St. David’s Center for Joint Replacement Pre-Operative Education

St. David’s Center for Joint Replacement Pre-Operative Education


(upbeat music) – Hi, my name is Megan Laframboise. I’m the orthopedic neuroscience navigator here at St. David’s Medical Center. Thank you for trusting us with your care. We have an exceptional program here at St. David’s Medical Center. It is important that you
complete this online program because we will teach
you all you need to know about the joint replacement process. The class will discuss what to expect while in the hospital after surgery with the focus on pain
management, mobility, and preventing complications. This class will increase your knowledge to reduce anxiety, decrease
the length of hospital stay, and help establish realistic expectations to improve surgical outcome. We hope you’ll enjoy
this educational video and thank you for choosing
St. David’s Medical Center. (Light music) (gentle music) – Welcome to our Joint Replacement
Pre-Op Education class. Over the next 25 minutes, we
will discuss a general overview of the joint replacement
process and hospital stay at St. David’s Medical Center. Any specifics to your procedure should be discussed
directly with your surgeon. This class will provide
education and empowerment about the joint replacement process, and can help you to identify techniques to decrease risk factors of
complications after surgery. It will also help prepare you for your joint replacement
surgery and help reduce anxiety about the surgical process. Our goal is to create expectations of what you will experience here at St. David’s Medical
Center and to assist with beginning the process
for your transition back home after surgery. Our mission at St. David’s Medical Center is to provide exceptional care
to every patient every day with a spirit of warmth,
friendliness and personal pride. Our vision is to be the finest care and service organization in the world. Our St. David’s staff follows
what we call the ICARE values, which include integrity,
compassion, accountability, respect and excellence. The goals of our facility
are exceptional care, customer loyalty and financial strength. We function under a patient
centered team approach when providing care at our facility. You can see here that you
and your family members are at the center of our care team. Your surgeon and their physician’s
assistant are at the top; they are the individuals
performing your surgery and they will see you
every day while you’re here at the hospital with us. A hospitalist is an
internal medicine doctor that is consulted by
your surgeon to assist with your medical care after your surgery. A pharmacist is heavily
involved in our care team and manages all of your
medications that you will take while in the hospital. The nursing team, both registered nurses and patient care
technicians, will be with you 24 hours a day. We have a day shift and night shift team that works 12-hour shifts. Our physical and occupational
therapists will see you for therapy sessions twice a
day and our nurse case manager will assist with discharge planning and durable medical equipment. Once you have made the
decision for surgery, we recommend improving your nutrition through healthy eating. We encourage iron and protein
rich foods, lean meats, fruits, vegetables and grains. Notify your dentist of your upcoming joint replacement surgery. Your orthopedic surgeon does not want you to have any dental
procedures for three months following your joint replacement surgery. Dental procedures can introduce bacteria into your bloodstream, which can increase your
risk for infection. After this three month period, you will require oral antibiotics prior to any dental procedure
for at least one year following your joint replacement. If you wish to obtain a handicap
placard for your vehicle, contact your surgeon’s
office to get a prescription to bring to the DMV. Pre-Surgical Testing is
ordered by your surgeon to be completed prior to your surgery, to ensure that you are well enough to have your joint replacement procedure. Here are a few examples of
tests that may be ordered. The tests that are ordered depend on your medical and surgical history. An EKG is a heart function test. Stickers are applied to
your chest to determine if your heart is well enough for surgery. A chest x-ray is an x-ray
of your lungs and heart, and a urinalysis is a
sample of your urine. Blood tests are lab tests
run on blood samples, and a MRSA swab is a swab
of the inside of your nose. You will complete your
testing seven to 10 days prior to your surgery. However, this testing
can be done up to 60 days prior to surgery. You will complete your testing here at St. David’s Medical Center or at your Primary Care
Physician’s office, if your surgeon has
instructed you to do so. Our Pre-Surgical Testing
nurses will call you and obtain a list of your home medications and medical and surgical history. They then will assist you
in making an appointment to come in, in order to
have your testing done. If your surgery is coming
up and you have not heard from one of our
