The document provides information about total joint replacement surgery and recovery. It discusses the procedures for total knee, total hip, and unicompartmental knee replacement surgeries. It outlines the pre-operative education process, what to expect during hospitalization including physical and occupational therapy, pain management, and discharge planning. The roles of nursing, physical therapy, social work, and caregivers in the recovery process are also summarized.
This document provides an overview of what to expect before, during, and after total joint replacement surgery. It outlines the steps to prepare for surgery including medical clearances, instructions for medications and hygiene before surgery. It describes what will occur on the day of surgery and during the hospital stay, including anesthesia options, postoperative care and pain management, and physical and occupational therapy. It discusses discharge planning and options for rehabilitation after leaving the hospital, including equipment, exercises, and transportation. The goal is for patients to safely discharge home with outpatient therapy and support to aid their recovery.
OPERATION THEATURE MANAGEMENT FOR NURSESshanza aurooj
This document provides an overview of the role and responsibilities of a scrub nurse in the operating room. It discusses welcoming patients, preoperative assessments, scrubbing in using sterile technique, assisting the surgeon by passing instruments and supplies, maintaining sterile fields and patient safety, and concluding procedures. It also provides orientations on common surgical needles, sutures, and instruments that scrub nurses must be familiar with to properly support surgeons during operations.
The document provides information about the roles and responsibilities of the surgical team members, including the surgeon, surgical assistant, anesthesiologist/CRNA, circulating nurse, and scrub nurse. It discusses the preparation of the surgical suite, including attire, asepsis, and positioning the patient. It also covers types of anesthesia including general, local, and regional anesthesia as well as complications.
Preparing for knee, spine or hip surgery can be overwhelming, knowing what to expect before, during and after is a lot to consider.
While we understand each case, and every patient is unique - here is a quick guide to help you know what to do the days leading up to your surgery and what to expect for your recovery process.
To learn more about the Orthopedic and Spine Center surgeons and specialists, check them out here:http://osc-ortho.com/
The document discusses proper patient positioning and equipment used for various surgical procedures, including safety belts, armboards, wrist straps, and other attachments that help expose the operative site and support the body. It also covers preoperative skin preparation and draping techniques to prevent infection and maintain a sterile field during surgery. Specific positioning and draping methods are recommended for different types of operations involving the abdomen, pelvis, spine, and other body areas.
The document discusses the roles of scrub nurses and circulating nurses in the operating room. Scrub nurses work directly with the surgeon inside the sterile field, passing instruments and supplies. Circulating nurses work outside the sterile field, monitoring the procedure and ensuring conditions remain safe and sterile. Both roles require attention to detail and anticipating the needs of the surgical team to help operations run smoothly and prioritize patient safety.
This document provides an overview of what to expect before, during, and after total joint replacement surgery. It outlines the steps to prepare for surgery including medical clearances, instructions for medications and hygiene before surgery. It describes what will occur on the day of surgery and during the hospital stay, including anesthesia options, postoperative care and pain management, and physical and occupational therapy. It discusses discharge planning and options for rehabilitation after leaving the hospital, including equipment, exercises, and transportation. The goal is for patients to safely discharge home with outpatient therapy and support to aid their recovery.
OPERATION THEATURE MANAGEMENT FOR NURSESshanza aurooj
This document provides an overview of the role and responsibilities of a scrub nurse in the operating room. It discusses welcoming patients, preoperative assessments, scrubbing in using sterile technique, assisting the surgeon by passing instruments and supplies, maintaining sterile fields and patient safety, and concluding procedures. It also provides orientations on common surgical needles, sutures, and instruments that scrub nurses must be familiar with to properly support surgeons during operations.
The document provides information about the roles and responsibilities of the surgical team members, including the surgeon, surgical assistant, anesthesiologist/CRNA, circulating nurse, and scrub nurse. It discusses the preparation of the surgical suite, including attire, asepsis, and positioning the patient. It also covers types of anesthesia including general, local, and regional anesthesia as well as complications.
Preparing for knee, spine or hip surgery can be overwhelming, knowing what to expect before, during and after is a lot to consider.
While we understand each case, and every patient is unique - here is a quick guide to help you know what to do the days leading up to your surgery and what to expect for your recovery process.
To learn more about the Orthopedic and Spine Center surgeons and specialists, check them out here:http://osc-ortho.com/
The document discusses proper patient positioning and equipment used for various surgical procedures, including safety belts, armboards, wrist straps, and other attachments that help expose the operative site and support the body. It also covers preoperative skin preparation and draping techniques to prevent infection and maintain a sterile field during surgery. Specific positioning and draping methods are recommended for different types of operations involving the abdomen, pelvis, spine, and other body areas.
The document discusses the roles of scrub nurses and circulating nurses in the operating room. Scrub nurses work directly with the surgeon inside the sterile field, passing instruments and supplies. Circulating nurses work outside the sterile field, monitoring the procedure and ensuring conditions remain safe and sterile. Both roles require attention to detail and anticipating the needs of the surgical team to help operations run smoothly and prioritize patient safety.
This presentation provides nursing staff education on safely restraining patients when necessary. It aims to teach alternatives to restraints and safe restraint application and monitoring. Key points include obtaining proper physician orders, using restraints as a last resort, monitoring restrained patients every 15 minutes, and documenting care provided. The goal is to educate on restraint safety and providing a safe environment for restrained patients.
The responsibilities of a scrub nurse include:
1) Assisting the surgeon during surgery by passing instruments, holding retractors, and maintaining a sterile field.
2) Counting sponges, needles, and instruments with the circulating nurse before and after the procedure.
3) Documenting events and patient care provided during the surgery.
4) Ensuring proper patient positioning, draping, and transfer to the recovery room at the end of the procedure.
Preparation of patient for health assessmentArifa T N
The document discusses preparing the patient, environment, and nurse for a health assessment. Key steps include:
1) Preparing the nurse by ensuring theoretical knowledge, examination skills and maintaining equipment.
2) Preparing the environment by scheduling at a convenient time, ensuring adequate lighting, privacy and comfort.
3) Preparing the patient by having them empty bladder/bowel, positioning and draping them properly, and explaining each step to ensure psychological comfort.
