, unless otherwise instructed: Not applicable Hold the following medications: Additional medication instructions:

PREOPERATIVE PATIENT INTERVIEW

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When you arrive to the hospital, you will check in at the registration desk.

Please be prepared to:• Pay any estimated co-pays, co-insurance and deductibles. We accept cashier’s checks, Visa, MasterCard, Discover, and American Express.• Bring a valid photo ID and your insurance card.• Provide basic demographic information.• Provide any applicable insurance information.• Sign consent forms for billing and provisions of care.• You will receive an identification bracelet. This identification bracelet is designed for your safety and should be worn until you are discharged.

Caregivers should be aware that the time from check in to the actual surgical incision is about 2 hours. This includes time for anesthesia administration and surgical positioning.

REGISTRATION

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A nurse will then take you to the preoperative area to be prepped for surgery.

At this time they will:• Check your hospital identification bracelet.• Help you change into a hospital gown.• Ask you to remove dentures, eyeglasses, or contact lenses.

While in the preoperative area:• You will meet with an anesthesiologist and your surgeon.• The correct surgical site will be marked by you and then by your surgeon.• Sedation will be administered after an IV is gently placed. Our own board certified team of anesthesiologists will perform any regional nerve blocks.• You will then be taken to the operating room for your procedure.

PREOPERATIVE AREA

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In most cases, you will be given anesthesia once you are in the operation room. This will keep you sleepy and comfortable during your procedure.

Your surgical team will then perform your surgery.

Once completed, you will be taken to the recovery room to wake up.

OPERATING ROOM

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You may see all or some of the following when you wake up in the recovery room:• You will have intravenous fluids connected to your intravenous line.• You will have oxygen on your face.• You may have an indwelling catheter in place emptying your bladder. We will try to avoid placing a catheter to limit the chance of infection and permit mobility.• Your operative site leg may feel numb and heavy.

Operative Site• A postoperative dressing will be applied.• You may have on a splint or cast.• Ice will be applied.• You will have calf pumps on your non-surgical leg.• You may have support stockings (TEDS)

Once you are awake and comfortable, you will be provided discharge instructions and discharged home. If additional observation is required, you may be asked to stay overnight. In which case, you will be transported to a hospital room.

RECOVERY ROOM

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It may be 2-4 hours from the time you are taken from the waiting room until your surgery has been completed.

It is important to share this timeline with your caregivers, so they have accurate expectations on the day of surgery. Staff are available if family members have questions regarding your status.

A responsible adult must be available to transport you to and from Coordinated Health. Please note that a parent and/or guardian of a minor must remain in the building the entire time the minor is present. A responsible adult must stay with you at home for 24 hours following surgery.

Please do not bring children to the hospital unless there is another adult with you who will be responsible for them during your procedure.

FAMILY EXPECTATIONS

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Pain is easier to prevent than treat.

You had a surgical procedure. A moderate amount of pain and swelling can be expected.

Multimodal Pain Management:• Combines intravenous, local and oral analgesics• Uses multiple interventions to target the sources and pathways of pain, which allows early ambulation and range of motion• Decreases reliance on narcotics

For maximum benefit, the drugs must be administered preoperatively (before incision).

It is our job to do everything we can to control your pain after surgery, but please be aware that you will still have some pain after surgery. If your pain is unbearable, please let a staff member know, so they can address it and bring you pain medication, if needed.

MULTIMODAL PAIN MANAGEMENT

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The goal of discharge is to make sure that when you leave the hospital you have a good understanding of the things you are responsible for in managing your care. We want to make sure you are comfortable with being discharged and that you have all the help you need when you leave the hospital.

When your pain is controlled, you are tolerating fluids, and your vital signs are stable, you will be discharged home.

Once cleared, formal written discharge instructions will be provided to you by a registered nurse. These will contain information about what symptoms or health problems to look out for after you leave the hospital. Instructions will also include information about medication, appointments, and your care. If you have any questions related to these instructions, please ask. We want you to understand your instructions fully before you leave.

DISCHARGE

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After discharge from the hospital, your next stop is outpatient therapy. You will begin physical therapy when you have been cleared by your surgeon.

Your therapy progression will follow a timeline for recovery created and agreed upon by your doctor and therapist. Your physician will communicate with the team of physical therapists to monitor your progress. You will be discharged from therapy once your therapist and surgeon clear you.

Your motivation and participation in rehabilitation are essential to your recovery. You must take an active role in your care. Performing daily exercises at home is vital to your Rapid Recovery.

Your progress depends on you!

COORDINATED HEALTH REHABILITATION EARNS OUTCOMES AWARD

Coordinated Health ranks in the top 10% among over 2,800 rehabilitation clinics and over 12,000 clinicians internationally, according to the patient assessment system, Focus on Therapeutic Outcomes, Inc.

REHABILITATION & RECOVERY

EXCELLENCE

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1st Outpatient Physical Therapy Appointment

You will receive a midweek call, prior to your surgery, to confirm your follow-up physical therapy appointment.

