Overview of joint replacement surgery and the physical rehabilitation services available at any of the four location of Rehab Select in Alabama.

1. Dr. Jason Randall, M.D.
Presented by Kathy Morgan, RPT
Elizabeth Haupt-Johnson, Rehab Liaison

2. JOINT CONNECTION
LEARNING SESSION

3. WHAT IS JOINT REPLACEMENT?
Albertville
256.878.1398
Shelby Ridge
205.620.8500
Hillview Terrace
334.272.0171
Talladega
256.362.4197

4. JOINT CONNECTION LEARNING SESSION:
WHAT IS JOINT REPLACEMENT?
• Removing a damaged joint and
replacing it with a new one
• Some joints may only need to be
partially replaced
• Most replacement surgeries are hips
and knees
• Replacement is usually due to
arthritis and to relieve pain
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5. DO I NEED REPLACEMENT?
Albertville
256.878.1398
Shelby Ridge
205.620.8500
Hillview Terrace
334.272.0171
Talladega
256.362.4197

6. JOINT CONNECTION LEARNING SESSION:
DO I NEED REPLACEMENT?
Only your physician can make this determination
• Do you have constant pain?
• Can you move your joint well?
• Do you have trouble with daily activities?
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7. JOINT CONNECTION LEARNING SESSION:
PRE-OPERATIVE CONSIDERATIONS
• Requiring pre operation
blood testing to exclude
underlying infection
• Requiring a urine sample to
exclude underlying infection
• Joint x-ray
• May require chest x-ray
• May require echocardiogram
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8. JOINT CONNECTION LEARNING SESSION:
SPECIAL CONSIDERATIONS
• Patients on blood thinners need to
stop medication prior to surgery
• Any sign of infection need to be
treated prior to surgery
• Smokers are at increased risk of
pneumonia following the
procedure
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9. JOINT CONNECTION LEARNING SESSION:
POST OPERATIVE CONSIDERATIONS
• Expect certain precautions
after surgery
• Pain may increase as you
become more active
• Keep wound dry until staples
are removed
• Your temperature may be
slightly elevated for several
days after surgery
• Swelling is normal
• Follow physician orders
related to driving
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10. Post operative function is determined by pre-
operative function. Hence the more you exercise
and strengthen your muscles prior to surgery, the
better your outcome will be after surgery!
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JOINT CONNECTION LEARNING SESSION:
EXCERCISE

11. REHABILITATION AND THERAPY
Albertville
256.878.1398
Shelby Ridge
205.620.8500
Hillview Terrace
334.272.0171
Talladega
256.362.4197

12. REHAB SELECT IS THE REHAB CENTER OF HILLVIEW
TERRACE HEALTH AND REHAB
Goal: to get people back on their feet to return home, get
back to work, or simply get back to their highest level of
function and independence
• 50 bed skilled unit
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REHAB SELECT:
WHO ARE WE?

13. • Physical Therapy up to 7 days a week
• Occupational Therapy up to 6 days a week
• Speech Therapy up to 5 days a week
• 24 hour skilled nursing care to include medication
administration and surgical care
• Certified Nursing Assistance with Activities of Daily Living
• Daily Physician/Nurse Practitioner visits
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REHAB SELECT:
SERVICES

14. Home with Home Health
• Therapy for up to 1 hour per day
• Therapy for up to 3 days per week
• 1-2 nursing visits per week
• Medication not provided
• No assistance with daily activities
• Must go to physician office to be evaluated
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REHAB SELECT:
REHAB VS. HOME

15. Rehab Select at Hillview Terrace
• Therapy for up to 3 hours per day
• Therapy for up to 7 days per week
• Skilled nursing care 24 hours per day
• Medications provided
• Assistance with daily activities
• Weekly visit by Orthopedic Physician 15
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REHAB SELECT:
REHAB VS. HOME

16. Prior to discharge, our rehabilitative team makes
sure patients are ready for the challenges involved
with returning home.
Case Management meets with patients and families to make any
needed referrals for equipment, home health, transportation, and
follow up appointments with your physicians.
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REHAB SELECT:
TRANSITIONING HOME

17. • Length of Stay at Rehab Select for Average
Knee Replacement is 7-14 days
• Length of Stay at Rehab Select for Average
Hip Replacement is 5-10 days
• As of 2009, about 773,000 Americans have
a hip or knee replaced each year
• Average joint will last up to 20-25 years
REHAB SELECT:
STATISTICS
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18. QUESTIONS?