Post op management of oral and maxillofacial surgical patientsRuhi Kashmiri
This document provides instructions for postoperative management of patients after oral and maxillofacial surgery. It discusses controlling bleeding, pain, diet, oral hygiene, edema, infection, trismus, and ecchymosis. For bleeding, it advises applying gauze packs and avoiding activities that increase circulation for 12-24 hours. For pain, it recommends taking analgesics before local anesthesia wears off to prevent sharp pain and advises mild analgesics in most cases. It suggests a soft, cool liquid diet for the first 12-24 hours and resuming normal eating as soon as possible.
Maintenance of therapeutic environment in OTAdarsh SA
Therapeutic environment can be defined as the total of all external conditions and influences affecting an individual in the illness situation.Infection prevention in the operating room is achieved through prudent use of aseptic techniques in order to prevent contamination of the open wound.
Isolate the operating site from the surrounding unsterile physical environment.
Create and maintain a sterile field in which surgery can be performed safely.
The document discusses the history and evolution of perioperative nursing from the late 19th century to present day. It outlines key events like the introduction of the operating room team concept in 1894 and the establishment of the Association of Operating Room Nurses in 1949. The roles and responsibilities of perioperative nurses are described, including preparing patients for surgery, maintaining a sterile environment, and advocating for patient safety. Infection control practices and environmental sanitation protocols are also summarized.
Management Of Patient Undergoing Surgerykalyan kumar
The document discusses the management of patients undergoing surgery. It covers the three main phases of surgical management: pre-operative, intra-operative, and post-operative management. For pre-operative management, the document outlines the physical, psychosocial, physiological preparations and assessments a patient undergoes before surgery including examinations, investigations, pre-medications. It then briefly describes the roles of the surgical team during intra-operative management. Finally, it discusses the immediate post-operative recovery phase in PACU and management of common post-operative complications.
STOP Before Block - REGIONAL ANAESTHESIA safety check harish ningegowda
This audit was conducted to evaluate compliance with the "Stop Before You Block" protocol when performing unilateral nerve blocks. Out of 58 cases requiring unilateral blocks, the Stop Before You Block process was only fully completed in 32 cases. Common issues identified included failure to check the consent form and ask the patient to confirm the surgical site. Non-compliance was attributed to distractions, time pressure, and lack of protocol initiation by other staff. Recommendations included improved education, specific marking of anatomical sites, and re-auditing compliance with the Stop Before You Block process.
Prevention of Accidents in An Operation Theatre-NURSINGMariaKuriakose5
This is a PowerPoint made to explain various hazards in an operation theater and with its preventive measures.This will hepl the nursing students to go through the important points rather than going into deep studies.
The document summarizes the roles and responsibilities of members of the anesthesia care team, including anesthesiologists, anesthesiologist assistants, and anesthesia technologists/technicians. It discusses how anesthesiologists direct the team as the primary physicians, while anesthesiologist assistants and technicians/technologists assist them by preparing patients, monitoring vital signs, maintaining anesthesia levels, and assisting in recovery. The document also provides education and certification requirements for the different roles.
Preoperative and postoperative Nursing care(ayoub ) for presentation Ayoub Abdul Majeed
This document discusses pre-operative and post-operative nursing care. It covers goals of care including assessing risks, educating patients, and planning for discharge. Pre-operatively, it describes teaching patients about deep breathing, coughing, exercises and the surgery. Post-operatively, it divides care into immediate, intermediate and extended stages. The immediate stage focuses on monitoring vitals, airway and pain. The intermediate stage adds ambulation instructions. The extended stage monitors for infection and encourages exercises and diet.
Fundamentals of Bundles for Joint Replacement – Creating the Competitive EdgeWellbe
Medicare is expected to issue the final rule for the Comprehensive Care for Joint Replacement (CJR) initiative soon. As proposed, hospitals in chosen MSAs must be ready to take on this new challenge by January 1, 2016.
The Connecticut Joint Replacement Institute (CJRI) at Saint Francis Hospital has performed more than 20,000 procedures since opening in 2007. CJRI has been on the forefront of bundled payments for joint replacements since implementing their first bundle agreement in 2010. CJRI will share the essential elements to developing a bundle program and the challenges of evolving towards a value-driven, risk bearing model in today’s healthcare environment.
Attendee Takeaways:
– Learn the essential ingredients to develop a successful bundle payment program
– Understand the fundamentals of value-based healthcare
– Learn how to create sustainable bundled payments and maintain a competitive edge in the marketplace
About The Speaker:
Maureen Geary is the Program Director at the Connecticut Joint Replacement Institute in Hartford, Connecticut. Maureen been involved with bundle payments since 2009. CJRI signed their first commercial contract in 2010. She leads strategic initiatives and new product development for the company. Maureen also provides consultative services for orthopedic organizations seeking to develop a bundled product or expand their service line.
Latest advances in Joint replacements higlkights rane of procedures currently performed by Dr. Venkatachalam. This list is not exhaustive and newer procedures are introduced frequently. Patients seeking value medical care abroad will benefit from this knowledge
2016: Osteoarthritis and Total Joint Replacement-MeyerSDGWEP
Osteoarthritis is a common chronic disease affecting over 27 million Americans that causes pain and limits mobility. While there is no cure, total joint replacement has become a highly successful treatment when conservative measures like exercise, weight loss, and medications fail to provide relief from severe osteoarthritis. Total joint replacements last many years for most patients, dramatically improving their quality of life. However, complications like infection can be devastating and revisions due to implant failure or dislocation are more difficult with poorer outcomes. Careful patient selection and preparation are important to achieve optimal results from total joint arthroplasty.
www.sprivail.org
Approximately 250,000 anterior cruciate ligament (ACL) reconstructions are performed every year in the United States. ACL injuries are most commonly caused during an activ-
ity that involves a twisting or pivoting motion of the knee, causing the ACL to tear and creating a popping noise in the joint. Various studies have shown that ACL reconstructions with autograft tissue (tissue from the patient’s own knee) report a failure rate of approximately 5-10 percent of all surger- ies performed each year. Despite the
prevalence of this procedure, a debate still exists regarding the ideal graft choice. The use of allograft tissue (cadaveric donor tissue) continues to gain popularity because it lacks the inherent disadvan- tages that are specific to the utilization
of autograft tissue. Some of the disad- vantages of autograft use include harvest- site morbidity (disease), scarring and tendinitis, patella fracture, etc. Despite these disadvantages, ACL autograft use
is still considered advantageous for a number of reasons, including lower surgi- cal costs, lack of cell death, improved graft incorporation, and lack of donor- to-host disease transmission. Contrary to autograft tissue, the use of allograft tissue avoids harvest-site morbidity, provides less peri-operative pain, and shortens opera- tive time significantly. The preparation
of allograft tissue has changed significantly in recent years, significantly decreasing the chances of disease transmission, while still preserving the collagen integrity of the graft.