Pre-Surgical Testing nurses, please call the Pre-Surgical
Testing department at 512-544-3333 to make an appointment. Please bring your driver’s
license and insurance cards with you to your appointment. If you have an Advanced Directive or Medical Power Of Attorney document and would like us to have this on file in your medical record,
you may bring it with you to your appointment and
we will make a copy. If you have been seen by a
specialist to have testing done prior to your surgery, the
Pre-Surgical Testing nurses will instruct you to bring any
copies of these medical tests in with you to your appointment. We do also ask that you bring in a list of your home medications. Though we go over this
list with you on the phone, we would also like to have
a written-out copy to ensure that our list is complete and accurate. Please allow two to three
hours for this appointment to complete the ordered testing. The Enhanced Surgical Recovery program at St. David’s Medical Center
was developed to help you have an improved surgical
outcome by recovering more quickly and safely after surgery. The benefits of the ESR program
include faster recovery, eating sooner after
surgery, better pain control with fewer side effects,
reduction of nausea or upset stomach after surgery, increased early movement and walking, shorten hospital stay, and
returning to your normal life at a quicker rate. Get specific instructions
from your surgeon regarding when to stop taking
blood thinning medications prior to surgery. We typically ask that you
stop taking these medications seven to 10 days prior to surgery. These medications include Non-Steroidal Anti-inflammatory Drugs,
or NSAIDS, such as Motrin, Ibuprofen, and Aleve.
Celebrex and Meloxicam; certain herbal supplements
like fish oil, vitamin E and glucosamine, and
prescription blood thinners like Coumadin, Aspirin,
Plavix and Xarelto. Please ask your doctor about
taking your medications before surgery. The pre-operative nurses will instruct you only on what medications to
take on the day of your surgery. Before surgery we recommend performing a safety check of your home. This includes removing throw rugs and tacking down loose carpeting. If you are able, remove electrical cords and other obstructions from your path, so you will not have to
lift your assistive device over these items when walking. Having adequate lighting
during the nighttime is very important for your safety, so placing nightlights in
areas that you may walk to during the night is highly recommended. If you have a small pet that
may stand close to your feet or is easily excitable, we
recommend having someone there to assist you with your
pet for the first few days after your surgery. You will be instructed
by Pre-Surgical Testing to shower with Hibiclens
soap, an antimicrobial soap that is used to prevent infection. You will shower with
this soap for five days prior to surgery. On the day before your surgery, you will call Pre-Surgical
Testing at 512-544-3333 between three and six
p.m. to check what time you should arrive to the hospital. If your surgery is scheduled for Monday, you will call the Friday beforehand. You are allowed to have
clear liquids up to two hours before your surgery time. We ask that you do not
have mints or chewing gum after midnight, as this
can trick your body into thinking you are
about to eat something. If you have uncontrolled
acid reflux or gastroparesis, we ask that you do not eat or
drink anything after midnight. For all of our surgical patients, we require that you do not drink alcohol for 24 hours prior to surgery. If you normally consume
alcoholic beverages regularly, please notify your surgeon. Though you will be
provided a hospital gown when you come in for your surgery, you are not required to wear this gown for your entire hospital stay. You will wear the gown
typically for the first day, so that the staff is able
to assess your incision site and manage your surgical
drain if you have one. After this time you may
change into your own clothing. For our hip and knee replacement patients, we recommend loose
fitting shorts or pants, and knee length gowns,
clothing that is easy to slide up over your incision site. For our patients having
shoulder replacement surgery, we recommend button up shirts or large, loose fitting tee shirts that are easy to slide up over your surgical arm. We encourage patients to bring glasses, hearing aids and dentures
in labeled containers. Bringing a list of your
home medications with you on the day of your surgery is
highly recommended as well, so that the nursing staff can
ensure that we have your list accurately entered into your
electronic health record. You will have some down time in between your therapy sessions, so
please feel free to bring your iPads, laptops, cell
phones and books with you. When coming in for your surgery, we recommend that you leave valuables, such as jewelry, at home. The hospital is not
responsible for any lost or stolen items. St. David’s has walkers in
every room for patient use, so you do not need to bring
