Pre-Op Knee Information. Welcome!. Goals. Inform the patient about what to expect… Before Surgery During Surgery After Surgery. Goals. Reduce anxiety Answer questions Help you become better-prepared. Sections. Nursing Case Management Physical Therapy Occupational Therapy.
Inform the patient about what to expect…
In an effort to personalize your care while in the hospital, please let us know of any needs ahead of time
Please complete the enclosed “Care Card” and forward it to the Patient Navigator at the end of class
***Please ask your surgeon if this is an option for you
immobilizer while standing
Note: You may or may not walk with the knee immobilizer on while exercising with a Therapist. However, you should
ALWAYS continue to wear it with Nursing until
you are able to do a full straight leg raise (with no
bend at the knee)
Cryotherapy - “Polar Care” Device**Some surgeons prefer to use ice instead of the Polar Care Device****Some surgeons may choose not to use the Polar Care Device or ice**
with you (if it is ordered by your surgeon)
We will automatically give you pain medication around the clock
We ask that you partner with us and ask for additional pain medicine if needed
Alternative pain options may be used such as cold therapy and distraction
Our goal is to keep you in the 3-4 Pain Zone (or less)Know the Zone!
clots from forming
take these medications safely
clots from forming
tightening leg muscles
member is already in the room.
Joan Paramore RN
Goal: To get you home safely!!!
Please remember that once the Physician has written orders to discharge you home, there are still many things that have to be completed before you will be leaving the hospital. We want to make sure you have everything you need-prescriptions, home health or rehab arrangements, and information about your home care.
Sometimes this process can take up to 4 or 5 hours. We know you’ll be eager to leave the hospital, and we want to be sure everything’s in place to ensure a smooth and safe transition.
You will choose agency (list provided)
***Your Case Manager will set up a Home Health Agency (of your choice) for you
***Your Case Manager will order your equipment for you from an agency of your choice
If not safe to return home, Short-Term Rehab may be an option.
1. Your insurance
2. How well you progress with Therapy
while in the hospital
Two types of Rehab Facilities…
Average Length of Stay: 1-2 weeks-as needed
2. Acute: 3 to 5 hours of therapy/day
Average Length of Stay: 5 days
Transportation (depends on what is medically necessary)
***Your Case Manager will set up your Wheelchair Van or Ambulance for you (if needed)
You may fill your prescriptions at our Plaza Pharmacy
(Located on the First Floor of the hospital)
Use the Main Pharmacy on weekends or after 4:30PM (but make payment arrangements with Plaza Pharmacy
Mon-Fri 9:00AM to 4:30PM
***Knee patients rarely need this equipment at discharge. The Therapist will determine your specific needs.
(i.e. in kitchen/bathroom cupboards, refrigerator)
Assess your home environment and let the Therapist know the following once you are in the hospital…
The following slides contain questions based on the Powerpoint.
One risk of a blood thinner medication is:
(Can also be increased bruising)
You should call your Doctor immediately if you notice any sign of a blood clot.
Name a symptom of a blood clot in your leg:
Name a symptom of a blood clot in your lung:
Leg: Pain in the back of the leg (usually in the calf, but can radiate throughout the leg)
Lung: Difficulty breathing (may also have a rapid heart rate)
True or False
When standing up or sitting down, you should keep your operated leg slightly in front of your non-operated leg.
True or False
When lying in bed, you should keep your operated knee in a straight position as much as possible. You should never place a pillow or rolled-up towel under the knee.
Some pain is normal and expected after surgery, but the best way to keep your pain at a manageable level is to:
3. Use medication as well as other methods to control pain. For example: ice, positioning, etc.
The best and safest way to raise the height of a chair in your home is to:
2. Stack folded blankets on the chair
One side effect of pain medication is constipation. List 3 ways to prevent it:
You may also take a stool softener or laxative if needed.