Total Joint Camp - Genesis Medical Center, Davenport
"It's A Joint Effort"
Our program offers a vast array of affiliated physicians which specialize in orthopedic trauma surgery, total joint replacement, hand and upper extremity surgery, foot and ankle surgery, and pediatrics.
Please take time to review information that was presented to you at your Total Joint Camp class prior to your surgery.
The team who will help you during your stay includes:
- Physician & Anesthesiologist
- Surgery Scheduling
- Pre-Admission Services
- Social Worker
- Physical Therapy
- Occupational Therapy
- Home Medical Equipment representative
We want to help you to:
- Have a POSITIVE surgical experience
- Achieve YOUR goals with the best results
This class will:
- Properly prepare you for the day of surgery.
- Help you better understand typical procedures and equipment.
- Enhance your physical recovery.
- Allow you to return to your usual “Activities of Daily Living” (ADL’s) as quickly as possible.
Preparation- Pre-Admission Activities
You will be contacted by a Pre-Admission Nurse to:
- Schedule pre-surgical testing
- Obtain medical history
- Verify medications
- Discuss equipment needs and discharge plan
- Discuss safety issues at home after surgery
- Home Safety Checklist
- Day Before Surgery Checklist
- Checklists are included in your packet Please review and implement changes prior to surgery.
Day Before Surgery:
- DO NOT eat solid food for 6 hours prior to procedure. Meal should be light, no fried or fatty foods. Water, black coffee or clear tea (no cream or milk) may be taken up to 2 hours prior to procedure.
- DO NOT drink alcohol for 24 hours prior to your surgery.
- DO NOT smoke after 8 p.m. the night before your surgery. (Remember, Genesis is a “Tobacco Free” campus)
- DO NOT bring valuables, money, or jewelry. All jewelry and body piercings must be removed.
- CALL your doctor if you are ill or have a fever.
- Bring CPAP or BiPAP machine to hospital.
- Bring Blood Band with you to the hospital.
Preparation- While in the hospital
Plan to be hospitalized for 1-3 days.
How long you are hospitalized will depend upon:
- How well you have met your goals
- General health, physical strength
- Available assistance (spouse, family, friends)
- Structural barriers (stairs, 1st floor bathroom, bedroom, etc.)
- Facilitate discharge by 11:00 a.m.
- Equipment needs for home, in-home therapy.
- Outpatient therapy
- Explore facilities for short stay after hospitalization for therapy.
- Advanced Directives
- Identify who is available to help you 24 hours a day for several days if needed.
- Contact Social Worker for questions or concerns at 563-421-1083.
Home Medical Euipment
Nutrition Before Surgery
A well balanced diet with lots of variety is important.
- Review nutrition information in packet.
Meal Prior to Surgery:
- Avoid eating a heavy meal prior to your surgery.
- Instead, eat a light, low fat meal to minimize nausea & vomiting
- Stay hydrated.
Nutrition For Diabetes:
It is important to have your glucose in good control.
If you take medication that lowers your blood sugar, have items ready for when you get home:
- Regular soda
- Hard candy
- Carbohydrate choice
- Keep the above items easily accessible at all times
Nutrition In The Hospital:
There is no specific diet for joint repair patients. Depending upon your recovery, your diet may advance as follows:
- Clear Liquids – broth, tea, gelatin, & juices
- General Diet – well balanced diet to maintain good health
- Alert staff to special dietary needs
Nutrition At Home:
Needs can generally be met by eating a well balanced diet. If extra nourishment is needed, you may try:
- Carnation Instant Breakfast
Day Of Surgery
Report to Outpatient Care Center in Pavilion 1:
- Identification bracelet
- Check of history, allergies, review medications
- Sign consent forms
- Prep surgical site
- Start IV & receive antibiotic
- Empty bladder
- The Anesthesiologist will meet with you to discuss your anesthesia options.
- Surgical Site Marking (done by surgeon)
- To wash my hands before & after I care for you.
- To check your name and birth date before performing any tests or treatments.
- To verify the name of any medication & confirm that it is for you.
- To check if you believe you are about to receive the wrong medication or test.