your own assistive devices in with you to the hospital. For patient safety, the
hospital will provide your medications to you. If it is a medication available
at a regular pharmacy, such as CVS or Walgreens,
we should carry it in our pharmacy. Medications that we do
not carry include inhalers and experimental or
compounded medications. The nurses in Pre-Surgical
Testing will instruct you on which medications to bring with you on the day of your surgery. Once at the surgery center, you will change into a hospital gown. Our staff will assist you with
wiping down your entire body with antimicrobial CHG cloths
to help prevent infection, and will place an IV
so that we will be able to administer medications to
you during and after surgery. You will discuss your allergies with your Pre-Operative nurse and sign your surgical consent for surgery. An anesthesiologist or nurse
anesthetist will meet with you and discuss the type of
anesthesia they will be using during your surgery,
and your surgical nurse will come in and meet you. Before you are taken
to the operating room, your surgeon will come and
mark your surgical site. When you are transferred
into the operating room, your family will be escorted to the surgery center waiting room. You will be in surgery for
about 1 1/2 to two hours, though this time frame can change depending on the progress of your surgery. Your family will be contacted
by the surgical nurse once the surgeon has
started the procedure, and will be updated
throughout the surgery. Once the surgery is completed, the surgeon will either
update your family members in the waiting room, or
call the contact number that they have on file. When you surgery is completed, you will be transferred to
the Post Anesthesia Care Unit, or the PACU, for recovery. While in the PACU or recovery room, we will monitor your vital
signs and pain level frequently. You will begin to wake up from anesthesia. Patients are usually in recovery
for about one to two hours depending on your progress. If you take longer to
wake up from anesthesia, you may be in recovery longer. Once you are awake and stable, you will be transferred to
your room on the fourth floor. This is where your family
will be able to see you and you will be given a
menu to start ordering food. Our orthopedic unit here
at St. David’s is 4 East. You will have a private room, with access to our guest wifi account, and a television with basic cable. We do not have set visiting hours, this means your guests can
come and go as they please. We do not lock the unit
or hospital down at night. We provide recliner chairs in every room that fold out into a bed
if you wish to have a guest stay overnight with you. Visitors can park in Parking
Garage 1 and may park for free if they are over the age of 65. Most joint replacement patients
will be in the hospital for one to two nights
depending on progress, but some patients do stay longer. The staff at St. David’s Medical Center participates in hourly rounding to ensure that we are meeting your needs. Our goal is to anticipate your needs before you have to call for assistance. Someone from the staff,
a registered nurse, patient care technician
or physical therapist, will be checking on you
once an hour during the day and every two hours at night. We also perform bedside shift
report during shift change. The staff will enter your room with the oncoming staff member
and discuss your plan of care with you so that you can
be involved in your care. Our communication board is
used to keep you updated on your plan of care and
your healthcare team. It is located on the wall
of your hospital room and includes the name and phone numbers of the staff involved in your care, as well as the dietary and
room service phone number. This board will also be used
to record your daily goals. We have an example of getting out of bed and walking 150 feet. We will ask you at the start of our shift if there is something in particular you would like to accomplish
during that shift, and we will record this
on your white board. We will do our very best
to try and assist you in reaching your goal. Your pain management plan is also located on the white board. We will write what pain
medication we have you on, as well as the next time your dose is due, so that you are aware of how often you can take your medication. Depending on your surgeon’s preference, you may have a surgical drain placed in your incision during surgery. This is used to collect the excess fluid from your incision site to help
with swelling and bruising. The nursing staff will manage the care of your surgical drain and
this drain is usually removed on Post-Operative day one or two. Lab tests are performed
the morning after surgery, and sometimes each day while
you’re here at the hospital depending on your surgeon’s preference and your recovery process. Bowel protocol is a very important part of your hospital stay. One of the most common side effects of narcotic pain medications
and anesthesia is constipation. We will start you on a stool
softener and/or laxative beginning on Post-Operative day zero. Our meal service at St.