The purpose of this study was to document ACL revi- sion rates and subjective outcomes following anterior cruciate ligament reconstruction with Achilles allograft, bone-patel- lar tendon-bone (B-PT-B) allograft, hamstring autograft and B-PT-B autograft, while controlling for surgical technique and rehabilitation. Our hypothesis was that revision rates and outcomes of ACL allograft and ACL autograft procedures. would be similar among ACL reconstruction groups performed by the same surgeon with the same rehabilitation.
CONTENT:
2 The Year in Review
4 Governing Boards
6 Scientific Advisory Committee
12 Friends of the Foundation
26 Corporate and Institutional Friends 28 Research and Education
30 Basic Science Research (Joint Preservation)
32 Clinical Research (Patient-based outcomes research)
44 Biomechanics Research Laboratory 54 Imaging Research (Biomechanics Research)
59 Education
63 Presentations and Publications
75 In the Media
76 Recognition
79 Associates
83 Financial Statements
The document discusses the history and future of total knee replacement (TKR). It describes the two main approaches in TKR design - the anatomical approach which preserves soft tissues and the functional approach which simplifies knee mechanics. While the anatomical approach aims to maintain knee function, issues with component alignment and fixation led to the functional approach. However, this resulted in high contact stresses due to incongruent surfaces. More recent mobile-bearing designs aim to allow motion while reducing stresses, but surgery is more complex. The document questions whether newer techniques like computer navigation can improve outcomes long-term.
An arthroscope is an optical instrument used to examine the interior of a joint cavity. There are three main types of optical systems used in arthroscopes: classic thin lens, rod-lens, and graded index lens systems. Key characteristics of arthroscopes include diameter, angle of inclination, and field of view. Arthroscopy procedures involve using specialized instrumentation, establishing portals for tool insertion, fluid management, and knot tying techniques. Powered instruments like shavers are used to remove loose tissue. Proper patient positioning, anesthesia, and landmark identification are important for portal placement safety and visualization.
Total Joint Replacement- Improving Day of Surgery Efficiency and ThroughputWellbe
Organic growth of total joint replacement volume is growing at 3-4% per year as the number of physicians entering orthopedic residency programs is in decline. Cuts in Medicare reimbursement for total joints is forecast every year producing stressors for the surgeon to perform more surgery just to tread water financially. Increasing surgical volume without increasing time in the day requires a team approach to process improvements. By taking a fresh look at operating room processes, it’s possible to accomplish this goal.
Discussion points include:
• Pre-op patient preparedness
• Resolving inherent conflicts
• Surgical case order
• Tracking case efficiency
• Surgical tray streamlining
About the Speaker:
Sandy Nettrour has specialized in orthopedics for 30 years. She is the Neurosurgery and Orthopedic Service Line Coordinator for Butler Health System, providing oversight of the business aspects of Neurosurgery and Orthopedics, while continuing to first assist in the operating room and provide patient care at the bedside.
Sandy graduated from Alderson Broaddus College in 1980 with a Physician Assistant degree. She has been awarded the Distinguished Fellow Recognition by the American Academy of Physician Assistants, the Hu C. Myers Award for lifetime professional achievement and community service, and the Pennsylvania Society of Physician Assistants Humanitarian of the Year 2013. She was a Round Table Participant in Orthopedics Today June 2012′s “Effective and Efficient Joint Replacement Programs Need Constant Review and Renewal of Processes.”
A presentation on different techniques for shoulder joint preservation in regards to the advances in technology for rotator cuff pathology, from tendonitis to cuff tear arthropathy.
ARTHROSCOPY AND SPORTS MEDICINE I Dr.RAJAT JANGIR JAIPUR
#aclsurgeryjaipur #aclsurgeryhindia #aclsurgerytaekwondo
Acl reconstruction in jaipur | Acl reconstruction in taekwondo | Acl injury in football player surgery | Acl reconstruction surgery in football | acl surgery | Acl surgery ke baad physiotherapy | Acl surgery in jaipur | acl surgery recovery | Best acl surgeon in jaipur | Best ligament doctor in hindi | Best acl surgeon in india | Meniscus repair surgery in jaipur | Sports injury doctor | Acl injury in football players | Acl injury in taekwondo | acl tear | Best knee surgeon in jaipur
#allinsideacl #internalbrace #drrajatjangir #bestaclsurgeon #aclexpert #bestkneesurgeon
To Know more about ACL Injury, Click the links below:
1. ACL surgery 7 different Techniques we do at our center - "Not single technique best for all"
https://youtu.be/oWkIr8IXvr8
2. Everything about ACL Injury tear surgery in Hindi I
https://youtu.be/bqpjkAkwZ14
3. Best Screw for ACL tear surgery in Hindi
https://youtu.be/1LGpU1NHiIs
4. ACL Injury Tear Surgery Recovery : All your questions & queries solved by Dr.Rajat Jangir
https://youtu.be/SIAPWiMbOqs
5. Partial ACL Tear Surgery or not ! ACL आधा टूटा हो तो क्या करें ?
https://youtu.be/NEJRPKskJTI
6. 5 Symptoms of ACL Injury tear इंजरी के पांच लक्षण ?
https://youtu.be/EXpgy19Jxzw
7. PRP injection therapy in Partial ACL TEARs
https://youtu.be/qyG1EYgS87E
Dr.RAJAT JANGIR(Asso Prof.)
Senior Consultant Arthroscopy and Joint Replacement
(Specialist in Shoulder Knee Hip Surgery)
Ligament and Joints Clinic
67/34 Mansarovar Jaipur
Whatsapp: shorturl.at/gnAEP
Appointment: +91 8104855900
Email: ligamentsurgeon@gmail.com
Google Page: https://g.page/KNEE-Shoulder-SURGERY?...
Facebook: https://www.facebook.com/Ligamentandj...
* Vast experience and specialisation in the field of Arthroscopy and sports surgery.
