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Hip Replacement Patient Notebook - Christiana Care Health System

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After Surgery Hospital <strong>Care</strong><br />

After Surgery<br />

Following surgery, you will go to a recovery area where you will stay for 1-2 hours. We will<br />

work with you to control your pain and your vital signs will be checked. You will then go to<br />

the Center for Advanced Joint <strong>Replacement</strong> floor where a nurse will care for you.<br />

Pain medication is available for you throughout your stay. You will be asked to rate your pain<br />

on a scale of 0-10, with “0” being no discomfort and “10” being the worst pain possible. Refer<br />

to the “Pain Control” in the FYI section of the notebook.<br />

Your surgeon may ask that you get out of bed, sit up and walk within hours after your<br />

surgery. It is important that you help with blood clot prevention as soon as possible after<br />

surgery by doing the ankle pumps, quad sets and glute set exercises in this notebook. Along<br />

with walking, these help prevent blood clots from forming in your legs.<br />

To help prevent any congestion, you will be taught and encouraged to use the incentive<br />

spirometer. Refer to the FYI pages in this notebook.<br />

Post-Operative Day 1<br />

The morning after surgery, you will be helped in bathing and dressed in clothing that you<br />

have brought from home. A physical therapy evaluation or your first group physical therapy<br />

session will take place. The physical therapist will check your progress and help you walk<br />

with a walker. Nurses will be help you move from IV pain medication to pain medicine by<br />

mouth. After lunch, you will have your second physical therapy session as a group setting.<br />

Coaches are encouraged to take part in physical therapy sessions as much as possible. Other<br />

visitors are welcome before and after therapy sessions.<br />

Post-Operative Day 2<br />

On day two after surgery, occupational therapy will visit you at your bedside and help you<br />

with your bathing and dressing, giving you adaptive equipment as needed. Following<br />

breakfast, you will take part in your first group physical therapy session of the day. A<br />

complimentary lunch for you and your coach is given this day. After lunch, you will have<br />

your second therapy session and may begin practicing stair climbing and car transfers. Your<br />

coach is encouraged to go to at least one physical therapy session this day.<br />

Post-Operative Day 3 or Discharge Day<br />

On day three after surgery, you will have breakfast and then attend an early morning physical<br />

therapy session. You will usually get to leave the hospital after this therapy session. Your<br />

nurse and physical therapist will give you detailed instructions before your leave. A family<br />

member or friend (or coach) is always encouraged to take part.<br />

The decision to go home or to a rehab/subacute facility will be made together by you, your<br />

surgeon, other members of the health care team, and your insurance company. Every attempt<br />

will be made to have this decision wrapped up in advance, but may be delayed until the day<br />

you are ready to leave depending on your progress.

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