David’s Medical Center is called Distinctive Dining. It is very similar to room service. You may call the dining
service between the hours of 6:30 a.m. and 7:30
p.m. to order your meals, which will be delivered
within 45 minutes to an hour. We have a variety of menus for different dietary preferences, so let us know if you have
a specific dietary need. For your safety, all of the
medications from our pharmacy are given a barcode that
the nursing staff can scan in order to record the administration into your electronic health record. This helps us keep a record of
what medications you receive while you are in the hospital. We ask that you never take
your own supply of medication without approval from your
registered nurse or doctor. The nursing staff will explain the purpose and potential side effects
of all the medications we give you. Due to possible drug interactions, herbal medications that
are not FDA approved are not allowed in the hospital, but you will often be able
to resume these medications when you are discharged home, depending on your surgeon’s orders. It is normal to feel
some post-operative pain after a joint replacement surgery. Here at St. David’s we use
a zero to 10 pain scale to assess your pain level. Zero being no pain and 10 being
the worst pain imaginable. Communicating with your
nurse and physician is the best way to achieve
effective pain control. If a medication is not working for you, please let the staff know. We can work with you to determine the best pain management plan for you. We will establish a comfort goal; a pain level at which
your pain is under control where you can rest,
perform daily activities and participate in therapy. Our goal is to keep your
pain level controlled and keep you as comfortable as possible following your surgery. Oral pain medications are
used as the primary form of pain relief after surgery. You will continue these medications when you are discharged
home from the hospital. You will start this
medication the afternoon or evening of surgery. It takes effect within
about 30 to 45 minutes and lasts for four to six hours. These medications are most effective if taken on a routine basis, so we will keep you on a schedule while you are in the hospital. These can be narcotic or
non-narcotic medications. IV pain medications are
used as an as-needed basis if the oral medications are not working. These medications take effect
within 10 to 15 minutes, but last for about two hours. Local anesthetic is a
medication that is injected by your surgeon during your
surgery into your incision site to numb the area. This medication lasts for 12 to 72 hours. Pain is very different and
unique for every patient. Your prescribed pain medication will vary depending on your history, and the severity of pain you are having. The side effects of narcotic
pain medications include constipation, nausea or vomiting, respiratory depression and
sleepiness and itching. You will be very closely
monitored by our staff while you receive pain
medication at our facility. If you start to run out of
your pain medication at home and you feel that you need more, please contact your
surgeon’s office for refills. Emergency room doctors will
not refill pain medications. Icing after joint replacement
surgery is very important. This will help control pain and swelling. Each patient will be provided
with cold packs after surgery. These are applied to your surgical site immediately following your surgery, and will be rotated
every three to four hours with new cold packs. The set of four cold
packs that you receive are yours to take home with you. Cold therapy units are typically used following shoulder replacement surgery. This motorized unit is
filled with ice and water and is kept on your surgical
site 24 hours a day. The ice will need to be
replaced about every four hours. The potential complications following a joint replacement surgery
include blood clots, pneumonia and surgical site infection. A blood clot, also known
a deep vein thrombosis, can form in one of the more of
the deep veins in your body, usually in the legs. Pneumonia is a lung infection. The signs and symptoms of
surgical site infection will be discussed in a few minutes, but reporting these
early is very important to your recovery. There are simple
activities that you can do to prevent these potential complications. Your surgeon has specific orders to help prevent blood clots. Anticoagulant medication,
also known as a blood thinner, is a medication ordered by your surgeon that you will start
following your surgery. The type of medication depends
on your surgeon’s preference and your medical and surgical history. You will take this medication
for two to four weeks, depending on the type of
medication that is ordered for you. T.E.D hose are white stockings
that are worn on both legs to prevent swelling and blood clots. You will wear these until
your follow-up appointment. The Sequential Compression