* M.S. orthopaedics from BJ Medical College, Civil hospital, Ahmedabad
* Fellowship in Arthroscopy and Sports injury with Prof Joon Ho Wang at Samsung Medical Center, South Korea
* Diploma in Sports Medicine from InternationaI Olympic Committee
* Invited as Athlete Medical Doctor at Rio Olympic 2016
* Done Rajasthan's first "All Inside Physeal Preserving ACL reconstruction" in 13 year old Athlete
Dr.Rajat is rated as one of the best orthopedic surgeon with with excellence in Knee Shoulder Arthroscopy surgeries as replacements'
Hip Arthroscopy in 2013: Inova Annual Sports Medicine Programwashingtonortho
This document discusses hip arthroscopy techniques and considerations in 2013. It begins with an overview of the goals of hip arthroscopy which are to relieve pain, improve function, and improve longevity by restoring hip anatomy. It then discusses various pathologies that may be addressed such as CAM lesions, pincer lesions, torn labrums, and cartilage defects. Approaches can be open or arthroscopic. The document emphasizes making the correct diagnosis and understanding concomitant issues. It provides guidance on evaluating patients through history, physical exam including various special tests, and diagnostic injections. Femoroacetabular impingement is discussed as a common cause of labral tears. Techniques for addressing pincer impingement including bony resection are outlined
The document provides an overview of recent advances in various types of joint arthroplasty procedures, including the hip, knee, shoulder, and elbow. It discusses new implant designs, materials, surgical techniques such as minimally invasive procedures, computer navigation, and in some cases robotics. The goal of many new procedures and devices is to better restore normal joint biomechanics, reduce invasiveness and recovery times, and increase implant longevity and patient function.
This presentation provides nursing staff education on safely restraining patients when necessary. It aims to teach alternatives to restraints and safe restraint application and monitoring. Key points include obtaining proper physician orders, using restraints as a last resort, monitoring restrained patients every 15 minutes, and documenting care provided. The goal is to educate on restraint safety and providing a safe environment for restrained patients.
The responsibilities of a scrub nurse include:
1) Assisting the surgeon during surgery by passing instruments, holding retractors, and maintaining a sterile field.
2) Counting sponges, needles, and instruments with the circulating nurse before and after the procedure.
3) Documenting events and patient care provided during the surgery.
4) Ensuring proper patient positioning, draping, and transfer to the recovery room at the end of the procedure.
Preparation of patient for health assessmentArifa T N
The document discusses preparing the patient, environment, and nurse for a health assessment. Key steps include:
1) Preparing the nurse by ensuring theoretical knowledge, examination skills and maintaining equipment.
2) Preparing the environment by scheduling at a convenient time, ensuring adequate lighting, privacy and comfort.
3) Preparing the patient by having them empty bladder/bowel, positioning and draping them properly, and explaining each step to ensure psychological comfort.
Post op management of oral and maxillofacial surgical patientsRuhi Kashmiri
This document provides instructions for postoperative management of patients after oral and maxillofacial surgery. It discusses controlling bleeding, pain, diet, oral hygiene, edema, infection, trismus, and ecchymosis. For bleeding, it advises applying gauze packs and avoiding activities that increase circulation for 12-24 hours. For pain, it recommends taking analgesics before local anesthesia wears off to prevent sharp pain and advises mild analgesics in most cases. It suggests a soft, cool liquid diet for the first 12-24 hours and resuming normal eating as soon as possible.
Maintenance of therapeutic environment in OTAdarsh SA
Therapeutic environment can be defined as the total of all external conditions and influences affecting an individual in the illness situation.Infection prevention in the operating room is achieved through prudent use of aseptic techniques in order to prevent contamination of the open wound.
Isolate the operating site from the surrounding unsterile physical environment.
Create and maintain a sterile field in which surgery can be performed safely.
The document discusses the history and evolution of perioperative nursing from the late 19th century to present day. It outlines key events like the introduction of the operating room team concept in 1894 and the establishment of the Association of Operating Room Nurses in 1949. The roles and responsibilities of perioperative nurses are described, including preparing patients for surgery, maintaining a sterile environment, and advocating for patient safety. Infection control practices and environmental sanitation protocols are also summarized.
Management Of Patient Undergoing Surgerykalyan kumar
The document discusses the management of patients undergoing surgery. It covers the three main phases of surgical management: pre-operative, intra-operative, and post-operative management. For pre-operative management, the document outlines the physical, psychosocial, physiological preparations and assessments a patient undergoes before surgery including examinations, investigations, pre-medications. It then briefly describes the roles of the surgical team during intra-operative management. Finally, it discusses the immediate post-operative recovery phase in PACU and management of common post-operative complications.
STOP Before Block - REGIONAL ANAESTHESIA safety check harish ningegowda
This audit was conducted to evaluate compliance with the "Stop Before You Block" protocol when performing unilateral nerve blocks. Out of 58 cases requiring unilateral blocks, the Stop Before You Block process was only fully completed in 32 cases. Common issues identified included failure to check the consent form and ask the patient to confirm the surgical site. Non-compliance was attributed to distractions, time pressure, and lack of protocol initiation by other staff. Recommendations included improved education, specific marking of anatomical sites, and re-auditing compliance with the Stop Before You Block process.
Prevention of Accidents in An Operation Theatre-NURSINGMariaKuriakose5
This is a PowerPoint made to explain various hazards in an operation theater and with its preventive measures.This will hepl the nursing students to go through the important points rather than going into deep studies.
The document summarizes the roles and responsibilities of members of the anesthesia care team, including anesthesiologists, anesthesiologist assistants, and anesthesia technologists/technicians. It discusses how anesthesiologists direct the team as the primary physicians, while anesthesiologist assistants and technicians/technologists assist them by preparing patients, monitoring vital signs, maintaining anesthesia levels, and assisting in recovery. The document also provides education and certification requirements for the different roles.
Preoperative and postoperative Nursing care(ayoub ) for presentation Ayoub Abdul Majeed
This document discusses pre-operative and post-operative nursing care. It covers goals of care including assessing risks, educating patients, and planning for discharge. Pre-operatively, it describes teaching patients about deep breathing, coughing, exercises and the surgery. Post-operatively, it divides care into immediate, intermediate and extended stages. The immediate stage focuses on monitoring vitals, airway and pain. The intermediate stage adds ambulation instructions. The extended stage monitors for infection and encourages exercises and diet.
