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    Total Hip Replacement: The Short Stay Part 1

    pdf image Printer-friendly PDF of Hip Replacement Surgery Short Stay (879KB) (Download a free copy of Adobe Acrobat ReaderOpens new window)

    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?

    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

    1. Our team works together to manage all aspects of your
      care, letting you concentrate on getting better.
    2. Your pain and other symptoms are well managed so you can focus on physical and occupational therapy.
    3. You’ll feel ready to go home 1 to 2 days after surgery.


    hip image showing before and after replacement surgery
    Hip joint before (left) and after (right) joint replacement surgery.

    Hip socket and prosthesis
    Hip with Prosthesis in Place
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    Your Team at CPMC

    Nursing Staff

    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


    Physical Therapist

    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


    Occupational Therapist

    An occupational therapist will see you once a day during your
    hospital stay to teach you how to safely perform your activities of
    daily living:

    • 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.

    FACES Pain Rating Scale. Choose a number between 0 to 10 that best describes your pain. 0=No Pain (Smiling). 2=Mild (Slightly Smiling). 4=Moderate (Expressionless). 6=Severe (Slightly Frowning). 8=Very Severe (Frowning). 10=Excruciating (Crying).

    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.

    Pain Tips

    • 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
    blue ice bag

    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.variety of pain medications



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    Hip Precautions

    Following the hip precautions illustrated below will help prevent dislocation of your new hip and ensure proper healing.
    Knee at 90 degrees

    • No bending your hip greater than 90 degrees



    No inward turning
    • 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.

    1. Follow hip precautions
    2. Get out of bed
    3. Walk 50 feet with a walker or crutches
    4. Climb up and down stairs safely
    5. Get in and out of the car
    6. Dress
    7. Use the toilet
    8. Stand at the counter for 10 minutes
    9. Get in/out of the bathtub or shower stall

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