JOINT REPLACEMENT PRE-OPERATIVE TEACHING. FOR THE WHITE PLAINS HOSPITAL CENTER ORTHOPEDIC INSTITUTE PATIENTS. WELCOME.
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WHITE PLAINS HOSPITAL CENTER ORTHOPEDIC INSTITUTE PATIENTS
We have prepared the following to provide you with information to make your stay in our Orthopedic Institute more comfortable and to let you know beforehand, what you can expect during your stay.
Our goal is that all patients should have a very goodexperience while they are here.
Preparing thinners, anti-inflammatory, and aspirin products generally 7 days prior to surgery. Be sure to discuss this with your doctor.toleaveforthehospital
You may also have an ice pack machine or ice bag applied to your operative joint to assist in controlling swelling and pain of the joint and surrounding area. Frequent use of an ice pack is helpful for pain control throughout your stay.Speak-upso staffcan provide this as needed.
For your safety, the hospital has implemented a bar code scanning system for medication administration. On admission you will be given a bar-coded bracelet. Whenever you are given medication, the nurse will scan both your bracelet and the medication.
If you have questions, we encourage you to speak up and ask the nurse.
Your room set-up on 4I will include:
Visiting hours are from 8:00am to 9:00pm. If friends and family are ill, please request that they not visit.
We encourage family members to be involved in patient care in collaboration with the hospital staff caring for the patient.
In addition to walking and exercises, your therapy sessions will include instruction and practice in:
Further hip precautions to observe after will include instruction and practice in:
Hip Replacement surgery are:
1. You must avoid twisting your body around either while in the bed, in your chair, or while standing. Position items close to you in bed or in the chair so you can avoid reaching or twisting to get them.
2. You will need to avoid leaning forward when seated in a chair.
3. To turn while walking with the walker, turn incrementally. Place the walker a little to the side and move your feet in small steps in the direction of the walker. Keep repeating this until you are turned around. Avoid pivoting around on your operative hip.
4. Sit in a firm, upright chair with a pillow or extra cushion to raise the height of the seat. A chair with armrests is suggested. DO NOT sit on a soft or low chair.
5.Use a raised toilet seat or place a raised commode directly over the toilet. DO NOT sit on a standard height toilet.
6. cushion to raise the height of the seat. A chair with armrests is suggested. Youmust avoid bending at the operative hip and using your hands to pick items up off the floor.
7. You must use adaptive equipment to dress your lower body. cushion to raise the height of the seat. A chair with armrests is suggested.
8. cushion to raise the height of the seat. A chair with armrests is suggested. You must useadaptive equipment to wash your lower body.
9. cushion to raise the height of the seat. A chair with armrests is suggested. You may not shower until the staples are out and your doctor has given permission.
10. cushion to raise the height of the seat. A chair with armrests is suggested. You will not enter a car as you did before your surgery. As a passenger:
11. cushion to raise the height of the seat. A chair with armrests is suggested. For kitchen tasks, keep the following in mind:
Do a safety check of your home before you come to the hospital:
If you have any further questions about therapy, call the home environment with your therapist.
White Plains Hospital Center
Physical Medicine Department at:
For Outpatient Physical Therapy before or after your surgery, consider our
expertly staffed White Plains Hospital
Physical Therapy Center at Rye Brook
111 South Ridge Street, Rye Brook, NY
(Across from the Rye Ridge Shopping Center)
-your post-operative medical status
-how mobile you are around the time of discharge and whether you have anyone who can assist you at home
-your insurance and financial considerations
The discharge process is heavily dependent on what arrangements your insurance company agrees to cover. Some insurance companies rule out some of the discharge options.
Discharge Plan – Insurance Considerations cont. surgery, consider our
The options may include:
Final Discharge- surgery, consider our
Signs and symptoms to be concerned about are:
Call your physician if you have any of these or other unusual symptoms.
If you will not be able to tell others that your stay at White Plains Hospital Center was VERY GOOD, please speak to us about it before you leave. We are continually trying to improve our program and would very much appreciate your input on how we could make it better.
Prepared by W.C.Busch, M.S., PT and Anila George, MSPT
Contributions by: Carol Smullen, RN, ONC; Betty Leung, RN, MSN, ONC; Sally Tortora, RN, ONC; Janet Gaynor, RN; Maria Hood, CSW; and other members of the following: Discharge Planning/Social Services Dept. , PACU, PM&R Dept., Orthopedic Institute Committee members.
Following each preoperative shower:
* The skin should be thoroughly rinsed;
* Dry the with a fresh clean dry towel
* You should don clean clothing.
If you are allergic to Chlorhexidine (Hibiclens) or any other soap preparation- DO NOT PERFORM THE WASH OF THE SURGICAL SITE AREA.
If you have a history of any skin condition such as eczema, psoriasis, contact dermatitis, etc.-DO NOT PERFORM THE WASH OF THE SURGICAL SITE AREA.
Caution should be exercised to avoid Hibiclens contact with the eyes, inside the ears or other mucus membranes.
(If you have been unable to pick up your packets from the hospital, you should be able to obtain Hibiclens from your local drug store. You will need only 2 ounces. Speak to the pharmacist if you have trouble locating it.)