Fundamentals of Bundles for Joint Replacement – Creating the Competitive EdgeWellbe
Medicare is expected to issue the final rule for the Comprehensive Care for Joint Replacement (CJR) initiative soon. As proposed, hospitals in chosen MSAs must be ready to take on this new challenge by January 1, 2016.
The Connecticut Joint Replacement Institute (CJRI) at Saint Francis Hospital has performed more than 20,000 procedures since opening in 2007. CJRI has been on the forefront of bundled payments for joint replacements since implementing their first bundle agreement in 2010. CJRI will share the essential elements to developing a bundle program and the challenges of evolving towards a value-driven, risk bearing model in today’s healthcare environment.
Attendee Takeaways:
– Learn the essential ingredients to develop a successful bundle payment program
– Understand the fundamentals of value-based healthcare
– Learn how to create sustainable bundled payments and maintain a competitive edge in the marketplace
About The Speaker:
Maureen Geary is the Program Director at the Connecticut Joint Replacement Institute in Hartford, Connecticut. Maureen been involved with bundle payments since 2009. CJRI signed their first commercial contract in 2010. She leads strategic initiatives and new product development for the company. Maureen also provides consultative services for orthopedic organizations seeking to develop a bundled product or expand their service line.
Latest advances in Joint replacements higlkights rane of procedures currently performed by Dr. Venkatachalam. This list is not exhaustive and newer procedures are introduced frequently. Patients seeking value medical care abroad will benefit from this knowledge
2016: Osteoarthritis and Total Joint Replacement-MeyerSDGWEP
Osteoarthritis is a common chronic disease affecting over 27 million Americans that causes pain and limits mobility. While there is no cure, total joint replacement has become a highly successful treatment when conservative measures like exercise, weight loss, and medications fail to provide relief from severe osteoarthritis. Total joint replacements last many years for most patients, dramatically improving their quality of life. However, complications like infection can be devastating and revisions due to implant failure or dislocation are more difficult with poorer outcomes. Careful patient selection and preparation are important to achieve optimal results from total joint arthroplasty.
www.sprivail.org
Approximately 250,000 anterior cruciate ligament (ACL) reconstructions are performed every year in the United States. ACL injuries are most commonly caused during an activ-
ity that involves a twisting or pivoting motion of the knee, causing the ACL to tear and creating a popping noise in the joint. Various studies have shown that ACL reconstructions with autograft tissue (tissue from the patient’s own knee) report a failure rate of approximately 5-10 percent of all surger- ies performed each year. Despite the
prevalence of this procedure, a debate still exists regarding the ideal graft choice. The use of allograft tissue (cadaveric donor tissue) continues to gain popularity because it lacks the inherent disadvan- tages that are specific to the utilization
of autograft tissue. Some of the disad- vantages of autograft use include harvest- site morbidity (disease), scarring and tendinitis, patella fracture, etc. Despite these disadvantages, ACL autograft use
is still considered advantageous for a number of reasons, including lower surgi- cal costs, lack of cell death, improved graft incorporation, and lack of donor- to-host disease transmission. Contrary to autograft tissue, the use of allograft tissue avoids harvest-site morbidity, provides less peri-operative pain, and shortens opera- tive time significantly. The preparation
of allograft tissue has changed significantly in recent years, significantly decreasing the chances of disease transmission, while still preserving the collagen integrity of the graft.
The purpose of this study was to document ACL revi- sion rates and subjective outcomes following anterior cruciate ligament reconstruction with Achilles allograft, bone-patel- lar tendon-bone (B-PT-B) allograft, hamstring autograft and B-PT-B autograft, while controlling for surgical technique and rehabilitation. Our hypothesis was that revision rates and outcomes of ACL allograft and ACL autograft procedures. would be similar among ACL reconstruction groups performed by the same surgeon with the same rehabilitation.
CONTENT:
2 The Year in Review
4 Governing Boards
6 Scientific Advisory Committee
12 Friends of the Foundation
26 Corporate and Institutional Friends 28 Research and Education
30 Basic Science Research (Joint Preservation)
32 Clinical Research (Patient-based outcomes research)
44 Biomechanics Research Laboratory 54 Imaging Research (Biomechanics Research)
59 Education
63 Presentations and Publications
75 In the Media
76 Recognition
79 Associates
83 Financial Statements
The document discusses the history and future of total knee replacement (TKR). It describes the two main approaches in TKR design - the anatomical approach which preserves soft tissues and the functional approach which simplifies knee mechanics. While the anatomical approach aims to maintain knee function, issues with component alignment and fixation led to the functional approach. However, this resulted in high contact stresses due to incongruent surfaces. More recent mobile-bearing designs aim to allow motion while reducing stresses, but surgery is more complex. The document questions whether newer techniques like computer navigation can improve outcomes long-term.
An arthroscope is an optical instrument used to examine the interior of a joint cavity. There are three main types of optical systems used in arthroscopes: classic thin lens, rod-lens, and graded index lens systems. Key characteristics of arthroscopes include diameter, angle of inclination, and field of view. Arthroscopy procedures involve using specialized instrumentation, establishing portals for tool insertion, fluid management, and knot tying techniques. Powered instruments like shavers are used to remove loose tissue. Proper patient positioning, anesthesia, and landmark identification are important for portal placement safety and visualization.
Total Joint Replacement- Improving Day of Surgery Efficiency and ThroughputWellbe
Organic growth of total joint replacement volume is growing at 3-4% per year as the number of physicians entering orthopedic residency programs is in decline. Cuts in Medicare reimbursement for total joints is forecast every year producing stressors for the surgeon to perform more surgery just to tread water financially. Increasing surgical volume without increasing time in the day requires a team approach to process improvements. By taking a fresh look at operating room processes, it’s possible to accomplish this goal.
Discussion points include:
• Pre-op patient preparedness
• Resolving inherent conflicts
• Surgical case order
• Tracking case efficiency
• Surgical tray streamlining
About the Speaker:
Sandy Nettrour has specialized in orthopedics for 30 years. She is the Neurosurgery and Orthopedic Service Line Coordinator for Butler Health System, providing oversight of the business aspects of Neurosurgery and Orthopedics, while continuing to first assist in the operating room and provide patient care at the bedside.
Sandy graduated from Alderson Broaddus College in 1980 with a Physician Assistant degree. She has been awarded the Distinguished Fellow Recognition by the American Academy of Physician Assistants, the Hu C. Myers Award for lifetime professional achievement and community service, and the Pennsylvania Society of Physician Assistants Humanitarian of the Year 2013. She was a Round Table Participant in Orthopedics Today June 2012′s “Effective and Efficient Joint Replacement Programs Need Constant Review and Renewal of Processes.”
