Coach Definition: A coach is someone who will help you do your best by removing obstacles, helping you to set goals, and motivating you to remain active in your recovery. e coach may be your spouse, child, close friend, or a combination of these people. Coach Expectations: A coach should be compassionate and patient, with good observation, organization and listening abilities. Coaches are the cheerleaders for their loved one. Time Commitment: • Attend joint replacement education class with the patient (approximately two hours total). • Assist the patient with exercises at home, two to three times per day, as needed. • Attend outpatient physical therapy sessions with the patient, if needed (usually three times per week, 30 to 45 minutes per session). Responsibilities: • Motivate your loved one to be as independent as possible. • Assist with exercises and encourage doing these daily. • If possible, find an alternative coach if you are unable to attend or assist. (Two are always better than one!) • Assist with discharge from the hospital (transportation, medication, equipment, etc.). • Do (or arrange for) the shopping, cleaning, cooking, laundry and errands. • Assist with very simple wound management, changing bandages, etc. • Encourage adequate pain control both in the hospital and after discharge (medication, ice, elevation, etc.). • Keep track of medical appointments and provide transportation to and from the hospital, the surgeon’s office, the physical therapist’s office, and any other appointments. • Pick up prescriptions or arrange for delivery of prescriptions. • Manage finances, including paying regular household bills and handling insurance paperwork. • Communicate with the health care team about any changes or concerns. e Coach’s Guide to Joint Replacement Surgery 164 Summit Avenue, Providence, RI 401-793-5852 • OrthopedicsRI.org [email protected] Total Joint Center at The Miriam Hospital LSMC 0218
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Coach Definition: A coach is someone who will help youdo your best by removing obstacles, helping you to setgoals, and motivating you to remain active in your recovery.The coach may be your spouse, child, close friend, or acombination of these people.
Coach Expectations: A coach should be compassionate and patient, with goodobservation, organization and listening abilities. Coachesare the cheerleaders for their loved one.
Time Commitment:• Attend joint replacement education class with the
patient (approximately two hours total).
• Assist the patient with exercises at home, two to threetimes per day, as needed.
• Attend outpatient physical therapy sessions with the patient, if needed (usually three times per week, 30 to 45 minutes per session).
Responsibilities:• Motivate your loved one to be as independent as possible.
• Assist with exercises and encourage doing these daily.
• If possible, find an alternative coach if you are unable toattend or assist. (Two are always better than one!)
• Assist with discharge from the hospital (transportation,medication, equipment, etc.).
• Do (or arrange for) the shopping, cleaning, cooking,laundry and errands.
• Assist with very simple wound management, changing bandages, etc.
• Encourage adequate pain control both in the hospitaland after discharge (medication, ice, elevation, etc.).
• Keep track of medical appointments and provide transportation to and from the hospital, the surgeon’s office, the physical therapist’s office, and any other appointments.
• Pick up prescriptions or arrange for delivery of prescriptions.
• Manage finances, including paying regular householdbills and handling insurance paperwork.
• Communicate with the health care team about anychanges or concerns.
The Coach’s Guide to Joint Replacement Surgery
164 Summit Avenue, Providence, RI401-793-5852 • [email protected]
Total Joint Center at The Miriam Hospital
LSMC 0218
Total knee replacement is also called total kneearthroplasty. It is surgery that is done to remove andreplace (or resurface) the worn parts of your knee joint.The knee is made up of the lower end of the thighbone(femur), the upper end of the shin bone (tibia), and thekneecap (patella), which slides in a groove on the end ofthe femur. Large ligaments attach to the femur and tibiato provide stability. The long thigh muscles give the kneestrength. The joint surfaces where these three bones touchare covered with articular cartilage, which cushions thebones and enables them to move easily. A thin membranereleases a special fluid that lubricates the knee, reducingfriction during movement. Normally, all of thesecomponents work in harmony. However, disease or injurycan cause pain, muscle weakness, and reduced function. Ifyou have these problems, you may need to have a totalknee replacement.
During the total knee replacement, the damaged surfacesof your knee joint are removed and replaced with an implant. This implant may be made of metal and/or plastic. Total knee replacement surgery may decrease ortake away your knee pain and make standing, sitting, and walking easier.
Normal knee joint
Implanted knee joint
Front view Side view
Front view Side view
Total hip replacement (hip arthroplasty) is surgery toreplace a hip joint damaged by wear, injury, or disease.Thehip joint is a “ball and socket” joint and is your largestweight-bearing joint. The ball-shaped top of the femur(thighbone) sits in the acetabulum socket (hollow area) ofthe pelvic bone. The joint is held together by ligaments andmuscles. The socket is lined with cartilage (firm, flexibletissue) that can become damaged or worn, causing pain.Arthritis, infection, injury, or loss of blood supply to theball of the femur can damage the joint. You may need tohave hip replacement surgery when you have unrelievedpain or problems with walking.
Your surgeon will make an incision (cut) on your hip.During the surgery your surgeon will access your hip jointby moving muscles and other structures to the side. Thedamaged parts of your hip joint will be removed usingspecial tools. Implants made of metal, ceramic, and/orplastic will be fitted to replace the removed part of thebones. Your surgeon may then secure the implants usingscrews and cement, or create a tight fit if bone qualityallows. Once in place, they are joined together just like aball fitting in a socket, and the muscles and other tissuesaround the joint are moved back into their originalpositions. Your incision will be closed with stitches, staples,or glue and covered with a bandage. Having this surgerymay ease your pain, make your hip joint more stable, andimprove movement of your leg.
Pelvis Femur
Total Hip Replacement
Hip Replacement Component
FemoralHead
Pinnacle Acetabular
Shell
Femoral Stem
PolyethyleneLiner
Total Joint Center at The Miriam Hospital
Total Knee Replacement
Long Arc Quad: Straighten operated leg; hold it for 10 seconds. Repeat set 10 times, 2 times a day.
Pre- and Post-Op Exercises
These exercises should be completed both BEFORE surgery and AFTER surgery. Participation in an exercise programbefore surgery as well as after surgery can greatly improve your recovery after knee and hip replacement surgeries. Pleasereview the exercises listed below and begin following this exercise guide two to four weeks prior to surgery.
Chair Raises: With arms on armrests, push upfrom chair. Use legs as much as necessary. Return slowly.Repeat 10 times, 2 times a day.
Seated Ankle Pump: Sitting or lying down, pointtoes up, keeping both heels on floor. Then press toesto floor, raising heels.Repeat 10 times, 2 times a day.
Seated Marching: Lift knee and then lower it.Repeat with other knee.Repeat 10 times, 2 times a day.
Shoulder Raises: Bring arms straight out fromsides and raise as high as possible without pain.Repeat 10 times, 2 times a day.
Bicep Curls: With arm straight, palm forward,bend elbow. Return slowly.Repeat 10 times, 2 times a day.
Hip Abduction: Holding a chair for balance, keeplegs shoulder width apart and toes pointed forward.Swing a leg out to side, keeping knee straight.Do not lean.Repeat using other leg.Repeat 10 times, 2 times a day.
Related Documents
