Total Knee Replacement: Enhanced Recovery After Surgery Kaiser Permanente. All Rights Reserved.
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1 Total Knee Replacement: Enhanced Recovery After Surgery 2015 Kaiser Permanente. All Rights Reserved.
2 Today s session Enhanced Recovery: What s it all about? Get ready for surgery and recovery What to expect at home Questions? Fifth Agenda Kaiser Permanente. All Rights Reserved.
3 Physician Assistant Enhanced Recovery After Surgery (ERAS) Kaiser Permanente. All Rights Reserved.
4 ERAS Video Introduction to ERAS Video Kaiser Permanente. All Rights Reserved.
5 Enhanced Recovery After Surgery Speed healing and reduce risk of infection Control pain Move sooner Eat & drink Mixture of medications with less narcotics. Stay ahead of the pain. Get up soon after surgery. We will help you sit, then stand and walk. Drink clear liquids & carb drink until 2 hours before arrival. Eat soon after surgery Kaiser Permanente. All Rights Reserved.
6 Prepare physically and mentally Be your healthiest Quit tobacco Be active Prevent illness, cuts, scrapes, and infections Sleep well, eat healthy, drink water Relax kp.org/surgerypodcast Control blood sugar, if you have diabetes Kaiser Permanente. All Rights Reserved.
7 Kaiser Permanente. All Rights Reserved.
8 Emmi: Prepare for your surgery Search knee surgery or hip surgery on kp.org/mydoctor Kaiser Permanente. All Rights Reserved.
9 Enhanced Recovery Prevent infections before surgery Mouth care Skin care Kaiser Permanente. All Rights Reserved.
10 Going home When? Patients are able to go home on the day of surgery, unless there is a medical need Prepare now for transportation and help at home Kaiser Permanente. All Rights Reserved.
11 What s common at home? Pain will increase at times Take medications on time Rest, ice, and elevate leg Move your joint, but don t overdo it Swelling can be present for months after surgery Bruising or color changes anywhere on your leg or foot Not sleeping well for first 2-3 months - Get up and stretch - Take naps - Don t use sleep medications Kaiser Permanente. All Rights Reserved.
12 Care after discharge You will get a call from orthopedics the day after surgery. Please read your discharge instructions for details. Call if you have these symptoms Fever over Excessive bleeding at incision Vomiting or diarrhea Uncontrolled pain Any Concerns Kaiser Permanente. All Rights Reserved.
13 Try a video visit with your doctor or physical therapist KP Preventive Care helps you remember Download our app. Talk with your doctor or physical therapist on your smartphone. My Doctor Online Kaiser Permanente. All Rights Reserved.
14 PHYSICAL THERAPY Preparing for and recovering after your surgery Kaiser Permanente. All Rights Reserved.
15 Physical Therapy In the Hospital right after surgery. Physical therapy in your home (Home Health Physical Therapy): hours after discharge from the hospital. Outpatient Physical Therapy (at your home facility) begins after you have met your goals with home health physical therapy for further strengthening and return to activities Kaiser Permanente. All Rights Reserved.
16 Physical Therapy: Hospital Goals Before you are discharged from the hospital, we will show you how to: Get in and out of bed. Sit, stand, and walk. Climb stairs, if you have them at home Kaiser Permanente. All Rights Reserved.
17 Heel slides Kaiser Permanente. All Rights Reserved.
18 Quad thigh squeezes Kaiser Permanente. All Rights Reserved.
19 Gluteal (buttocks) squeezes Kaiser Permanente. All Rights Reserved.
20 Moving at home Limit walking to around your home and to appointments until your home health physical therapist sees you Do your exercises At least 3 times a day Prevent swelling Ice and elevate your leg above your heart. Slowly increase activities Kaiser Permanente. All Rights Reserved.
21 OCCUPATIONAL THERAPY Preparing your home and equipment to assist with activities of daily living Kaiser Permanente. All Rights Reserved.
22 Think about your home? Where will I sit? Where will I sleep? Clear, wide pathways? Good lighting? Kaiser Permanente. All Rights Reserved.
23 Is your home ready? Wide, clear pathways for walker Remove clutter and things on the floor Bed or recovery area on 1 st floor Firm chair with armrests and high back Good lighting between bed and bathroom Grab bars in shower How will you confine pets? Will you have meals prepared or frozen? Kaiser Permanente. All Rights Reserved.
24 Recovering from Total Joint Surgery Kaiser Permanente. All Rights Reserved.
25 Recovering from Total Joint Surgery Kaiser Permanente. All Rights Reserved.
26 Total Joint Kit Sock aide Reacher Shoe horn Elastic shoe laces Long handled shoe horn Long handled bath sponge Kaiser Permanente. All Rights Reserved.
27 Is your helper ready? Plan to have help for 2 weeks consistently Prepare meals. Help keep your spirits up. Do laundry and chores. Take care of family and pets. Run errands. Drive you to and from appointments. Help with medications, icing, and elevating. Help with mobility and daily activities Kaiser Permanente. All Rights Reserved.
28 PATIENT CARE COORDINATOR Equipment, coverage and assistance at home Kaiser Permanente. All Rights Reserved.
29 Discharge planning What s my coverage for medical equipment? Where can I get a walker? Discharge planning department will be calling to order the week before surgery Skilled nursing care is rarely necessary because patients do better at home. Resources Kaiser Permanente. All Rights Reserved.
30 To Summarize: Be Prepared Prepare your body, mind, and home. Prepare to go home on the day of surgery. Have transportation and help at home ready. Follow Enhanced Recovery instructions. Actively participate in physical therapy to return to your usual activities. Good luck with your recovery and please remember to read your discharge instructions! Kaiser Permanente. All Rights Reserved.
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