Device is worn on both legs while in bed to compress the calves. This helps with circulation
to prevent blood clots. The incentive spirometer
is used to help you take deep breaths following your surgery to keep your lungs open. The nursing staff will
instruct you on how to use this when you are admitted into the hospital. You will use this at least 10
times per hour while awake. The hospital follows strict
infection prevention protocols. The staff performs hand hygiene regularly, before and after entering
your hospital room, and before doing any dressing changes or handling your incision. You will be given IV antibiotics prior to and within 24 hours of surgery. You will not need to go
home on oral antibiotics after your surgery. The signs and symptoms of
surgical site infection include redness or increased
pain at your incision site, and change in your incision site color, odor or drainage amount. If you suspect you have an infection, or if your pain is out of control, call your surgeon or your
home health care provider. Your incision will be
covered with a dressing immediately following
your surgical procedure. The type of dressing depends
on your surgeon’s preference and the type of surgery you are having. If your surgeon uses gauze and tape, this dressing will need to
be completely waterproofed before showering. If your surgeon uses an Aquacel dressing, this dressing is water resistant. You will need to cover the dressing with Press and Seal Saran
wrap when showering at home. You cannot submerge
this dressing in water, so you will not be able to
take a bath or go in a pool until the dressing is removed and you are cleared by your surgeon. You may shower Post-Operative day one following your surgery. The nursing staff can
assist you with showering. The best way to prevent blood clots, pneumonia and constipation
is to get up and move. We strongly encourage all of
our patients to get out of bed, participate in therapy
sessions and to take walks. This will significantly
help your recovery. It is important that you take
proper safety precautions and ask for assistance
before getting out of bed. Do not get up without assistance. The nursing staff is trained
to assist with walking, standing, changing positions
and helping you get out of bed. You will be considered a high fall risk following your joint replacement surgery. This is due to possible
decreased strength after surgery, anesthesia and pain
medications, local anesthetic or nerve block and
anticoagulant medications that can make you more likely
to be injured from a fall. You will receive a pair of yellow socks, with a matching yellow wristband upon admission to the fourth floor. This will notify the staff
that you are a high fall risk and that you need assistance
with getting up and walking. Your safety is one of our main priorities. You will start your physical
and occupational therapy either the afternoon of your surgery or morning after surgery. You will see both a physical
and occupational therapist while you are here at St.
David’s Medical Center. These sessions will be twice a day, and are performed in your hospital room and in the hallways of the fourth floor. The therapists are
consulted by your surgeon for mobility and safety training and activities of daily living. If you have stairs in your home, our therapists will teach you
how to safely go up and down a flight of stairs following your surgery. On the day of your discharge, your surgery team will meet with you and determine that you
are ready to go home. Your nurse may need to obtain approval from the other physicians
involved in your care to make sure that you are medically stable to be discharged home. Our case manager will make
arrangements for your equipment and continued therapy. Once we have received all
of the appropriate orders, your nurse will give you
printed discharge instructions, including an updated home medication list. Please take the time to
review your instructions with your nurse and ask
any questions you may have. Our expected discharge time is 11 a.m., so if you are able, please
have a ride available and ready to pick you up at that time. If you do not have a follow-up appointment already scheduled, you will
need to call and make one when you are discharged
home from the hospital. The nursing staff will
provide instructions on when to make your follow
up appointment upon discharge. Typically, these appointments
are scheduled one to two weeks from the day of your surgery, depending on the type of surgery you had and your surgeon’s preference. At this visit, your surgeon
will remove any stitches from your incision site and perform a dressing change if needed. Do not resume driving until
you are cleared to do so by your surgeon and while
taking narcotic medications. Thank you for participating
in our educational video, and we look forward to seeing you for your joint replacement surgery. (light modern music) – I’m Troy Dill. I’m the nurse care manager
