Transcript When can I go home

WELCOME TO JOINT
SCHOOL
AIMS OF THE SESSION
To help you prepare for your admission
Explain what will happen throughout your
stay at Spire Gatwick Park
Explain about your recovery afterwards
Teach you to use sticks
Teach you to use the stairs
Teach you a programme of exercises
To ensure you are well informed and
prepared for your operation
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What is Enhanced Recovery
Pioneered in Denmark
A new approach to caring for patients
Begins with your G.P., improved
anaesthetic and surgical techniques.
Early food and drink
Early mobilisation
Faster return to your normal activities
You have an active role in your recovery
and full responsibility for your rehabilitation
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How can you prepare ?
What to bring in with you :
Toiletries
Dressing gown
Slippers with backs
Small travel clock
Mobile phone
All medications in their original containers
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…more to bring in
Flat shoes with backs ideally slip-on
Comfortable day clothes – shorts, skirts or
dresses – not trousers
Small packs ready to eat prunes, apricots,
figs
Walking sticks (or crutches)
Your information pack and exercise
programme
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How can you prepare?
Optimise your health before your
operation
Eat healthily – avoid putting on weight
High fibre and fluids to help prevent
constipation
Stop smoking
Regular walks as able
Prepare the home
You will be in hospital for 2-4 nights
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Arrange for someone to take you home
Arrange for someone to be with you for a
few days
Arrange to be off work for 6-12 weeks
Practise your exercises
Practise walking with your sticks
Practise the stairs
Read all the information again before you
come in
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What is a joint replacement
Why do you need a new joint
Anatomy
A new joint
X rays
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Pre- admission clinic
Usually 3 weeks prior to surgery
Nurse clinic
Physiotherapy assessment
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Anaesthesia, pain control
Spinal anaesthesia
Regional anaesthetic block
Sedation
General anaesthetic
Pain score
“Regular” medication and “as required
medication”
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Our Patient Journey
Admission time
Fasting times
Before the operation – you will see your
consultant, anaesthetist, nurse,
physiotherapist and pantry staff
Walk to theatre
In recovery
Back on the ward – attachments !
Drink, eat, move
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Day 1 - discharge
Daily ward round at 8.30
Regular drug rounds
Nurses will assist with washing/dressing
Physiotherapy morning and afternoon
Walk to bathroom
Sitting out for all meals
X ray
Blood test
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Day 2
Washing in the bathroom, maybe shower
Physiotherapy – bed and standing
exercises, progressing to sticks, stairs
You may be ready to go home later in the
afternoon
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Day 3
You will be helped to shower
Your wound dressing will be changed
Continued physiotherapy
Hopefully home today!
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When can I go home ?
Good movement in your new joint
Walking well
Safe on stairs
Independent with some supervision with
daily needs
Signs of wound healing
Length of stay – 2-4 nights (when
clinically ready to go home)
Time of discharge will be confirmed
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Follow up care
Wound clips are removed at 10-14 days
(at Gatwick Park or at your G.P. surgery)
Follow up physiotherapy at 2,4, and 6
weeks
Consultant appointment at 6 weeks (at
Gatwick Park or in your local trust hospital)
Hip and knee classes after 6 weeks
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Practise makes perfect
Please practise with your sticks for at least
5 minutes every day
Please use your sticks for at least 1 full 24
hour period before you come in for your
operation
Please practise your exercises daily
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THANKYOU
ANY QUESTIONS?
This information is also available on our
website.
www.spiregatwick.com/ER
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