HINTS DURING HOSPITALIZATION
you are hospitalized for your total joint surgery various
staff members will be working with you to assure that you
receive the best care possible as well as the most effective
transfer from hospital to home or other facility.
hospitalization period no doubt will be a time of some level
of anxiety for most patients. While this is common, hopefully
by reviewing the information presented here as well as the
other patient topics, your fears will be lessened and you
will be better prepared to actively participate in all phases
of your decision for total joint surgery.
TO BRING - As discussed in the pre-operative helpful hints,
be sure to bring your lists of medications and questions
with you. This will assist the staff throughout your hospital
stay and will allow you to have all the topics important
to you discussed with the appropriate personnel. Bring
your insurance card, any insurance information helpful
to your care, and any other papers you have received regarding
- As mentioned in the pre-operative information, please
bring any assistive devices you are currently using or
plan to use. You should also bring with you shoes or slippers
that have a non-skid sole, and are closed in the back.
To review other items you may want to bring with you,
please see [HELPFUL
HINTS PRE-OPERATIVE PHASE].
- DAILY CHECK-UPS
residents assigned to your care typically make rounds
twice a day, early in the morning before breakfast and
again late in the afternoon. If you have any questions
or concerns regarding your progress, please take advantage
of these times to get answers. Your surgeon may make rounds
daily also, but not necessarily at the same time as the
residents. However, the residents and your surgeon communicate
frequently to review your case and make any adjustments
in your care that are necessary.
MANAGEMENT - Prior to your hospitalization
you will be interviewed either in person or via the telephone
by your case manager. Information regarding your plans
for discharge will be obtained along with information
regarding any special needs you may have. The case manager
will review these plans again with you while you are hospitalized.
Any adjustments to your discharge plans will be made based
upon your status and progress made while in the hospital.
AND OCCUPATIONAL THERAPY -
BE READY FOR A WORKOUT - Expect two sessions of physical
therapy and one session of occupational therapy beginning
on the first post-operative day and continuing daily while
in the hospital. The therapists will work with you to
help achieve your goals for discharge and recommend any
changes that may be necessary in your discharge plan.
A very helpful benefit to patients is to have whomever
will be caring for you at home attend at least one session
of physical/occupational therapy. By doing so, this person
will be familiar with what the plan of care is for you,
will know your restrictions, and also know what areas
to assist you with after discharge. Please request this
session with your therapist prior to discharge if it is
- Once you, your case manager, and your physician
have agreed on the discharge plan that best fits your
needs, the case manager will refer any home care needs
to the hospital based home care department. The staff
here will then review your discharge plan, check your
insurance coverage, and make all necessary arrangements
for any home care that is required. The home care nurse
making these arrangements may meet with you to review
the arrangements or may communicate this information through
your case manager.
OF DISCHARGE - The day of discharge
from the hospital can be a hectic one. By following these
hints we hope to make the day an easier one.
to attend at least the A.M. therapy session. This allows
for another review session and also gives you a chance to
ask any last minute questions.
should receive a copy of your physical therapy exercises
and any instructions pertinent to your rehabilitation after
sure that you have all information regarding any home care
arrangements made, including a telephone number of the agency
assigned to your care in case of any problems.
instructions should be discussed and a copy given to you
by the case manager and the nurse who is discharging you.
sure any dressing supplies or equipment ordered are given
to you prior to discharge.
you live out of state, have any pain medicine prescriptions
filled here prior to leaving the hospital. This is usually
necessary, since the pain medicine ordered is often a narcotic
and most states will not honor a prescription written by
an out of state physician.
you are traveling any distance home, take your pain medicine
before you leave the hospital to allow for a more comfortable
you are being transferred to the rehab unit here or to another
facility, be sure that you have the name and telephone number
of your case manager or physician as a contact person for
the rehab personnel to reach for any questions regarding
- The information and tips offered here are suggestions and
ideas gathered from our experience with patients. We realize
that each person is unique and the suggestions offered here
may need to be altered to fit the individual's needs. We do
hope however, that this information can act as a guide for
your care while hospitalized.