KNEE REPLACEMENT - PERKS PROGRAM

[Pages:28]KNEE REPLACEMENT - PERKS PROGRAM

Getting each patient to the desired outcome,

without harm, without waste, and with an exceptional

experience.

PERKS

Program for Early Recovery from Knee Surgery

Table of Contents

Before Your Surgery

KOOS Survey...................................................................................................................................................3 General Hospital Information.................................................................................................................5 Before You Come in for Surgery...........................................................................................................5 Home Assessment Checklist for Fall Hazards................................................................................7 Diet........................................................................................................................................................................ 9 What to Bring to the Hospital............................................................................................................. 10

Your Hospital Stay

Preventing Complications....................................................................................................................... 12 Knee Surgery Plan of Care.................................................................................................................... 13 Physical Therapy........................................................................................................................................... 16 Pain..................................................................................................................................................................... 16 Swelling Control.......................................................................................................................................... 17

After Your Surgery

Knee Joint Replacement ? Discharge Education........................................................................ 19 Exercises Before and After Your Knee Surgery.......................................................................... 20 Assistive Equipment for Activities of Daily Living...................................................................... 22 Durable Medical Equipment (DME)................................................................................................ 23 Living with Your New Joint..................................................................................................................... 24

Preoperative Knee Replacement Class is scheduled by your doctor's office.

Days and times vary. Class lasts approximately 11/2 hours.

Location Surgery Entrance Mission Hospital ? Memorial Campus 509 Biltmore Avenue Asheville, NC 28801

Please bring this booklet with you to class. For information, call (828)213-2693.

BEFORE YOUR SURGERY

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Pre-Surgery Survey

Date ________________ Name ________________________________________ Date of Birth _________________

Instructions: The information you provide in this survey will help us keep track of how you feel

about your knee and how well you are able to perform your usual activities. Answer each question by checking the appropriate box (only one box per question). If you are unsure about how to answer a question, please give the best answer you can.

Never Rarely Sometimes Often Always

Symptoms

These questions deal with your knee symptoms during the last week. S1. Do you have swelling in your knee? S2. Do you feel grinding or hear any noise when your knee moves? S3. Does your knee catch or hang up when moving? S4. Can you straighten your knee fully? S5. Can you bend your knee fully?

01 234 01 234 01 234 01 234 01 234

None Mild Moderate Severe Extreme

Stiffness

These questions deal with the amount of knee joint stiffness you have experienced during the last week. Stiffness is a sensation of restriction or slowness in the ease with which you move your knee. S6. How severe is your knee joint stiffness first thing in the morning? S7. How severe is your knee stiffness after sitting/resting during the day?

01 234 01 234

Never Monthly Weekly Daily Always

None Mild Moderate Severe Extreme

Pain

P1. How often do you experience knee pain? What amount of knee pain have you experienced in the last week during the following activities: P2. Twisting/pivoting on your knee P3. Straightening knee fully P4. Bending knee fully P5. Walking on a flat surface P6. Going up or down stairs P7. At night while in bed P8. Sitting or lying P9. Standing upright

0 1

0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1

2 3 4

2 3 4 2 3 4 2 3 4 2 3 4 2 3 4 2 3 4 2 3 4 2 3 4

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None Mild Moderate Severe Extreme

Function/Daily Living

These questions deal with your physical function during the last week. A1. Descending stairs A2. Ascending stairs A3. Rising from sitting A4. Standing A5. Bending to floor/picking up an object A6. Walking on a flat surface A7. Getting in/out of car A8. Going shopping A9. Putting on socks/stockings A10. Rising from bed A11. Taking off socks/stockings A12. Lying in bed (turning over, maintaining knee position) A13. Getting in/out of bath A14. Sitting A15. Getting on/off toilet A16. Heavy domestic duties (moving heavy boxes, scrubbing floors, etc.) A17. Light domestic duties (cooking, dusting, etc.)

Sports and Recreational Activities

The following questions concern your physical function when being active on a higher level. These questions should be answered by the degree of difficulty you have experienced during the last week due to your knee. SP1. Squatting SP2. Running SP3. Jumping SP4. Twisting/pivoting on your injured knee SP5. Kneeling

Quality of Life

Q1. How often are you aware of your knee problem?

01 234 01 234 01 234 01 234 01 234 01 234 01 234 01 234 01 234 01 234 01 234 01 234 01 234 01 234 01 234 01 234 01 234

01 234 01 234 01 234 01 234 01 234

01 234

None Mild Moderate Severe Extreme

Never Monthly Weekly Daily Always

None Mild Moderately Severely Extremely

Q2. How much have you modified your lifestyle due to knee issues? Q3. How much are you troubled with lack of confidence in your knee? Q4. In general, how much difficulty do you have with your knee?

01 234 01 234 01 234

Knee Injury and Osteoarthritis Outcome Score (KOOS) ________

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General Hospital Information

Hospital Operator

(828)213-1111

Orthopedic Unit (828)213-2600

Education Office

(828)213-2693

Visiting hours are 10:00 a.m. until 8:30 p.m. Visitors between 9:00 p.m. and 5:00 a.m. must receive a pass at the information desk (first floor, main entrance).

The cafeteria is located on the 2nd floor. Cafeteria hours are:

Breakfast 6:15 a.m. - 10:00am Continental Breakfast

Lunch

11:00 a.m. - 2:00pm Deli, Soup, Salad & Grill

Dinner

4:30pm - 7:00pm

Deli, Soup, Salad & Grill

10:00am - 11:00am 2:00pm - 4:30pm 7:00pm - 10:00pm

Mission is a nonsmoking facility If you smoke, try to stop. If you cannot stop, cut down. This will help with the healing process and speed your recovery.

Before You Come In For Surgery

Prepare or purchase frozen meals, canned soups or easy-to-prepare foods for use after you return home.

Obtain any equipment you anticipate needing (see page 22).

Make sure you have a safe, sturdy chair with a high, firm seat and arms on it for support.

Discuss advanced directives with your family. Complete these forms, if desired, and have them notarized. Bring copies with you to the hospital.

Stop smoking or try to cut back (you will not be allowed to smoke in the hospital).

Do not take any medications that can thin your blood for at least one week before your surgery. This includes: Aspirin, Advil, Aleve, Bufferin, Motrin, Ibuprofen, Naprosyn, Nuprin, Dolobid, Feldene, NSAIDS, Vitamin E, Vitamin B6 and all herbal supplements such as Gingko Biloba, Ginseng, garlic supplements, green tea and fish oil. If you take any blood thinners such as Aspirin or Coumadin that are prescribed by a physician, please discuss this with your surgeon.

Complete a wallet medications card with all the medications that you take, including over-thecounter, non-prescription medicines, herbs and vitamins. Bring this card into the hospital with you. Leave your own medications at home.

Report any health changes such as a cold or upper respiratory infection or any signs of infection to your surgeon immediately. Also notify him/her if there are any rashes, cuts or sores on your operative area. Infections increase your risk of complications with surgery.

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