PRE-OPERATIVE SPINE EDUCATION

Transcription

1 ST.JJOOSEPH S SEPH SHEALTH HEALTH ST. PRE-OPERATIVE SPINE EDUCATION 1

2 2 Let Your Journey to Wellness Begin Thank you for choosing St. Joseph s Health for your surgery!

3 3 Purpose Provide important information about your spine surgery Discuss what to expect before during and after your surgery Address questions and concerns

4 4 Your Goal We will work to help you achieve your personal goals

5 5 Whether it be your arms, legs or back that are bothering you; whether your pain is present occasionally or throughout your day, all patients have options to reduce these symptoms and get back to life. Dr. Aaron Bianco, Spine Surgeon

6 6 BEFORE YOUR SURGERY

7 7 Spine Surgery Handbook Distributed in Pre-Admission Testing Detailed information about Preparing your home Spine surgery Care Recovery Also located on SJ Website

8 8 To Promote Healing Eat the recommended servings of: Fruits Vegetables Protein Whole Grains Low Fat Dairy Limit alcohol intake Stop smoking at least two weeks before surgery Control blood sugar (HgA1C 8)

9 9 Diabetic Patients Optimizing recovery: Diabetic pills not used during hospital stay Frequent blood glucose monitoring Administer insulin. May differ from home insulin Return to home regimen after discharge

10 10 Preparing Your Home Inside and outside of your home Good lighting- night lights No trip hazards- secure or remove throw rugs Clear pathways (i.e. plans for leaf or snow removal) Handrails Frequently used items within reach More information is in the Handbook

11 11 Preparing to Return Home You can expect to go home as early as the day of surgery, depending on your procedure Ask a family member or friend to help you for the first few days to one week Have 2 coaches on standby to provide you transportation home Discharge times vary

12 12 Role of the Coach A coach can be any friend or loved one that can support your recovery Your coach can help you with: Transportation to follow-up appointments Preparing your home Running errands

13 13 Before Surgery A phone call from the hospital about your expected arrival time Business day before surgery After 5:00 pm Please call (315) if you have not received a call by 7:00 pm Be on stand-by

14 14 Care Team Surgeon Physician Assistants, Nurse Practitioners Anesthesia Care Provider Nurses Registered Nurses Licensed Practical Nurses Physical Medicine & Rehab Physical Therapists (PT) Physical Therapy Assistants Occupational Therapists Clinical Care Manager (CCM) Pharmacist

15 15 Also playing a vital role in your recovery is. YOU

16 16 Day of Surgery Follow the specific instructions at your Pre-Admission Testing appointment Food and liquid restrictions Take morning medications as directed Limit belongings and leave all valuables at home. Your family will be responsible for carrying your personal items A credit card will be needed for the equipment (if needed)

17 17 Day of Surgery Please arrive on time Main entrance of hospital Valet Service is available See valet vendor for fees You will be directed to Unit 1-1

18 18 Before Surgery Nurses will review your medical/surgical history Medications will be reviewed An intravenous line (IV) will be inserted Receive preoperative medications: Pain Nausea Antibiotics

19 19 SURGERY

20 20 Operating Room You will be transported to the Operating Room You will have oxygen applied and general anesthesia administered You will be asleep You will not feel any pain Please refer to your anesthesiologist for any questions that you may have regarding anesthesia

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22 22 Surgical Treatments ESCA ENIM EXERCI FEUGIAT DUIS. 1 LAMINECTOMY Nullus modo quae scisco ex uxor dolore. Antehabeo veniam ille. Pertineo consequat. ESCA ENIM EXERCI FEUGIAT DUIS. 2 DISCECTOMY Nullus modo quae scisco ex uxor dolore. Antehabeo veniam ille. Pertineo consequat. ESCA ENIM EXERCI FEUGIAT DUIS. 3 FUSION Nullus modo quae scisco ex uxor dolore. Antehabeo veniam ille. Pertineo consequat. ESCA ENIM EXERCI FEUGIAT DUIS. CERVICAL Nullus modo quae scisco ex uxor dolore. Antehabeo veniam ille. LUMBAR Pertineo consequat. ESCA ENIM EXERCI FEUGIAT DUIS. Nullus modo quae scisco ex uxor dolore. Antehabeo veniam ille. Pertineo consequat.

