Hip Replacement Patient Notebook - Christiana Care Health System

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Obtain Laboratory Tests When you are scheduled for surgery you will get a laboratory-testing order sheet from your surgeon. Your case manager may also ask for some testing. Have your testing done at a lab approved by your insurance company 7-10 days before your surgery or within 30 days of your surgery. Have the results faxed to the Center for Advanced Joint Replacement at 302-428-4644. Call 302-428-2460, if you have any questions. Pre-Admission testing is available at Christiana Care. Testing areas are located at both Wilmington and Christiana Hospitals and are open 7 a.m. – 4:30 p.m. Monday through Friday and 8 – 11:30 a.m. on Saturdays. No appointment is needed. Lab Services at Wilmington Hospital Lab Services at Christiana Hospital Campus 501 West 14th Street, Christiana Care Medical Arts Pavilion 1, Suite 100 Wilmington, DE 19801 4745 Ogletown-Stanton Road, Newark, DE 19713 302-428-6801 302-733-6244 Decide Whether to Donate Your Blood (FYI section) You may wish to donate your own blood, please discuss your options with the surgeon. Review “About Blood Transfusions” in the FYI section of your notebook. Choose Your Coach Your Coach is someone (family or friend) who will be able to share in some of your physical therapy sessions, help you plan what happens when you go home and be a companion in your home when you go home to help with your needs. The Center for Advanced Joint Replacement welcomes coaches’ participation in all of your recovery to make sure you move smoothly home after your surgery. Review “What is an Advance Directive” (FYI section) The law requires that everyone being admitted to a medical facility have the chance to tell us how future decisions about their medical care should be decided (advance directives). Please refer to the FYI section of notebook for further information. Although you are not required to make an advance directive, you may if you wish. If you have advance directives, e.g. living will, please bring copies with you to the hospital on the day of your surgery. Schedule Physical Therapy Evaluation Many patients with arthritis favor their painful joint and become weaker. This delays your recovery. To help, it is important that you begin an exercise program before your surgery. We will contact you to schedule a pre-operative evaluation with one of our physical therapists. Please bring this notebook to your evaluation. A section in this notebook has some of exercises that your surgeon or physical therapist may recommend. Register For Joint Replacement Infor mation Class A special class is held weekly for patients scheduled for joint surgery. We will schedule this class with you before your surgery. You only need to attend one class. Members of our team will be there to answer your questions. It is strongly suggested that you bring your coach with you to class.
The outline of the class is as follows: ■ Getting ready for surgery ■ ■ ■ ■ ■ ■ What to expect the day of surgery What to expect during your hospital stay Physical and Occupational therapy plan Role of the coach Planning for your release home after your surgery a review with the Case Manager Questions and answers What to do 4 weeks before Surgery Read “Anesthesia and You” (FYI Section) Total joint surgery does require the use of either general anesthesia or spinal anesthesia. Please review “Anesthesia and You”. If you have questions please contact your case manager or your surgeon’s office. What to do 5-10 Days before Surgery Stop medications that increase bleeding Seven days before surgery stop taking aspirin or products with aspirin in them. Five days before surgery stop all anti-inflammatory medications like Motrin, Naproxen, etc. These medications may cause bleeding. Talk to your doctor about other medications you can take for pain before surgery that do not cause bleeding. If you are on Coumadin, Plavix or Pradaxa, you will need special instructions for stopping these medication. Do not stop taking these medications without medical direction. Your case manager will tell you what to do with your other medications. Find Out Your Arrival Time Your surgeon asks you come to the hospital two to three hours before your surgery to give the staff plenty time to get you ready for surgery and answer any questions. It is important that you arrive come in on time because the surgical time can be moved up. If you are late, it may cause a significant problem with starting your surgery on time. Sometimes lateness could result in your surgery being moved to a much later time. If you are unsure when to arrive at the hospital, call your surgeon’s office. Prepare Your Home Have your house ready for your to come home. Clean. Do the laundry and put it away. Put clean linens on the bed. Make meals and freeze them in single serving containers. Cut the grass, tend to the garden and other yard work. Pick up throw rugs and tack down loose carpets. Remove electrical cords and other barriers from walkways. Put nightlights in bathrooms, bedrooms, and hallways. Stop the newspaper. Arrange to have someone collect your mail and take care of loved-ones or pets, if needed. Review “Fall Prevention in Your Home” in FYI section.
Page 1 and 2: Notebook for Hips
Page 3 and 4: Welcome Thank you for choosing the
Page 5 and 6: Role of the Center for Advanced Joi
Page 7 and 8: FAQs about Total Hip Surgery How lo
Page 9 and 10: How can I get my home ready before
Page 11: FYI: Joint Replacement Insurance Ch
Page 15 and 16: Day of Surgery Wilmington Hospital
Page 17 and 18: Heading Home Someone will need to d
Page 19 and 20: Exercising Before Surgery It is vit
Page 21 and 22: Ankle Pumps 1. Bend your ankles up
Page 23 and 24: Gluteal Sets X X X 1. Squeeze your
Page 25 and 26: Heel Slides 1. Lie on back. 2. Bend
Page 27 and 28: Seated Knee Extension 1. Sit on edg
Page 29 and 30: Short Arc Quads 1. Lie on your back
Page 31 and 32: Standing Hip Abduction 1. Stand, ho
Page 33 and 34: Using the Clinical Diary A note for
Page 35 and 36: Post-operative Swelling ■ You may
Page 37 and 38: Blood Clot (Pulmonary Embolus) An u
Page 39 and 40: Walking with Walker 1. Move the wal
Page 41 and 42: Using a “Sock Aid” How to use a
Page 43 and 44: Moving into Tub Getting into the tu
Page 45 and 46: Moving to Toilet When sitting down
Page 47 and 48: Moving Out of Bed When getting out
Page 49 and 50: Lying in Bed - Four Weeks Post-op W
Page 51 and 52: Household Chores: Saving Energy and
Page 53 and 54: FYI: Advance Directive Advance dire
Page 55 and 56: FYI: Bleeding Precautions Sometimes
Page 57 and 58: FYI: Constipation Constipation, whe
Page 59 and 60: How do I prvent DVT? DVT precaution
Page 61 and 62: FYI: Fall Prevention in the Home Fa
Page 63 and 64:
■ ■ ■ ■ ■ Delaware Stroke
Page 65 and 66:
Guided Imagery Programs To select t
Page 67 and 68:
FYI: Pain Control ■ ■ We believ
Page 69 and 70:
FYI: Preventing Infection We are co
Page 71 and 72:
FYI: Rehabilitation Services After
Page 73:
FYI: Directions to Hospitals Wilmin
Page 76:
Christiana Hospital Campus From I-9
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Hip Replacement Patient Notebook - Christiana Care Health System

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