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Total Joint Replacement Patient Education

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Total Joint Replacement Patient Education – PowerPoint PPT presentation

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Title: Total Joint Replacement Patient Education


1
Total Joint Replacement Patient Education
2
Welcome to Centerpoint Medical Center
3
Our Goal Is To
  • Provide you with valuable information on what to
    expect before, during and after surgery
  • Give you an opportunity to meet fellow
  • patients that will be having surgery the same
    day
  • Familiarize you to our HMI unit and Staff
  • Decrease your anxiety level

4
  • The Total Joint Center
  • Designed specifically for jointreplacement
    patients
  • Continuum of Care approach
  • Extensive clinical expertise with a compassionate
    caring treatmentphilosophy
  • Known for its quality of care

5
Knee Anatomy
  • Femur (thigh bone)
  • Tibia (shin bone)
  • Patella (knee cap)
  • Ligaments
  • Connect bone to bone
  • Tendons
  • Connect muscle to bone
  • Articular cartilage
  • Teflon-like coating on the ends
  • of the bones. Also lines the
  • back of the patella
  • Meniscus
  • Cartilage pads

6
Knee Anatomy
  • Joint capsule
  • Tough ligament-like
  • material which
  • surrounds the joint like
  • a balloon
  • Synovial lining
  • Lining of the joint
  • capsule. Creates
  • synovial fluid which
  • lubricates the joint.

7
Hip Anatomy
  • Pelvis
  • Socket
  • Femur
  • Head (Ball)
  • Neck
  • Articular
  • Cartilage

8
Hip Joint Anatomy
  • Joint capsule
  • Tough ligament-like
  • material which
  • surrounds the joint like
  • a balloon
  • Synovial lining
  • Lining of the joint
  • capsule. Creates
  • synovial fluid which
  • lubricates the joint.

9
Hip Joint Anatomy
Position of the hip sometimes causes pain to be
deferred down the leg and deep in the buttocks
10
Arthritis
  • Over 100 different kinds of arthritis
  • Osteoarthritis
  • Most common
  • Degenerative joint disease, affects the
    cartilage
  • lining at the ends of bones
  • Rheumatoid Arthritis
  • Disease of the tissue that lines the inside of
  • joints (synovium)
  • Causes the lining to thicken and break down
  • bone and cartilage
  • Joint becomes inflamed, stiff and deformed

11
Osteoarthritis
  • Cartilage becomes worn, no longer
  • allowing smooth movement inside the joint
  • Painful grinding sensation as the joint
  • works
  • Pain, stiffness, and loss of function are
  • common

12
Total Knee Replacement
  • Removal of the damaged cartilage and bone
  • to position the new metal and plastic joint
  • surfaces to restore alignment and function
  • of your knee

13
Total Hip Replacement
  • Ball is replaced,
  • socket is
  • resurfaced
  • Rough cartilage
  • and bone spurs
  • are removed
  • Metal and plastic
  • are used to
  • restore the
  • smooth surfaces

14
Expectations after Surgery
  • Return Home in 4
  • days
  • and
  • get back into an
  • active lifestyle
  • in 6 to 12 weeks!

15
Surgery Event Calendar
  • 1. Pre-Operative Education Class
  • 2. Pre-Operative Doctors Appointment
  • Discuss risks/complications
  • Sign consents
  • Medical evaluation by your primary
  • care physician or specialist
  • 3. Pre-Surgical Testing Appointment

16
Pre-Surgical Testing
  • Pre-admission screening
  • Visit last 1 to 2 hours
  • Medical tests will be obtained (blood test,
  • urine sample, EKG, possibly a chest X-ray)
  • Please bring the following with you
  • All your medications or an updated list with
  • dosages
  • List of physicians you see on a regular basis
  • List of allergies/medical/surgical history

17
Preparing for Surgery
  • Nutrition
  • Eat balanced meals to maintain or lose weight
  • Follow physician prescribed diet
  • If you are diabetic, continue to check blood
    sugar
  • Physical Therapy
  • Perform exercises regularly to increase muscle
  • strength
  • Stop Smoking/Tobacco Use
  • Anesthesia risks
  • Post Operative Respiratory Complications
  • Delays wound healing
  • Fresh Start Smoking Cessation Classes offered

18
Preparing Your Home
  • Remove all throw rugs out of your path
  • Widen pathways so that you may get
  • your walker through
  • Remove or tape down any cords or wires
  • Move things you might need to areas
  • where you can reach them
  • Prepare nutritious meals in the freezer to
  • simplify cooking

19
Day Before Your Surgery
  • Do not shave legs the day before or
  • day of surgery
  • Shower with antibacterial soap the
  • night before and the morning of
  • surgery
  • Do not eat or drink after midnight,
  • including water, chewing gum or
  • candy

20
What To Bring With You
  • All your medications that you take or an updated
    list with dosages
  • Loose, comfortable clothes, enough for 4 days
  • Flat supportive walking shoes that are non-slip
  • Personal toiletries
  • Eyeglasses instead of contact lenses
  • Dentures
  • Telephone numbers of people you want to call

