total preop hip surgery - enhanced recovery after surgery hip class... · your hip is most prone to...
TRANSCRIPT
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Total Hip Replacement: Enhanced Recovery After Surgery
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What to expect at home
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Today’s session
Enhanced Recovery: What’s it all about?
Get ready for surgery and recovery
Questions?
Fifth Agenda
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Physician Assistant
Enhanced Recovery After Surgery (ERAS)
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ERAS Video
▪ Introduction to ERAS Video
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Enhanced Recovery After SurgerySpeed healing and reduce risk of infection
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Drink clear liquids &
carb drink until 2 hours
before arrival.
Eat soon after surgery.
Control pain Move sooner Eat & drink
Mixture of medications with less narcotics.
Stay ahead of the pain.
Get up soon after surgery.
We will help you sit, then stand and walk.
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Prepare physically and mentally Be your healthiest
▪ Quit tobacco
▪ Be active
▪ Prevent illness, cuts, scrapes, and infections
▪ Sleep well, eat healthy, drink water
▪ Relax kp.org/surgerypodcast
▪ Control blood sugar, if you have diabetes
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https://kp.org/mydoctor/hipreplacement
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Emmi: Prepare for your surgerySearch knee surgery or hip surgery on kp.org/mydoctor
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Enhanced Recovery Prevent infections before surgery
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Mouth care Skin care
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Going home
▪ When?
– Patients are able to go home on the day of surgery, unless there is a medical need
–Prepare now for transportation and help at home
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What’s common at home?
▪ Pain will increase at times
– Take medications on time
– Rest, ice, and elevate leg
– Move your joint, but don’t overdo it
▪ Swelling can be present for months after surgery
▪ Bruising or color changes anywhere on your leg or foot
▪ Not sleeping well for first 2 - 3 months
- Get up and stretch
- Take naps
- Don’t use sleep medications
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Care after discharge
You will get a call from orthopedics the day after surgery. Please read your discharge instructions for details.
▪ Call if you have these symptoms
– Fever over 101.5
– Excessive bleeding at incision
– Vomiting or diarrhea
– Uncontrolled pain
– Any Concerns
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KP Preventive Carehelps you remember
Try a video visit with your doctor or physical
therapistDownload our app. Talk with your doctor or physical therapist
on your smartphone.
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My Doctor Online
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PHYSICAL THERAPY
Preparing for and recovering after your surgery
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Physical Therapy
▪ In the Hospital right after surgery.
▪ Physical therapy in your home (Home Health Physical Therapy): 24-48 hours after discharge from the hospital.
▪ Outpatient Physical Therapy (at your home facility) begins after you have met your goals with home health physical therapy for further strengthening and return to activities.
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Physical Therapy: Hospital Goals
▪ Before you are discharged from the hospital, we will show you how to:
– Get in and out of bed.
– Sit, stand, and walk.
– Climb stairs, if you have them at home.
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Positions to avoid
▪ The chances of dislocation is very low.
▪ Your hip is most prone to dislocating the first 4-6 weeks after surgery.
▪ It is OK to bend your hips beyond 90 degrees as long as your knees
are apart and not together.
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Positions to Avoid
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Acceptable positions
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Heel slides
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Quad thigh squeezes
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Gluteal (buttocks) squeezes
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Moving at home
▪ Limit walking to around your home and to appointments until your home health physical therapist sees you
▪ Do your exercises
– At least 3 times a day
▪ Prevent swelling
– Ice and elevate your leg.
– Slowly increase activities
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OCCUPATIONAL THERAPY
Preparing your home and equipment to assist with activities of daily living
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Think about your home ?
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Clear, wide
pathways?
Where will
I sleep?
Where will
I sit?
Good
lighting?
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Is your home ready?
√ Wide, clear pathways for walker
√ Remove clutter and things on the floor
√ Bed or recovery area on 1st floor
√ Firm chair with armrests and high back
√ Good lighting between bed and bathroom
√ Grab bars in shower
√ How will you confine pets?
√ Will you have meals prepared or frozen?
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Recovering from Total Joint Surgery
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Toilet seat frame
- Provides arm rests only to give
you support when seated and
allow you to use your arm
strength to assist in transfers
on and off the toilet
Raised Toilet Seat w/ arms
- Also available without arms
- Decreases the distance your
body has to travel from a
standing to a sitting position,
saving you energy
3-in-1 Commode
- Available with drop arms, with
and without backrest
- Allows for use in a wide open
room
- Can be placed for convenience
to limit the distance you have
to walk to the bathroom
- Bucket can be removed for
placement over bathroom
toilet
http://www.ableforlife.com/Bathroomsafety.html
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Recovering from Total Joint Surgery
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Bath Bench for tub showers
-eliminates the need for balance and
strength to step over the tub side
- makes transferring into the shower
easy and safe
Shower Chair for walk-in shower
stalls
- Provides a safe place to sit
while washing hard to reach
areas of the body
- Decreases the energy it
requires to take a shower
Handheld shower head
- Makes sitting while showering
easier as you are able to
control the direction and
pressure of the water
http://www.ableforlife.com/Bathroomsafety.html
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Total Joint Kit
▪ Sock aide
▪ Reacher
▪ Elastic shoe laces
▪ Long handled shoe horn
▪ Long handled bath sponge
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Is your helper ready?Plan to have help for 2 weeks consistently
▪ Prepare meals.
▪ Help keep your spirits up.
▪ Do laundry and chores.
▪ Take care of family and pets.
▪ Run errands. Drive you to and from appointments.
▪ Help with medications, icing, and elevating.
▪ Help with mobility and daily activities.
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PATIENT CARE COORDINATOR
Equipment, coverage and assistance at home
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Discharge planning
▪ What’s my coverage for medical equipment?
▪ Where can I get a walker? Discharge planning department will be calling to order the week before surgery
▪ Skilled nursing care is rarely necessary because patients do better at home.
▪ Resources
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To Summarize: Be Prepared
▪ Prepare your body, mind, and home.
▪ Prepare to go home on the day of surgery. Have transportation and help at home ready.
▪ Follow Enhanced Recovery instructions.
▪ Actively participate in rehab to return to your usual activities.
▪ Good luck with your recovery and please remember to read your discharge instructions!