Before
Knee replacement is pretty scary, but you can do it since I, the biggest baby in the world, did it! After you and your doctor have decided you need your knee replaced, it's time to make preparations.
Pet Pillow
First and foremost, check with your guarnatee company to make sure which benefits you have. Find out specifically how long they will allow you to stay in the hospital. Many guarnatee fellowships will make you leave the on the fourth day after the carrying out and they may send you to a "rehabilitation facility", which in their jargon could mean a nursing home.
In my experience, I was transferred to the nursing home on a Friday. This meant I would not be evaluated by their visiting physical therapist until Monday. Because of that I declined from a 90 degree bend in my new knee to a 70 degree bend, in just three days. All my rehab in the hospital had just gone down the drain and I had to start all over again. Just so you know, you will be working towards a 125 degree bend after the Knee replacement Surgery.
I won't even go into the other down sides of being in nursing home. One funny thing that did happen is that I was the hot new chick; remember this is a nursing home. So, it is very leading to know how the guarnatee company will deal with you before, while and after the knee surgery.
Call the number on the back of your guarnatee card and ask the following questions:
o Find out with whom you are speaking, their position and their postponement number.
o I want to know what benefits I have for a total Knee Replacement.
o Do I have skilled physical Therapy benefits in the hospital where the surgery takes place for the Knee Replacement? Yes or No? If yes, what are they?
o Do I have restoration benefits for the Knee Replacement? Yes or No? If yes, what are they? Where may I go for the services?
o Do I have restoration equipment and supplies covered for the Knee Replacement? Yes or No? If yes, what are they? Is there a co-pay?
o Do I have ongoing patient therapy benefits for after the Knee Replacement? Yes or No? If yes, what are they? Where may I go for services?
o Do I have home therapy benefits after the Knee Replacement? Yes or No? If yes, what are they? Which Home health agencies may I use after the Knee Replacement?
To claim your independence at home, after your Knee replacement Surgery, buy a bar refrigerator that will go on a table next to your bed. This will be invaluable when you do come home. Stock it with water, sodas, milk, Jell-O's and individual pudding snacks. Fresh fruit is also a good snack. buy the 2 oz boxes of cereals and stack them beside the refrigerator. Put a large plastic drinking cup next to the bed and weight it with a golf ball, which will hold plastic utensils, knives, forks and spoons (the golf ball keeps it from tipping over). Use a plastic bowl for the cereal and throw it away when you're done. Bumblebee Tuna makes an individual lunch kit that comes pre-made with crackers and a exiguous wooden spoon.
These exiguous things will help you feel independent by being able to get breakfast, snacks and an occasional lunch on your own. It also gives your care giver a exiguous break. I found that there were some days that I had no appetite due to pain and/or medication so I kept a stock of Slim Fast or Boost in the refrigerator for basic nutrition.
If you smoke, now is the time to stop or at least cut down. Smoking constricts your blood vessels which is not a good thing when you're going in for major surgery. If you tend to be a exiguous over weight try to lose a few pounds. A exiguous less weight on a new knee joint, means a exiguous less pain. Okay, no more preaching.
Line up the population that will be helping you after your Knee replacement surgery and, believe me, you will need them. If you can afford it, hire someone to come in for 4-6 hours a day. They will help you get out of bed, shower and get dressed. They get ready your meals, help you with your therapy exercises, keep you company and give your spouse or essential other, a break. Interview them now and let them know what your timing is. Your church would be a good place to find someone, or if you live near a seclusion community, many times they have companions of their own that are finding for some extra income.
This isn't essential but I think wise. Donate two pints of your own blood in case of an emergency. Make sure that this is completed at least a week before the surgery. You have to donate one pint per week. If you are taking antibiotics wait five days before giving blood. The blood bank will give you a card with the unit number on it that you gift upon admission to the hospital.
You will need Grab Bars put into your shower/tub (don't use your towel bars). Put them in before you have the surgery, facility is not that difficult and you will be grateful for the assistance over the next combine of months. This is a major protection issue. Balance will be tough after your Knee replacement surgery especially the first combine of weeks. You should buy a shower stool so you can sit while bathing. Your doctor may supply you with a cast protector to keep your new knee dry.
Purchase three rubber mats, one for in the shower/tub and the other two to be lined up parallel face the shower/tub. You do not want to slip on a wet bathroom floor.
There is a product; a disposable body wash cloth, available that you can use to bathe in your bed. They can be placed in the microwave to be heated up and you can use them on days that you just can't face the shower. They come in packs of eight. While they say to use all eight for one bathing I found that four were sufficient. Just close up the remaining four and use save them for the next time.
