Total Knee Replacement: Enhanced Recovery After Surgery Kaiser Permanente. All Rights Reserved.

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. 5 2015 Kaiser Permanente. All Rights Reserved.

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 6 2015 Kaiser Permanente. All Rights Reserved.

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 11 2015 Kaiser Permanente. All Rights Reserved.

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 101.5 Excessive bleeding at incision Vomiting or diarrhea Uncontrolled pain Any Concerns 12 2015 Kaiser Permanente. All Rights Reserved.

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 13 2015 Kaiser Permanente. All Rights Reserved.

Physical Therapy In the Hospital right after surgery. Physical therapy in your home (Home Health Physical Therapy): 24-48 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. 15 2015 Kaiser Permanente. All Rights Reserved.

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. 16 2015 Kaiser Permanente. All Rights Reserved.

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 20 2015 Kaiser Permanente. All Rights Reserved.

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? 23 2015 Kaiser Permanente. All Rights Reserved.

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. 27 2015 Kaiser Permanente. All Rights Reserved.

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 29 2015 Kaiser Permanente. All Rights Reserved.

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! 30 2015 Kaiser Permanente. All Rights Reserved.