for the orthopedic unit at St. David’s Medical Center Austin. I’m gonna talk to you about
the discharge equipments and therapies that you’re gonna need. Now I wanna talk about
today is gonna cover 95% of my patients and it’s a brief overview. So for all my cases, what I
except you’re gonna need is a two-wheel rolling walker. If you’ve already got
one, that’s fantastic. If you don’t, I’ll work
on ordering one for ya. We can that ordered and delivered in about four to six hours
for private insurance. When I said delivered, I’m talking about here
to the hospital room. So you have it in the trunk of your car when you’re going home. For Medicare, well we’ll order it. A lot of times you might
have to go and pick it up from the certified vendor
that Medicare requires. But either way we’re
expecting you need that walker for about two weeks,
about 10 days, two weeks. And you’re doctor, normally he’ll tell ya or the home physical
therapist will tell ya when you can graduate off that walker and move you to either a cane or nothing. The rolling walker we expect all of our patients are gonna need. Now some other equipment I’m
gonna talk about right now, you may or may not need, but I just you to be
aware of what’s out there. So what we’re gonna be looking at is a bedside commode or a shower chair. Now the insurance companies,
for a bedside commode, they may cover that,
shower chair, they may not. Medicare won’t cover a bedside commode unless you don’t have
a toilet in your house. So the bedside commode,
what we’re lookin at is not so much to use it at the bedside, we’re expecting you’re able to walk, get up and walk household
distances after discharge, what we’re lookin at is
to use it like a riser, set it over your toilet, and so that way you’ve arm
rails and a seat that’s elevated just to help you get up and down. This is really for patients who are having problems right
now before your surgery, getting up and down off the toilet. The bedside commode, if it’s
not covered by your insurance, that is something that you
can find at retail stores, Walgreens, Wal Mart, CVS,
Amazon, Lowe’s, Home Depot, a lot of places, generally
for like $60 to $70. So with a shower chair, any
equipment for the shower, the insurance companies
won’t cover that stuff. So we just need to look
at when you go home, you just need to evaluate
if you need this stuff. So best case scenario is you go home, you’ve got a walk-in shower at your house, and you’ve got a bench built
into it, that’s perfect. But if you don’t have a bench, well then you can look
at buying a shower chair, which essentially is just a cheap chair, waterproof, you can buy em at
any of those retail stores, for generally about $30. But now if you’ve a tub/shower combo is your only way of takin a shower, well then there, I want
you to be really safe. So at that point, if you’re not safe, that first day you’re at home, well then hey, have a
seat, do a sponge bath, that’s the easy part. But if it continues for a few days where it’s you just can’t
get over that sill safely well then maybe you need
to look at getting like a tub transfer bench. And essentially it’s something like this where it’s two legs that sit in the tub, two legs sit outside of the tub, so you can sit down
safely outside of the tub, swing your legs across. It does get in the way of your
shower curtain or the door, so could let water pool
right outside your door, I do want you being
really careful about that, I don’t want you slipping. These are normally about $60 to $70, you can buy them at retail stores. But I want you waiting and
seeing what you really need before you go home. When you get home you can
wait two or three days and that’s when you can really assess if you need any of this equipment. Cause again, this is stuff
that the insurance companies typically won’t cover. So that covers all the equipment, the durable medical equipment. So next I wanna talk
about the disposition, like what’s gonna happen
after your surgery. And we’re gonna work on
settin you up to go home with home physical therapy. But also really importantly to have a friend or a
family member there with you for the first two to three days at least. Mostly just to call
for help if you need it but also to help you out around the house just a little bit. Now if they can stay with you for the first two weeks
that’s absolutely fantastic. Besides having that friend or
family member there with ya what we’re lookin at setting up is the home physical therapy. I use home physical therapy,
home health company, that’s interchangeable. So when I talk about home health care your surgeon has a preference
but your choice wins. If you’ve got a home therapy or home health company you
prefer, that’s your choice. Otherwise I’ll talk to ya and I’ll offer you your
surgeon’s preference, I’ll get your permission, we’ll send a referral out, and we need to find out
two things from them. One, are they in-network