21
Things To Leave At Home
  • DO NOT bring
  • Large amounts of money
  • Credit cards
  • Valuables, jewelry

22
Day Of Surgery
  • Take any morning medications that
  • you were instructed to take
  • Arrive at the hospital 2-3 hours before
  • your scheduled surgery time
  • Park in the front parking lot
  • Enter through the main entrance
  • Report to the surgery desk

23
Day Of Surgery
  • The staff will prepare you for surgery
  • You will change into a hospital gown
  • A name band will be verified and applied
  • An IV will be started
  • Your medical/surgical history will be reviewed
  • Your medications will be reviewed and recorded
    (your family will be asked to take them home with
    them that day)
  • Instructions will be given to you and your
    family

24
Day of Surgery
  • You will be transported in your bed to
  • the holding area by operating room
  • personnel
  • Your family will be directed to the
  • surgical waiting area
  • Both areas are located on
  • the 1st floor

25
Pre-Holding Area
  • Meet your surgical team
  • Pre-Op Holding Nurse reviews your
  • medical/surgical history
  • Surgeon, with your assistance,
  • marks the operative leg
  • Anesthesiologist will speak to you about
  • anesthesia options
  • Prophylactic antibiotic will be administered
  • Relaxing medication will be
  • administered

26
Operating Room
  • Anesthesia administered
  • Foley catheter inserted while you are
  • sleeping
  • Your surgery will last approximately
  • 1 to 3 hours
  • The OR nurse will notify your
  • family/friends when surgery
  • has started and ended

27
Post Anesthesia Care Unit (PACU)
  • You will receive immediate, careful monitoring
  • while you recover from anesthesia
  • You will awaken with
  • oxygen in your nose,
  • blood pressure cuff on your arm,
  • pulse on your finger
  • catheter in your bladder
  • surgical dressing and surgical drain (knee)
  • Vital signs monitored frequently
  • Receptionist will let your family know when you
  • are transferred to the 4th floor

28
Recovering From Surgery
  • Once you arrive to the 4th floor you will
  • encounter various conditions and activities
  • Vital Signs
  • Incentive spirometry
  • Foot pumps
  • Surgical dressing and hemovac
  • IV fluids
  • Blood tests, blood transfusions
  • CPM
  • Cold therapy

29
Pain Management
  • In order for you to have your pain treated
    effectively,
  • it is important to
  • Request pain relief when you begin to feel any
  • discomfort
  • You will be asked to rate your pain on a scale
    of
  • 0 (no pain) to 10 (most severe pain). Help the
  • doctor and nurses assess your pain and report
  • whether the pain relief measures were effective
  • If you have been taking prescribing pain
  • medication please let your doctor and nurse know
  • what works best for you

30
Preventing Complications
  • Blood clots
  • Blood thinners (Lovenox and /or Coumadin)
  • Stockings/Foot pumps
  • Mobility
  • Pneumonia
  • Incentive spirometry, coughing deep breathing
  • Mobility
  • Infection
  • Prophylactic antibiotics for 24 hours
  • Hand gel sanitizers

31
Preventing Complications
  • Constipation
  • Daily stool softeners
  • Laxative as needed
  • Increase fluid intake
  • Nausea
  • Diet will be progressed as tolerated
  • Medication as needed
  • Swelling
  • Cold therapy

32
Rehabilitations Begins
  • You will be evaluated by a physical
  • and occupational therapist on the
  • morning after surgery
  • Physical therapists will instruct
  • you on transferring, walking with a
  • walker, strengthening exercises,
  • stair climbing, and review
  • precautions
  • Occupational therapists will
  • instruct you on transfers, self care
  • activities and use of adaptive
  • equipment
  • Our goal is to help your reach your
  • maximum level of independence
  • before you are discharged

33
Discharge Planning
  • A Case Manager and/or Social Worker
  • will
  • Visit with you the day after surgery
  • Assist in the transition from hospital to your
    discharge destination
  • Assist with insurance questions
  • Make arrangements for medical equipment home
    delivery

34
Discharge Destination
  • Most patients are discharged to home on Day 4
  • Your discharge destination will be determined by
  • Your condition at discharge
  • Your insurance coverage
  • If you are not ready to return home at
  • time discharge, alternative options will be
  • discussed with your discharge planner

35
Discharge Destination
  • Option 1 Home with Outpatient
  • Rehabilitation
  • Option 2 Home with Home Health
  • Therapy
  • Option 3 Short Term Inpatient
  • Rehabilitation

36
Care After Discharge
  • If going home, arrange to have someone available
    to help you
  • Case management will arrange continued physical
    therapy (home health therapy or out-patient
    rehab)
  • Medical equipment, if needed, will be
  • delivered to your home
  • First post-operative visit is usually
  • 10-14- days (staples removed)
  • Follow discharge guidelines

37
Things to Remember
  • Self Motivation is the key to
  • successful surgery !
  • Do your physical therapy exercises
  • Items to bring to hospital
  • Comfortable, loose clothing and good shoes
  • Toiletries, lip balm, hard candy
  • Medications for Review
  • Listing of all of your doctors

38
  • Thank You
  • for
  • choosing
  • HMI
  • for your
  • Total Joint Replacement
  • www.centerpointmedical.com click on Human Motion
    Institute
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