23 23 8% 7% 10% 11% 29% 35% Why Surgical Intervention Narrowing of the spinal canal, resulting in crowding of the nerve roots in the canal To relieve pressure on the spinal cord or spinal nerve by removing the arthritic bone, ligament or herniation causing the symptoms and make room for the nerve roots

24 ST. J O SEPH S HEALTH St. Joseph s Health AFTER SURGERY 24 25

25 25 After Surgery Transport to Post Anesthesia Care Unit (PACU) after surgery After stable you will go to Unit 4-7 You may have oxygen, urinary catheter and drain Frequent vital signs and assessments throughout your stay Clear liquids, then regular food as tolerated Room Service menu is in Welcome Folder You may have activity precautions which the nurse will explain in detail based on surgeon preference

26 26 White Board Communication Located in each patient room

27 27 Pain Control Don t Expect to be Pain Free We strive to get your pain to a tolerable level So that you can participate in your daily activities We use a variety of options for pain management

28 28 Pain Control Options Pain Medication Oral Intravenous Individualized All patients are risk assessed Notify your nurse if you have spasms, your pain is uncontrolled, or you cannot sleep Soft food may be recommended for comfort

29 29 After Surgery CCM may discuss your discharge needs Order your Room Service meals Physical Therapy will see you Ask for pain medicines when you need them Call Don t Fall! Use your call bell and wait for your nurse before getting out of bed Discharge may happen as early as the day of surgery

30 30 After Surgery You will be expected to walk the unit You are encouraged to dress in comfortable clothes Hygiene products will be available Hibiclens/Chlorhexidine You will continue to be monitored and assessed You will be aware of your discharge day so plan rides appropriately for the morning

31 31 Braces You may have a collar after surgery If your MD recommends an Aspen collar you will need to - be fitted pre-operatively - practice applying and removing - bring it to the hospital A soft collar or Philadelphia collar will be provided by the hospital if needed

32 32 Discharge Day PA will assess your ability to be discharged Discharge times vary but often occur before noon Coordinate anticipated discharge time with nurse Have 2 coaches on standby to provide you transportation home Your coach can pick you up at the main entrance of the hospital

33 33 AFTER DISCHARGE

34 34 Discharge to Home Increase activity based on your tolerance Keep your follow up appointment Driving only with doctor approval Discuss resuming sexual activity

35 35 Patients who go home directly may be less likely to experience what doctors call adverse events complications like infections, blood clots or worse. -Jane E. Brody (2017)

36 36 Title Here Esca enim exerci feugiat duis. Nullus modo quae scisco ex uxor dolore. Antehabeo veniam ille. Pertineo consequat tego damnum lenis melior ex enim gravis. In humo verto minim. Modo ludus jus indoles lobortis. At exerci commoveo populus foras ut comis sudo inhibeo. Brevitas saepius oppeto zelus.

37 37 Call Surgeon For non-life threatening issues Temperature > 101 F Increased redness or swelling or drainage from or around your incision Pain not relieved by pain medication Nausea or vomiting Questions/concerns

38 38 Preventing Complications

39 39 Preventing Infection Our Role Frequent handwashing Frequently cleaned equipment & workstations Short hospital stay How you can help

40 40 Preventing Infection Your Role Wash with the chlorhexidine soap as directed Wash your hands often! - Before and after meals - After using the bathroom Visitors should also wash their hands Do not shave the surgical site See your dentist on a regular basis- more instructions will be provided by your surgeon

41 41 Preventing Blood Clots Foot Pumps & Compression Stockings Wear the foot pumps when you are in bed Walk frequently

42 42 Preventing Pneumonia Elevate head of bed Walk frequently Deep breathing Incentive spirometer Brush your teeth

43 43 Preventing Constipation Side effect of pain medication Bowel regimen after surgery Stay hydrated Drinking plenty of fluids will also help you feel better Return to activity get moving!

44 44 Remember Call the office before you go to the Emergency Room!

45 45 Thank you for choosing The Center at St. Joseph s Health for your spinal care needs Do not hesitate to ask our knowledgeable team of nurses and physicians any questions that you may have as you recover from your surgery

46 46 Questions? Any questions do not hesitate to call Trisha Dobe (315) or at

47 47 Class Completion Please click on the link below to enter your information. You will then be given credit for meeting this education expectation. (website viewing only) Please verify your viewing of this education