A presentation on different techniques for shoulder joint preservation in regards to the advances in technology for rotator cuff pathology, from tendonitis to cuff tear arthropathy.
ARTHROSCOPY AND SPORTS MEDICINE I Dr.RAJAT JANGIR JAIPUR
#aclsurgeryjaipur #aclsurgeryhindia #aclsurgerytaekwondo
Acl reconstruction in jaipur | Acl reconstruction in taekwondo | Acl injury in football player surgery | Acl reconstruction surgery in football | acl surgery | Acl surgery ke baad physiotherapy | Acl surgery in jaipur | acl surgery recovery | Best acl surgeon in jaipur | Best ligament doctor in hindi | Best acl surgeon in india | Meniscus repair surgery in jaipur | Sports injury doctor | Acl injury in football players | Acl injury in taekwondo | acl tear | Best knee surgeon in jaipur
#allinsideacl #internalbrace #drrajatjangir #bestaclsurgeon #aclexpert #bestkneesurgeon
To Know more about ACL Injury, Click the links below:
1. ACL surgery 7 different Techniques we do at our center - "Not single technique best for all"
https://youtu.be/oWkIr8IXvr8
2. Everything about ACL Injury tear surgery in Hindi I
https://youtu.be/bqpjkAkwZ14
3. Best Screw for ACL tear surgery in Hindi
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Dr.RAJAT JANGIR(Asso Prof.)
Senior Consultant Arthroscopy and Joint Replacement
(Specialist in Shoulder Knee Hip Surgery)
Ligament and Joints Clinic
67/34 Mansarovar Jaipur
Whatsapp: shorturl.at/gnAEP
Appointment: +91 8104855900
Email: ligamentsurgeon@gmail.com
Google Page: https://g.page/KNEE-Shoulder-SURGERY?...
Facebook: https://www.facebook.com/Ligamentandj...
* Vast experience and specialisation in the field of Arthroscopy and sports surgery.
* M.S. orthopaedics from BJ Medical College, Civil hospital, Ahmedabad
* Fellowship in Arthroscopy and Sports injury with Prof Joon Ho Wang at Samsung Medical Center, South Korea
* Diploma in Sports Medicine from InternationaI Olympic Committee
* Invited as Athlete Medical Doctor at Rio Olympic 2016
* Done Rajasthan's first "All Inside Physeal Preserving ACL reconstruction" in 13 year old Athlete
Dr.Rajat is rated as one of the best orthopedic surgeon with with excellence in Knee Shoulder Arthroscopy surgeries as replacements'
Hip Arthroscopy in 2013: Inova Annual Sports Medicine Programwashingtonortho
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The document provides an overview of recent advances in various types of joint arthroplasty procedures, including the hip, knee, shoulder, and elbow. It discusses new implant designs, materials, surgical techniques such as minimally invasive procedures, computer navigation, and in some cases robotics. The goal of many new procedures and devices is to better restore normal joint biomechanics, reduce invasiveness and recovery times, and increase implant longevity and patient function.
i prepared this presentation for our hospital monthly clinicopathological conference. our experience with TKR is not so vast but v are satisfied with what v have done till date.
This document outlines preoperative, intraoperative, and postoperative nursing care. In the preoperative stage, nurses prepare patients physically and psychologically for surgery through teaching and assessment. During surgery, nurses play sterile and circulating roles to assist the surgeon and advocate for the patient. Postoperatively, nurses closely monitor vital signs and the surgical site, educate patients on recovery, and report any complications to the doctor. The goal is to prevent issues during and after surgery and safely guide patients through the perioperative process.
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Perioperative nursing refers to nursing care provided during the three phases of surgery: preoperative, intraoperative, and postoperative. The preoperative phase involves preparing the patient both physically and psychologically before surgery. The intraoperative phase involves providing care during the procedure in the restricted operating room. The postoperative phase involves caring for the patient after surgery as they recover in the post-anesthesia care unit or surgical ward.
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This document outlines the roadmap and milestones for a patient's recovery after total joint replacement surgery. It details the pre-operative, day of surgery, and post-operative steps and expectations over the first 3 days in the hospital. These include pre-operative classes, testing, the surgery and recovery in the post-anesthesia unit, exercises and physical therapy, pain management, and discharge planning. The goal is to progress from IV fluids and limited mobility after surgery to walking and independent activities over 3 days before being discharged to home or a rehabilitation facility.
"Newyork hip and knee" is a famous orthopedics hospital. Dr. David Drucker is a specialist in orthopedics,and also works in joint replacement,arthirities.
This document outlines the roadmap and milestones for a patient's recovery after total joint replacement surgery. It details the pre-operative, day of surgery, and post-operative steps and expectations over the first 3 days in the hospital. These include pre-operative classes, testing, the surgery and recovery in the post-anesthesia unit, exercises and physical therapy, pain management, and discharge planning. The goal is to progress from IV fluids and limited mobility after surgery to walking and independent activities over 3 days before discharge to a rehabilitation facility or home with services.
This slideshow with narration. prepared by The University of Kansas Hospital for our patients and their families, explains what may be expected during a continuous video EEG monitoring session.
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The document discusses perioperative nursing care from the preoperative through postoperative phases. Key aspects of preoperative nursing include completing assessments, teaching patients, obtaining consent, and preparing patients physically and emotionally for surgery. Important intraoperative roles involve monitoring patients, maintaining safety and asepsis, and documenting care. Postoperative care focuses on monitoring for complications, managing pain, and facilitating recovery.
This document discusses hygiene practices for surgical patients, including:
- Two types of patient regimens - common and bed care
- Strict, usual, and active bed care regimens and their associated activities
- Daily hygiene practices for patients under common and bed care regimens
- Special hygiene considerations for sensitive areas like the perineum for bedridden patients
- Equipment and structure of operating theaters and dressing rooms to maintain sterility
This document discusses pre, intra, and postoperative nursing management. It describes the three phases of the perioperative period and provides details about nursing interventions in each phase. In the preoperative phase, nursing focuses on psychological preparation, informed consent, and physiological assessment. During surgery, nurses serve as circulating or scrub nurses to provide a safe environment and assist the surgical team. In recovery, nursing aims to monitor vital signs, manage pain and complications, and encourage early mobilization.
