WELCOME TO JOINT SCHOOL

AIMS OF THE SESSION

To help you prepare for your admissionExplain what will happen throughout your

stay at Spire Gatwick ParkExplain about your recovery afterwardsTeach you to use sticksTeach you to use the stairsTeach you a programme of exercisesTo ensure you are well informed and prepared for your operation

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What is Enhanced Recovery

Pioneered in DenmarkA new approach to caring for patientsBegins with your G.P., improved anaesthetic and surgical techniques.

Early food and drinkEarly mobilisationFaster return to your normal activitiesYou have an active role in your recovery and full responsibility for your rehabilitation

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How can you prepare ?

What to bring in with you :ToiletriesDressing gownSlippers with backsSmall travel clockMobile phoneAll medications in their original containers

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…more to bring in

Flat shoes with backs ideally slip-onComfortable day clothes – shorts, skirts or

dresses – not trousersSmall packs ready to eat prunes, apricots,

figsWalking sticks (or crutches)Your information pack and exercise programme

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How can you prepare?

Optimise your health before your operation

Eat healthily – avoid putting on weightHigh fibre and fluids to help prevent constipation

Stop smokingRegular walks as ablePrepare the homeYou will be in hospital for 2-4 nights

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Arrange for someone to take you homeArrange for someone to be with you for a few days

Arrange to be off work for 6-12 weeksPractise your exercisesPractise walking with your sticksPractise the stairsRead all the information again before you come in

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What is a joint replacement

Why do you need a new jointAnatomyA new jointX rays

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Pre- admission clinic

Usually 3 weeks prior to surgeryNurse clinicPhysiotherapy assessment

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Anaesthesia, pain control

Spinal anaesthesiaRegional anaesthetic blockSedationGeneral anaesthetic

Pain score“Regular” medication and “as required medication”

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Our Patient Journey

Admission timeFasting timesBefore the operation – you will see your consultant, anaesthetist, nurse, physiotherapist and pantry staff

Walk to theatreIn recoveryBack on the ward – attachments !Drink, eat, move

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Day 1 - discharge

Daily ward round at 8.30Regular drug roundsNurses will assist with washing/dressingPhysiotherapy morning and afternoonWalk to bathroomSitting out for all mealsX rayBlood test

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Day 2

Washing in the bathroom, maybe showerPhysiotherapy – bed and standing exercises, progressing to sticks, stairs

You may be ready to go home later in the afternoon

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Day 3

You will be helped to showerYour wound dressing will be changedContinued physiotherapyHopefully home today!

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When can I go home ?

Good movement in your new jointWalking wellSafe on stairsIndependent with some supervision with daily needs

Signs of wound healingLength of stay – 2-4 nights (when clinically ready to go home)

Time of discharge will be confirmed

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Follow up care

Wound clips are removed at 10-14 days (at Gatwick Park or at your G.P. surgery)

Follow up physiotherapy at 2,4, and 6 weeks

Consultant appointment at 6 weeks (at Gatwick Park or in your local trust hospital)

Hip and knee classes after 6 weeks

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Practise makes perfect

Please practise with your sticks for at least 5 minutes every day

Please use your sticks for at least 1 full 24 hour period before you come in for your

operationPlease practise your exercises daily

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THANKYOU

ANY QUESTIONS?

This information is also available on our website.

www.spiregatwick.com/ER

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