with your insurance and two, can they come out and
service your location? Now the ideal is that we get it all set up and this should happen
about 95% of the time, we get the home health your doctor wants. They should come out every
other day for about two weeks, each visit lasting about
45 minutes to an hour. Generally it’s just for physical therapy. Cause that’s really all you’re gonna need. We’re gonna be getting you up the first night of your
surgery, that night. So you’re gonna be up and moving, we’re gonna get you going
pretty quickly there. So there’s some combinations
of private insurance, and location where I
just can’t find an agency willing to accept. That’s generally about a 5% of my patients but it’s a possibility. If that’s the case we
might have to jump to the second step a little bit earlier. Now the second step is normally after you go and see your doctor at your two week follow-up. You go in and see him and
he normally sets you up for outpatient therapy. That’s where you go to a
physical therapist office or a rehab center, but
somewhere convenient for ya. And so if you’ve got a
place down the street and you’d like to use them or you’ve used somebody in the past you can continue using,
that’s your choice. Otherwise, typically your doctor or his PA will be the one who help you set up for that outpatient physical therapy and they’ll send the orders
over from his office. It used to be the case
where all our patients would come in and stay
for five to seven days and then we’d send them
to another facility, like a skilled nursing
or a rehab facility. And you’d go there and stay for another two to three weeks. That just doesn’t happen anymore, we’ve made such
advancements in orthopedics that nowadays you’re goin
home post-op, day one or two, and you’re already up and walking and you’re doin really well. Essentially it’s to the point where the insurance
companies don’t authorize us to send you to these facilities and I just want you to be aware they’re only gonna be looking at, severe medical criteria
to meet these points. We’re talking things like Parkinson’s, or having a previous stroke, they’re not gonna take into consideration what they consider social issues. Which are things like living
in a tenth floor walk-up with 15 kids and no elevator access and nobody else to help ya. But they also don’t
take into consideration other orthopedic factors like, if you’re other knee is starting to hurt, and you’re gonna need that surgery soon. That doesn’t play into
their ability to accept. And that’s for both private
insurance and Medicare. That concludes my portion
of today’s presentation. We look forward to reaching
out and speaking with you either post-op day one,
the day after your surgery, or via phone if you have
one those Friday cases. At this point I just wanna
say that I appreciate that you chose St. David’s
Medical Center Austin and I’d like you to have a good day. (light modern music) (gentle upbeat music) – Hi, my name is Brian, and this is Lena. We are Physical Therapist
Assistants here at St. David’s Medical Center. Today we are going to be
going over post-operative total knee and total hip exercises. The following exercises are for total knee and total hip post-op. (gentle acoustic music) Ankle pumps. Moving your ankles forward and backward. 10 reps, three to four times per day. (gentle acoustic music) Quad sets. Tighten your quad, hold three seconds, 10 reps, three to four times per day. (gentle acoustic music) Heel slides. First, bend your knee and
your hip as far as you can, then use sheet to assist further
into the range of motion. 10 reps, three to four times per day. (gentle acoustic music) Short arc knee extension. First, flex your foot. Keep the back of the knee
in contact with the roll, raise your lower leg up,
hold, and then relax. 10 reps, three to four times per day. (upbeat acoustic music) Knee extension stretch. Place foam roller under
lower leg, allow gravity to straighten the knee for 15 minutes, three to four times per day. (gentle acoustic music) Straight leg raises. Bend non-operative leg, then you’re gonna flex your foot on the operative side, tighten your quad and
raise your leg no higher than the knee that’s bent. And relax. Repeat 10 times, three
to four times per day. (soft acoustic music) Glute sets. Squeeze buttocks, hold for three seconds, 10 reps, three to four times per day. (upbeat acoustic music) Lateral leg slides. On operative side, point
toe up towards the sky. Move leg out to the side and back in. 10 reps, three to four times per day. Performing these exercises
will be important to your recovery time. Thank you for choosing St.
David’s Medical Center. (gentle acoustic music)

Randy Schultz

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1 thought on “St. David’s Center for Joint Replacement Pre-Operative Education

  1. Mary Duncan says:

    Thank You Guys for a wonderful introduction!

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