- To help you with your pain.
- If there is anything you do not understand.
- If you have any concerns about your care or treatment.
Pain Management Protocol:
- Pain medications will be given orally or through an IV before and after surgery.
- Your pain level is an extreme concern to our medical team.
- Pain management reduces the need for narcotics and injections.
- Spinal Analgesia eliminates pain from a specific region of the body.
- The patient may remain awake or be sedated during the procedure.
- Complications are very uncommon
- Increased level of pain control
- Decreased nausea and vomiting
- Fewer breathing problems
- Lower level of heart problems
- Decreased drowsiness
Positions for Spinal Anesthesia:
- Your family will be shown where to wait while you are in surgery.
- There will be a nurse with you at all times.
- For your safety – “Time Out” process in the operating room.
Anesthesia Equipment Used In The Operating Room:
Anesthesia machine is equipped with monitoring devices and supplies used to keep you safe and comfortable during your procedure.
Operating Room Environment:
- The operating room will be cool, we have plenty of warm blankets.
- The room may be a little noisy as the staff are busy getting the supplies ready for you.
- You will notice bright lights.
- Your surgeon and the staff assisting during your procedure will be wearing a helmet with a face shield to help protect you from infection.
- Your family will be notified when surgery is completed.
- You will be transferred to the Post Anesthesia Care Unit – (Recovery Room or may be called PACU).
- When you wake up you will feel oxygen blowing softly under your nose.
- A nurse will be at your bedside monitoring your status and pain level.
- You will stay 1-3 days in a private room. Each room has Wi-Fi, and cable TV.
- Therapy and nursing care will take place in your room on the Orthopedic unit.
Post Operative Nursing Care:
- You will learn to use an Acapella Airway Clearance Device (pickle) to expand your lungs & clear airway secretions.
- Turning, sitting at the bedside.
- Dressing, Drain, Abductor pillow, and CPM.
- IV and blood transfusion(s).
- Special precautions will be taken to prevent blood clots.
- You will be asked to rate your pain on a scale from 0-10.
Post Operative Care
Medications and Pain Management:
- Home medications after surgery
- Pain control post-operatively
- Medications for nausea
- Cogent Physician – 24 hour care while in the hospital
- Primary Care Provider
- Occupational Therapy focuses on self-cares: bathing, dressing, toilet transfers and tub/shower transfers.
- These activities will be reviewed with you during your stay to ensure safety with these activities prior to your return home.
- OT sessions will be 1x/day until goals are met.
Occupational Therapy- Activities of Daily Living (ADL’s):
- Long handled sponge
- Shower grab bars
- Hand held shower nozzle
- Dressing stick
- Shoe horn
- Sock aid
- Elastic laces
- Initial visit- same day OR day after surgery depending on doctor.
- Discuss home setup, equipment needs & goals to return home.
- Treatment is individualized based on goals & daily progress.
- PT sessions: twice a day during the week.
- Bed mobility
- Transfers: chair, toilet Walking with walker or crutches (100-150 ft)
- Home exercise program
- Total knee range of motion
- Stair negotiation
- Car transfer - total hip patient
- Family training
- Education: hip precautions & weight bearing restrictions
Physical Therapy Related Equipment
- CPM (Continuous Passive Motion Machine)
- Gait Belt
- Pain Management
- Proper footwear/loose clothing
Discharge from Hospital
When Physical Therapy goals are met (1-3 days).
Outpatient therapy, In-home therapy skilled nursing care with continued therapy.
- Assess safety of home environment, progress exercises for joint strength and range of motion, advance mobility to return to prior activity level.
- Assess ability to complete basic activities of daily living and assist in achieving independence. Recommend and provide adaptive equipment.
- Assess surgical site, assist in medicine and pain management, complete home blood draws.
Home Health Aide
- Assist with bathing and personal care
After The Hospital
Genesis Outpatient Physical Therapy Options:
- Wide variety of equipment
- Wear appropriate clothing
- Have a Support System
- Take your pain medication
- Time frame for optimal outcome
Things to Contemplate Before Therapy
- Goals for therapy
- Functional activities