This document discusses pre, intra, and postoperative nursing management. It describes the three phases of the perioperative period and provides details on nursing interventions in each phase. In the preoperative phase, nursing focuses on psychological preparation, informed consent, and physiological assessment. During surgery, nurses serve as circulating or scrub nurses to provide a safe environment and assist the surgical team. In recovery, nursing manages airway, vital signs, pain, and encourages early mobilization to prevent complications.
This document provides information about hysterectomy procedures at Banner Health. It summarizes that Banner Health performs thousands of hysterectomies annually using minimally invasive techniques for 70% of cases. It has over 200 OB-GYNs across 28 facilities who perform over 4,400 hysterectomies per year. The document outlines the types of hysterectomy procedures, what patients can expect before, during, and after surgery, including a typical recovery time of less than 24 hours. It provides checklists for patients and their support system to prepare for the procedure and recovery.
The document provides post-operative follow up instructions for patients who have undergone neck dissection surgery. It details what to expect in terms of recovery over the first few weeks including pain management, diet, activity levels, exercises and signs that warrant contacting the doctor. Routine follow up is scheduled within 10-14 days to discuss biopsy results. Full recovery takes 4-6 weeks and patients should avoid heavy lifting, strenuous activity and smoking during this time.
The document discusses surgery, surgical nursing care, and the roles of the surgical team. It defines surgery and its classifications. It describes preoperative, intraoperative, and postoperative nursing care. Preoperative care includes assessment, education, and preparation of the patient. Intraoperative care involves monitoring the patient and assisting the surgical team in the operating room. Postoperative care focuses on recovery, monitoring for complications, and providing education. The surgical team works together, with specific sterile and non-sterile roles, to ensure patient safety during surgery.
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Drug Use: Risks vary depending on the drug type, including health and psychological implications.
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This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
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2. Objectives for Today
• Understanding your
procedure
• What to expect during
the hospital stay
• Physical / Occupational
therapy
• Pain management
• How to care for
yourself at home
• Role of the
caregiver / coach
• Discharge planning
3. Understanding the Procedure
• Total Knee / Hip Replacement
• Unicondylar Knee Replacement
Goal with surgery is to lessen pain and restore
function.
4. Procedures
Total Knee Replacement
• Removal of damaged bone and
cartilage from your thighbone,
shinbone and kneecap with
insertion of an artificial joint
(prosthesis)
5. Procedures (continued)
Total Hip Replacement:
• Removal of damaged bone
and cartilage from your
thighbone and hip bone with
insertion of an artificial joint
(prosthesis)
8. The Guidebook
• Caring for Yourself at Home
• Role of the Caregiver / Coach
• Discharge Instructions
• Resuming Activities
Bring the Guidebook with you to hospital and all
doctor appointments.
10. Medical Clearance
• Appointment with your primary care doctor
• Instructions to stop or change any medications
• Lab work
• EKG, Chest Xray
• Blood Donation
• Additional Consults
11. Phone Call from Pre-Op Team
• Insurance
• Health history
• Medication history
• Advanced Directives
12. Day of Total Joint Surgery
Things to do at home BEFORE arriving at the hospital
•Bathing, showering and oral hygiene are to be completed before you leave your
home. Follow Bactroban prescription as prescribed. Please do not shave below the
face for 24 hours prior to surgery.
•Remember not to swallow any water when brushing your teeth.
•If you wear contacts, leave them at home & wear your glasses.
•NO artificial nails.
•Remove nail polish, jewelry and piercing.
•Remember to bring any papers with you that you received at the Surgeon’s Office
and/or Pre-Surgery.
•Leave valuables at home or with a family member - please lock valuables in a
vehicle until after surgery.
13. Arrival at the Hospital
• Arrive at the hospital at your appointed time.
• Use elevators by Emergency Department.
• Register with the 4th
Floor Short Stay Unit Secretary in the Surgical Waiting Area.
• Remember to bring your insurance card and photo ID.
• Sign your registration paperwork.
• Family members/visitors will be asked NOT to eat or drink in patient room BEFORE
surgery.
• Your family members will be given a number to track your progress.
14. What to expect after registration
• You will be assigned to your room at the Short Stay Unit.
• You will be asked to take everything off and put on a hospital gown
• If you wear dentures you will be asked to remove them; they will be placed in a
labeled container with your name on it.
• You will be asked to use antiseptic wipes to clean your body.
• The RN will be in to take your vital signs, start an IV for your pre-surgery antibiotics,
shave the surgical area.
• If you have any questions regarding your surgery or from your Pre-Surgery
Information, please ask your RN (now).
• The Anesthesiologist will be in to discuss/explain your anesthesia options and to sign
consent form.
15. Ready to leave for the OR
• A trip to the bathroom may be necessary before going to the OR.
• You will be transported to the OR Holding Area to wait to see your surgeon
prior to your surgery. Your family will wait in the OR waiting area.
• The nurse, who will stay with you in the OR during your surgery, & the CRNA
(Certified Nurse Anesthetist) will conduct an interview with you to go over your
medications & recent changes in your health.
• Multiple people will be asking you 1) why you are here today, 2) your name, 3)
your birthday, 4) what procedure (surgery) you are having done today, 5) what
joint is being operated on today. It is not that they do not know or remember
BUT these are several check points to ensure your safety.
• The OR Holding Area may feel cold; do NOT hesitate to ask for a warm blanket.
16. Last minute questions before surgery
• Finally your surgeon will come into the OR Holding Area to answer any last
minute questions you may have about your surgery & to check if your health has
not changed since the last time you were seen by your surgeon.
• Remember now is the time to ask your questions.
• After speaking to the surgeon you will receive some medication through your IV
to help you to relax. You may or may not remember going to the actual Operating
Room.
• You are now ready to leave the OR Holding Area. You will be transported to the
OR Room for your surgery.
17. Surgery
• Don’t be surprised → the OR Room is a BRIGHT Place.
• You will slide over to the Operating Table, with the assistance of your
nurse & CRNA.
• If you are receiving a spinal anesthetic → you may be asked to sit up
briefly.
• You will have on the following equipment: EKG leads on your chest, blood
pressure cuff on your arm and an oxygen monitoring device on your
finger.
18. Surgery Time
• Time required for a particular surgery varies. Some joint replacements required
about an hour; some complex procedures may take longer.