You will need a pair of slippers that cover the whole foot with a non skid bottom, flip flops are just too dangerous. You will also need a pair of lace up shoes for stability.
Some other items that you may need are:
o Tv with Remote Control
o Telephone/emergency numbers
o A night light for the bathroom
o Handi wipes
o Bedside Commode/Toilet paper
o Tissues
o Dental floss, toothbrush, toothpaste
o Bell to ring for assistance
Another advice is to clear all the pathways in your home. Scatter rugs and cords are often the cause of falls, so are pillows and magazine. Take off articles from around the bed and chairs. Keep your pets under control. A dozing cat or a playful puppy in the wrong area can cause accidents.
Get a manicure, pedicure and haircut. They will be the last for at least eight weeks. Heck, if you can afford it, throw in a massage. If you like baths, take a long hot soak with lots of bubbles. This will be the last time you will be using your tub for that operation for some time.
Draw up a Living Will Directive and Declaration. Sign a Durable Power of Attorney/Proxy, and prescription a health Care Surrogate. These are for your protection and are very important.
Do not take anything valuable. Leave your purse, your wallet, money and jewelry at home. If you're female bring in a exiguous make up. It will make you feel better and will take your mind off your knee for a while. Bring in a book, you may not read it but at least you'll have something to take your mind off of why you're there.
During And After Your Big Day
This is how your day of surgery will progress:
Get to the hospital at once at the time specified by the admissions office. Paper work needs to be done before you are admitted.
After being admitted, you will tiptoe to the pre-op room, where the nurses will retell your test results and history. They will get you ready for surgery. Whoever brought you to the hospital will be able to stay with you to this point.
The nurses will insert an Iv before surgery and infuse your prescribed antibiotic.
You will be wheeled on a gurney to the operating room "holding area".
This is where you will see the anesthesiologist prior to surgery. He will ask you how much you weigh. Don't even think about lying. The number of anesthesia is based on your weight.
After the surgery you will awaken from the anesthesia feeling groggy. Your mouth will be dry and there will be pain at the surgical site. You will be given pain medication and ice chips.
A bulky bandage and a drain will be gift at the site.
You may have compression stockings on both legs to prevent the risk of blood clots.
Once your blood pressure, pulse and breathing are stable, you will go to a room in the Orthopedic/Surgical Unit.
The Balance of the day is to recover from the surgery. You will be very tired so sleep as much as you can. It will be annoying but the nurses will come in very often to check your vital signs and, yes, they will wake you up. Use this day to sleep, relax and keep yourself calm. Tomorrow the physical therapy starts.
o You may be able to drink water after surgery when fully awake. Your diet will be soft and will progress as you can tolerate it.
o Your doctor may have ordered a Pca (Patient Controlled Analgesia) to control your pain medication, or injections and/or pain pills. If the Pca is ordered, the nursing staff will supply further facts about how to use its button.
o Nurses will periodically ask you to rate your pain intensity on a 0-10 scale. (0=No Pain, 10-worst pain ever). Be honest!
o You will be asked to take deep breaths and cough. You should do this every 1-2 hours while you are awake to prevent congestion in your lungs. The doctor may even order an incentive spirometer to breathe into. Exhale deeply and hold for 3 seconds and then inhale. Do this 10 times every hour while awake.
o Flex your ankles 10 times every hour while awake to decrease risk of blood clots in your legs.
o Turn from your back to your sides every combine of hours to prevent skin irritations and to help circulation.
If you want further facts on the definite descriptive detail of the carrying out go to http://www.JointReplacement.com. You can get every last detail there.
Okay, it's the day after surgery and the physical therapy division knows you're here, they know your room number and they know the bed number. They will come, ha ha. The therapists know how to deal with you, let them guide you. It's going to be painful. Try to find out from the nurses what time your therapy is scheduled, so you can time a pain killer thirty to forty minutes before they arrive.
Things that should be ordered by your doctor from a medical supply store, delivered to your house and covered by insurance:
o Over the toilet commode with arms
o A commode for next to the bed to use at night
o Wheelchair
o Crutches
o Cast/wound protector for the shower
One thing that is very helpful is a "Reacher Arm". It's invaluable for picking up things that you drop or can't reach.
You must do all the exercises the doctor orders. The more you do them, the faster you will get back in shape. I will not kid you, the exercises will hurt but they surely are essential. If you have entrance to a pool, use it to do aquatic exercises, which will build up your muscles and ligaments, so it won't hurt as much.
One last thing, sleep as much as you can. While you sleep your body heals!
Good luck with your replacement and I promise you, it will be worth it!
Knee change surgery - What You Need To Know From man Who Has Been There
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