What to bring:• Driver’s license or other photo ID• Insurance Card

Rehab hours:• Vary by location• Most offices are open Monday-Saturday• Please refer to our website for location-specific hours

OUTPATIENT REHABILITATION

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Instructions• Do not get your bandage or cast wet. This may increase the chance of infection. If this occurs, please call.• Do not remove the surgical bandage.• If you have an ace wrap and it feels too restrictive, it may be removed and reapplied.• If you notice that your bandage is soaked with blood, please call immediately.

Solution Center: 610-861-8080

When you have been cleared by your surgeon’s team to shower:• Let the water run over the incision.• Do NOT scrub the incision.• Do NOT soak in a bathtub, hot tub, or swimming pool.

If a cast has been applied:• Do not try to scratch the skin under the cast using sharp or pointed objects.• Check skin around the cast every day.• Keep the cast dry, clean, and intact.• Place a plastic bag over the cast to keep your cast from getting wet.

Refer to your discharge instructions for physician-specific wound care.

WOUND CARE AT HOME

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PAIN IS EASIER TO PREVENT THAN TREAT.

Multimodal pain management combines minimally invasive surgical techniques with two or more pain-relieving medications and mechanisms to relieve pain and reduce the need for narcotics.

• Medications: Pain can interfere with your rehabilitation, healing, and progress. Please take your prescribed medication as directed. It is important to follow the instructions to keep your pain at a manageable level. The longer you go without managing your pain, the longer it takes for your medication to be effective. • Ice: Use of ice can decrease pain and swelling. An ice bag should be used for 5 days following your procedure. Apply ice to the operative area for approximately 30 minutes, and then remove. Repeat this process several times a day. Only use the icepack when awake. Place ice in a waterproof container and wrap the container in a towel. Damage to tissue can occur if you leave the ice on too long or if the ice is placed directly on the skin. If the icepack leaks, do not use.• Elevation: If you have lower extremity surgery, your involved limb must be elevated higher than the level of your heart.• Rest: Rest is important following surgery. Follow your discharge instructions for walking recommendations.• You may receive a nerve block with local anesthesia to numb the pain. It is normal to have an increase in discomfort after the nerve block wears off.

Preoperative education is an important part of pain management. You need to have a realistic expectation of what discomfort you may experience postoperatively and understand how to manage your pain following surgery.

MANAGING PAIN AT HOME

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COMPLICATIONS

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Infection• Increased swelling and/or redness at the incision site (some redness and swelling around your incision is normal)• Change in the color or amount of drainage coming from your incision• Increased pain in the extremity• Increased warmth at or around incision site• Fever of 101 degrees or higher

Deep Vein Thrombosis (DVT) also known as blood clots• Increased calf swelling• Increased pain, tenderness in your calf• Redness in the lower extremity/calf area• Prevention: - Frequent mobility - Every hour get up and take a short walk - Elevate your legs off the floor as instructed by physical therapy - Perform ankle pump exercises 10x per hour - Wear your support stockings (TEDS), if provided

COMPLICATIONS

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Constipation• Over the counter stool softeners: Colace, Senna-kot, Bisacodyl• Diet: Eat foods high in fiber and drink plenty of water

PONV (Postoperative nausea and vomiting)• Never take pain medications on an empty stomach• Day of surgery consult with anesthesiologist• Limit narcotic pain medicines (multimodal pain management)• Frequent small meals (nausea is worse on empty stomach)• Prescriptions for nausea medicine

Your physical therapist is also an excellent source of information and will communicate any patient concerns directly to your physician and his team.

COMPLICATIONS

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The following complications are rare, but if you experience any of the following, call 911 immediately:

Chest pain

Difficulty breathing

Shortness of breath

Confusion

SERIOUS COMPLICATIONS

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It is important to keep track of your anticoagulant usage to ensure you are taking the correct amount for the correct length of time. Use the chart below to track which anticoagulant you are on, start/stop date, dosage, and frequency.

Aspirin Start Date: / / Duration: weeks Dosage: 81mg 325mg Frequency: Daily 2 times a day

Xarelto Start Date: / / Duration: weeks Dosage: 10 mg Frequency: Daily

Other: Start Date: / / Duration: weeks Dosage: Frequency:

BLOOD CLOT PREVENTION

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Coordinated Health Care on Demand clinics are walk-in facilities that provide convenient access to the region’s top primary care and orthopedic physicians. Whether you are recovering from a surgical procedure or experiencing a sore throat, you can rely on any one of our seven Care on Demand clinics to address your urgent needs.

COORDINATED HEALTHCARE ON DEMAND

Location Days Hours

Bethlehem Campus Monday - Friday 7am-8pm Saturday - Sunday 8am-8pmBethlehem Township Monday - Friday 7am-7pmEast Stroudsburg Monday - Friday 7am-8pm Saturday - Sunday 8am-5pmAllentown Monday - Friday 7am-8pm Saturday - Sunday 8am-8pmHazleton Monday - Friday 8am-4:30pmPittston Monday - Friday 8am-4:30pmPhillipsburg Monday - Friday 8:30am-5pm

*Hours may vary, please verify at coordinatedhealth.com/cod or call.