• You may be in the OR longer than the duration of the surgery for additional
reasons.
• Allow an additional 20 minutes at the beginning of surgery for the anesthesia.
• Allow another additional 20 minutes at the end of surgery to get to the Recovery
Room.
• Please Note: Your surgery may NOT begin as scheduled due to the progress of
the surgery prior to you. Each patient/case is different.
19. Post Operatively
• You will be placed in your bed immediately following surgery.
• You will NOT have to be moved more than one time upon the completion of your
surgery.
• Upon the completion of your surgery, your surgeon will contact your family to
discuss the outcome of your procedure.
20. Recovery Room
• After surgery, there is a short stay in the recovery room, also called PACU (Post
Anesthesia Care Unit).
• You will remain there until you are fully awake and your vital signs are normal.
• If you had a spinal anesthetic, you may remain in the PACU until your toes and
feet are moving. This signifies that the spinal anesthetic is wearing off.
• You will have an x-ray of your hip or knee replacement to ensure there are no
problems.
• PACU Staff will be asking you several questions, are you feeling any discomfort,
are you warm enough, etc.
• Please speak up if you are having any pain or nausea.
• When you are ready to go to your hospital room, your family will be contacted that
you will be transported to your assigned room in the Orthopedic Center. They will
“meet” you there.
22. Preparing for Surgery
Home environment
•Remove throw rugs
•Have a chair with arm rests available for use
•Put often used items within easy reach
•Install a railing on your stairs
•Install grab bars in your shower
•Remove clutter from walkways and bathrooms
23. Additional Considerations
• Become familiar with your exercises prior to surgery
• Pack comfortable clothing and shoes for your hospital stay
• Arrangements for other needed equipment will be made prior to discharge
home
24. Post-Op Day 0
• Physical therapy will see you later in the day to work on some/all of the following:
• Sitting up
• Standing or walking
• Exercise/Range of Motion
• You may feel “woozy”, but care will be taken to start moving safely
• Early mobilization promotes:
• Healing
• Decreasing the effects of the anesthesia
• Quicker independence and return home
25. Post-Op Day 1
• Nursing will help you into your recliner by 7 am
• OT will evaluate and work on activities of daily living (ADLs) so that you are able
to dress, transfer, and care for your needs
• PT will address your mobility, range of motion, and strength.
• A towel roll may be placed under your heel to promote knee straightening
• A cold pack will be used 6-8 times a day for 20 minutes to help with pain and
swelling
26. Post-Op Day 1 (continued)
• You will have physical therapy 2 times today prior to discharge
• Nursing will walk with you to your exercise sessions
• When deemed safe, you and your coach will be encouraged to walk in
the hallways
28. Plan today for tomorrow’s recovery
• Call your insurance company to confirm coverage for outpatient therapy
and medical equipment.
• Talk to your family/friends about your need for reliable transportation to
follow-up doctor appointments and outpatient therapy.
• Talk to your family/friends about the care and assistance you will need
from them when you are discharged home.
• Please call Social Services with any questions or concerns at 814-375-
6523.
30. Preparing your Home
• Chair with arm rests
• Recliner chairs OK
• Special bed not necessary
• Remove throw rugs
• Prepare frozen meals
• Arrange for someone to care for pets
31. What to Bring to the Hospital
• Loose - fitting clothes (shorts, T-shirts)
• Battery-powered items only
• Any shoe or leg orthotics
• Your Guidebook
• Your walker
• Leave valuables, cash and medications at home
32. Transition to Home
Making the discharge plan:
• Patient and family interview
• Surgeon
• Physical Therapist
• Discharge Planner
33. Transition to Home (continued)
Discharge planning options:
• Home with Outpatient Services
• Home with Home Health PT
• Sub-acute Rehab
• Insurance plans and authorizations
34. Role of the Caregiver/Coach
• Assist with mobility
• Dressing changes
• TED stockings
• Observe patient
38. Pain Scale
Zero = No Pain
4 = “I am comfortable”
>4 = Discomfort
Pain prevents:
•Sleeping
•Conversation
•Mobility
39. Remember…
• We can’t make the pain go completely away
• We aim to manage the discomfort so that you
can eat, sleep and move around
40. Pain Management
• Pain will be controlled with a variety of oral
medications, which you will receive on a regular
schedule throughout your stay.
• If you have questions about the pain control regiment
or the pain you are experiencing please speak with
your nurse.
• Can cause constipation.
41. Types of Discomfort
Incisional
• Soreness, Pressure
• Treat with pain medications
Swelling / Bruising
• Tightness around the incision/joint
• Treat with compression and elevation
43. Patient Responsibility
• Intercept the pain; ask for medication when the pain
starts to escalate – do not wait.
• Take your pain medication on a regular basis.
• Tell the nurse if the medication is not effective.
• Ask questions; be sure you understand the pain
management efforts that are in place.
44. Don’t you forget?
•We can’t make the pain go completely away
•We aim to manage the discomfort so that you can
eat, sleep and move around
•We will do all we can to ensure your comfort and
safety
45. Coaches can Stay
• Family member or friend
• Provides comfort, motivation
• Observe and assist with therapy sessions
• Gain confidence for discharge to home
46. Postop Activity on Surgery Day
• Heels off bed
• Out of bed to chair
• Walk in the halls
• Knees – no pillow under operative knee
• Hips – do not cross legs
47. Anticoagulation
• Use will be determined by your physician.
• Most patients will be prescribed Aspirin 325mg
twice daily for 30 days.
• Coumadin and Lovenox will only be utilized
occasionally.
48. Dressing Change Procedure
• Do not remove dressing until Day 7
post-op, unless directed otherwise.
• You may shower 2 days after
surgery.
• Notify doctor of fever, incisional
redness, drainage, odor or
complaints of increased pain
49. Caring for Yourself at Home
• Change positions often
• Follow your joint precautions
• Walk daily and steadily; increase your distance
50. Pearls of Recovery
• Pick one day each week to measure progress
• Do your exercises regularly
• Eat healthy
• DO NOT SMOKE
51. Medications
• Take pain medication regularly exactly as prescribed.
• Speak to your surgeon about when to decrease or
discontinue pain meds.
• Take stool softeners.
• Resume pre-op medications.
52. Discharge to Home
• Front seat of your own vehicle
• Stop along the way if your ride
is more than 2 hours or you
become uncomfortable