Transcript for: Pre Op Patient Video
Hello and welcome to the pre-operative education for hip and knee replacements. This recording will be presented by myself, Courtney Mundy, the orthopedic navigator for WY Regional Health Network at the Midtown site. This presentation will discuss the following agenda.
First, your pre-operative appointment. Next, the date of surgery and what to expect. Thirdly, the post-operative expectations followed by medications and physiotherapy and the structure of follow-ups after your surgery. You're watching this presentation because you've been booked for a knee or hip replacement at the Waterloo Regional Health Network Midtown site. There are a lot of similarities for pre-operative preparation and recovery expectation between the two types of surgery.
Therefore, this presentation will provide a brief overview of what to expect for both surgeries and the recovery process. Please do not come to the hospital if you are sick. If you need to reschedule your pre-surgery appointment, please call patient bookings at the number 519749 4254. If you are sick on the day of surgery, your surgery will have to be postponed and rescheduled.
Please call the hospital to the day surgery department at 5197494300 extension 2646. Your pre-operative appointment will occur approximately 1 to 3 weeks before your surgery. The hospital will call you from our booking department with the appointment information, date and time.
Occasionally, there are extenuating circumstances or travel plans that will affect your booking date. If that is the case, please call our booking department at 5197494254 and we can do our best to work around that. Your pre-surgery appointment will occur at the Midtown site approximately 1 to two weeks prior to your surgery. You will be contacted by the hospital booking department around this time to confirm your appointment. For this appointment, please bring all of your home medications, including creams and eye drops, ideally in their original packaging or blister pack.
This does include bringing vitamins and supplements. If you cannot bring your medications in their original packaging, an updated list from your pharmacy can be used instead. However, a handwritten list will not suffice. At this appointment, patients typically have blood work, an X-ray, and an EG completed. You will meet with the ortho navigator and our anesthetist. It will be at this appointment that we will discuss day discharge which is the typical discharge plan for most joint replacements. Surgery timing will also be confirmed during the appointment as well as when to present to hospital.
Prior to this appointment, you should receive a phone call from our occupational therapist. They will discuss with you your current situation and home environment as well as provide education on preparing your home for after surgery. An occupational therapist will connect with you by phone before your surgery and preferably before your pre-surgical appointment to talk to you about discharge planning. The occupational therapist will look to capture details about your current home environment, your current function, and any supports you have.
They will also go over education on how to prepare your home, moving safely, uh types of equipment you may need, as well as navigating some supports such as booking physiotherapy in the community. All individuals going for a joint replacement will be required to secure equipment such as a mobility aid, preferably a two-wheeled walker, a cane or crutch for stairs, as well as a toilet aid, uh, and perhaps other equipment depending on the joint being done, such as long handled devices. Keep in mind that there is a six-week period for both the hip and the knee after surgery where you will be required to follow movement restrictions.
These are called joint precautions. For the knee, they're called knee precautions and for the hip, they are called hip precautions. They are available for review in the joint replacement guide book that you receive at your pre-surgical appointment in the hospital, but the occupational therapist will also be going over these in detail with you on the phone. Another thing to keep in mind is that it's very important to reduce your activity after surgery, including reducing stair use, using your walker consistently in your home, as well as recovering on a floor with a toilet if possible for safety.
On the day of surgery, you will be instructed to have nothing to eat after midnight the night prior to your surgery. You will be allowed to drink clear fluids, including water, apple juice, or cranberry juice, up until 5 or 8:00 a.m., depending on your surgery time. These instructions will be clarified in your pre-operative appointment. You can take medications on the morning of surgery with a sip of water. You will be instructed by the health care team at the preop appointment regarding which medications you can and cannot take on the day of surgery.
When you come to hospital on the day of surgery, please proceed to patient registration first, which is located on the second floor. After registering, you will be directed to our date surgery unit. Please arrive 2 hours prior to your hip replacement and 3 hours prior to a knee replacement. Please note, our day surgery unit does not open until 6:00 a.m. Therefore, if you are booked to have your knee replaced at 8:00 a.m. Do not show up at 5:00. You will be instructed to bring your CPAP with you and generally your cane.
You are welcome to bring books, bones, and your toothbrush, especially if you are admitted. There are various anesthetic options available to you for your replacement surgery. These will be discussed with you in more detail in your pre-operative appointment. As a quick overview, we typically recommend and offer three types of anesthetic for a knee replacement, including a spinal anesthetic to freeze it from the waist down, an IP pack anesthetic, which is a single injection behind your knee to freeze your knee the first 24 hours, as well as an adductor canal block, which is a continuous infusion that patients are sent home with and helps with pain control through first three and a half days for a hip replacement.
It is typically a spinal anesthetic for same day discharge for an admission. You have the same criteria. There are some symptoms that we do tips to improve your recovery process. Good nutrition is important for your recovery. We recommend increasing your protein intake for two weeks before your surgery and two weeks after your surgery. This can be through dietary sources such as chicken, eggs, egg whites, almonds, or through the addition of a supplement such as a protein shake. We do not recommend that you undergo a new diet, dietary changes, or a cleanse prior to surgery.
Physiotherapy is also important even before your surgical procedure. There are a list of exercises in the hip and knee book available on Grand River Hospital website for you to complete after surgery. And we do recommend that you start these surgery these exercises before your surgery to help build your muscle and your strength. Post-operative expectations medication postoperatively you will receive physiotherapy is very important during as previously discussed mobility aids following surgery for your follow-up you Finally, seamless MD. Thank you for your time and attention.