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If you do not have a follow-up appointment already scheduled, please call 610-861-8080 to make an appointment.

Depending on your progress, you will be seen by your surgeon in the clinic 5-10 days after surgery.

During this appointment, you can expect:• Postoperative x-rays• Incision check• Assessment of range of motion and strength

Your next follow-up appointments will be scheduled at this time and are usually about 2-4 weeks apart.

FOLLOW-UP APPOINTMENTS WITH YOUR SURGEON

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Tracking the outcomes of our patients is important. In doing so, we can ensure you are getting the right care when you need it and that your recovery is going as planned.

OUTCOMES

Data is collected preoperatively and postoperatively at 6 months, 1 year, and then annually thereafter. You will be contacted by someone on our team and asked questions about your pain, functionality, and ability to complete daily activities. This allows your physician to monitor your progress after surgery.

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After Physical Therapy, Performance Fitness is the next step!• Progressively challenging exercises - Strength - Balance - Flexibility - Decrease pain and fall risk - Lose weight & feel good!• Directed by Coordinated Health certified personal trainers.• Includes an initial evaluation: medical history review, a personalized warm-up, and use of our cardiovascular equipment.• Small group atmosphere (max of 6 per class)• Affordable – only $12/class - Call today! 610-861-8080 x32021 - [email protected]

Other Performance Fitness Services offered:• Pre & Post Therapy training sessions• Therapeutic Stretching• One-on-one training

COORDINATED HEALTHPERFORMANCE FITNESS

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Coordinated Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Coordinated Health does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Coordinated Health:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as - Qualified sign language interpreters - Written information in other formats (large print, audio, accessible electronic formats, other formats)• Provides free language services to people whose primary language is not English, such as: - Qualified interpreters - Information written in other languages

If you need these services, contact the Manager in your location, the Solution Center or the Civil Rights Officer.

If you believe that Coordinated Health has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with the Civil Rights Officer by mail or phone at: 3435 Winchester Rd Allentown, PA 18104 (610) 861-8080 ext 27788 by fax at: 610-841-5826 or by email at: [email protected]. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance the Civil Rights Officer is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office of Civil Rights Compliant Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-868-1019, 800-537-7697 (TDD).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

DISCRIMINATION IS AGAINST THE LAW

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Tagline Informing Individuals with Limited English Proficiency of Language Assistance Services

Top 18 Languages in PA and NJATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-610-861-8080.

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-610-861-8080 。 ế ạ ế ệ ị ụ ỗ ợ ữ ễ ạ

ọ ốВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услугиперевода Звоните

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-610-861-8080 번으로 전화해 주십시오. ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-610-861-8080.

-861-610-1 برقم اتصل. بالمجان لك تتوافر اللغوية المساعدة خدمات فإن اللغة، اذكر تتحدث كنت إذا: ملحوظة والبكم الصم هاتف رقم) 8080

ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-610-861-8080. ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-610-861-8080.

સચુના: જો તમે ગજુરાતી બોલતા હો, તો નન:શલુ્ક ભાષા સહાય સેવાઓ તમારા માટે

ઉપલબ્ધ છે. ફોન કરો 1-610-861-8080.

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-861-8080. ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-610-861-8080. ប្រយ័ត្ន៖ បរើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, បសវាជំនួយខ្ននកភាសា បោយមិនគិត្ឈ្ន លួ គឺអាចមានសំរារ់រំបរ ើអ្នក។ ចូរ ទូរស័ព្ទ 1-610-861-8080។ ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-610-861-8080. PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-610-861-8080.

کريں کال ۔ ہيں دستياب ميں مفت خدمات کی مدد کی زبان کو آپ تو ہيں، بولتے اردو آپ گرا: خبردار1-610-861-8080.

ध्यान दें: यदद आप ह िंदी बोलत ेहैं तो आपके ललए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-

610-861-8080 पर कॉल करें।

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Q: When can I take a shower and get my incision wet?A: If used, the bio-occlusive dressing (e.g. Optifoam) allows you to shower immediately. Otherwise, follow discharge instructions.

Q: How should I sleep?A: You can sleep in any position to maximize comfort and get good sleep.

Q: Should I change my bandages?A: Nursing staff will provide specific instructions on discharge.

Q: When will my staples be removed?A: At your postoperative visit or physical therapy.

Q: Can I get another prescription?A: Yes. It will require a visit to the surgeon or PA. Narcotics cannot be called into the pharmacy.

Q: When should I request a pain medication refill?A: Do not wait until you are out of medication. Call when you have 2 days of medication remaining.Pain medication refills should be made Monday – Friday during business hours. If you expect to run out of pain medication over the weekend or on a holiday, please call in advance.

Q: When will I get back to normal?A: The road to recovery is different for everyone. The timeframe for when you feel “normal” again can vary. Talk with your surgeon to determine when you can safely resume driving, work, sexual activity, and sports.

COMMONLY ASKED QUESTIONS

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Notes: