Total Hip Replacement: The Short Stay Part 1
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See Hip Replacement Surgery Part 2, which include Pre-Registration For Surgery, Preparing For Surgery, Determine Who Is Going To Help You, Preparing For The Hospital, Follow-Up Care, To-Do Checklist, Health Care Provider Contact List, and Lodging and Transportation.
- What Is Total Hip Replacement?
- Your Team at CPMC
- Managing Your Pain
- Hip Precautions
- Physical and Occupational Therapy Goals
What Is Total Hip Replacement?
A total hip replacement is a surgical procedure in which one's hip joint
is removed and replaced with an artificial joint. Depending on your
particular needs, the artificial joint, called a prosthesis, will be made
of various materials including metal, plastic and ceramic. The artificial
joint consists of three parts: a stem, a ball, and a socket.
During hip replacement surgery, the stem of a prosthesis will be
inserted into your femur (thigh bone), and the attached ball will be
fitted into a prosthetic socket in your pelvis.
The surgery takes about two hours, but a successful hip replacement
begins long before you enter the hospital.
The "Short Stay" Philosophy
- Our team works together to manage all aspects of your
care, letting you concentrate on getting better.
- Your pain and other symptoms are well managed so you can focus on physical and occupational therapy.
- You’ll feel ready to go home 1 to 2 days after surgery.
Hip joint before (left) and after (right) joint replacement surgery.
Hip with Prosthesis in Place
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Your Team at CPMC
Our nurses will be with you from the moment you arrive through
surgery and until you are discharged. They work with your surgeon
to make sure you are safe and on the right track toward recovery,
while making sure your pain is under good control.
R.N. Case Manager
Helps you make arrangements for going home, such as:
- Home therapy
- Medical equipment
- Discharge prescriptions
- Extra help at home
A physical therapist will visit you one or two times a day to teach
you how to safely:
- Get in and out of bed following your hip precautions (see page 5 for list of precautions)
- Transfer in and out of bed following your hip precautions.
- Walk with the appropriate assistive device (front-wheeled walker or crutches) on flat surfaces, stairs and curbs
- Get in and out of a car following your hip precautions
An occupational therapist will see you once a day during your
hospital stay to teach you how to safely perform your activities of
- To sit down on/get up from the toilet
- Get in and out of a bathtub or shower stall
- Use adaptive equipment during hygiene care, dressing and bathing
- Simple activities at the sink or kitchen counter
Visiting Nursing and/or Physical/Occupational Therapy
You may need nursing and/or physical/occupational therapy on a
short-term basis at home. The focus of home health care is to help
you adjust to the physical changes following surgery. They will help
you find out which services are covered under your insurance plan.
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Managing Your Pain
Although there may be some discomfort after your surgery, keeping
your pain under control speeds your recovery. Less pain will make it
easier to concentrate on getting around safely on your new hip.
When you are comfortable, you are better able to walk, breathe
deeply and cough.
You can help your doctors and nurses "rate" your pain using the pain scale. 0 means no pain and a 10 on the scale means the worst pain you can imagine.
- Do not wait until the pain is severe (very bad).
- Tell your nurses and doctors if you have pain.
- If your pain suddenly gets worse or you experience chest pain or have trouble breathing, tell your nurses immediately.
We Manage Pain in Many Ways
We use several ways to help control your pain so you can focus on
your physical and occupational therapy exercises.
- We may give you medications before surgery to help minimize
the pain you would otherwise experience after surgery.
- We use different types of pain medications ("Multimodal analgesia") that work well together to control pain.
- Since pain medication can make some people feel nauseated, we also give you medications to prevent and control nausea.
- Ice and repositioning are also effective ways to control pain.
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Following the hip precautions illustrated below will help prevent dislocation of your new hip and ensure proper healing.
- No bending your hip greater than 90 degrees
- No twisting your torso inward, no turning your operated leg/foot inward
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Physical and Occupational Therapy Goals
The focus of our rehabilitation program is to make you as independent as possible in your daily life activities. Therefore we will focus on the following goals during your physical and occupational therapy.
- Follow hip precautions
- Get out of bed
- Walk 50 feet with a walker or crutches
- Climb up and down stairs safely
- Get in and out of the car
- Use the toilet
- Stand at the counter for 10 minutes
- Get in/out of the bathtub or shower stall