Joint Replacement FAQ

Frequently Asked Questions for Joint Replacement Patients

Here are answers to questions that patients often have prior to scheduling an elective orthopaedic surgery at Bay Area Hospital. These and other questions are addressed during our “Moving Forward” class, designed for those having a knee, hip or other joint replacement surgery.

PRIOR TO SURGERY
Q. Should I bring my walker or crutches to the hospital?
A. The hospital has equipment for use during your stay, but you may bring your own equipment. Your physical therapist can assure your equipment is properly fit and in good working order for you. Be sure to label your equipment with your name.

Q. Where can I purchase dressing supplies for my surgical incision?
A. You will have an Aquacel AG dressing placed at the time of discharge. You will not need to change this dressing. You will leave it in place for seven days, then remove it and discard. By this time you should no longer need a dressing, however, if you want to cover it with gauze to keep the staples from catching, you can purchase gauze at any pharmacy or department store.

Q. How do I obtain the necessary equipment needed for activity and home use?
A. You will be given tools for activities of daily living by your occupational therapist while you are in the hospital. However, if you need a walker or a raised toilet seat you may want to shop the thrift stores. Not all insurance companies, including Medicare, cover equipment needs, so know your benefits. If you don’t have what you need by the time you have surgery, your case manager can be of assistance.

DURING YOUR HOSPITAL STAY
Q. When will my family or friends be able to see me after surgery?
A. Your family and friends can wait in the family waiting areas until you are settled in your room and all needed nursing assessments are completed. Rest is important and is frequently interrupted by hospital staff. You can request “No visitors,” even if it’s for only a short time during your day. Family members or friends who are ill should wait to visit until they are feeling well again. All visitors should wash or sanitize their hands.We realize the importance of the support of family and friends for your social and emotional well-being. Your room has been designed to accommodate them.

Q. How soon will I be eating after surgery?
A. To allow your body to recover from anesthesia and decrease problems with nausea and vomiting, gradually taking fluids and food is best. You will start on clear liquids and advance to a normal diet as tolerated.

Q. How soon will I be able to get out of bed after surgery?
A. You will be assisted to reposition in bed for your comfort or dangle your feet at the bedside with assistance. You will start your activity with the physical therapist the day of your surgery. If you return from surgery late in the day, you will start therapy the following day.

Q. How much weight will I be able to put on my operative leg?
A. You are able to put as much weight on your operative leg as you can tolerate, unless your surgeon is specific about bearing weight. Lifting with your affected arm after shoulder surgery is totally restricted until your physician tells you otherwise. Your physical therapist or nurse will let you know of any weight-bearing restrictions.

Q. How will I be able to toilet myself after surgery?
A. You will have a catheter to empty urine from your bladder for the first day. If you feel the need for a bowel movement, we will provide assistance to use a bedpan for the first day and then progress to a bedside commode or toilet in the days that follow.

Q. When will I be able to shower or bathe after surgery?
A. You will be able to shower when your surgical dressing is changed to an Aquacel AG dressing if cleared by your doctor. This dressing is water proof. You can shower but you cannot soak in a tub or hot tub or let water hit your dressing continuously while showering.

Q. How will I bathe while I’m in the hospital or at home?
A. The nursing staff will provide assistance to freshen up daily. As you are able to do more, we will encourage you to bathe yourself daily. We will provide you with lanolin disposable wipes for your bath because they have been proven to be more effective for infection control than bathing with a basin. Rinse-free shampoo caps are available.

Q. When will my dressing be changed after surgery?
A. Most surgeons will leave the surgical dressing intact for one or two days. Your dressing may need to be changed sooner, depending upon drainage. Your dressing will be changed prior to discharge to an Aquacel AG dressing. You will receive an instructional handout for wound and dressing care.

Q. How long will I be in the hospital?
A. Your length of stay depends on the goals to be accomplished and how you progress after surgery. The average length of stay for joint replacement surgery is two to four days. Certain goals, listed in the “Discharge Planning” section of your “total joint ” folder, need to be accomplished before you go home.

Q. Will I need to go to a nursing home after my discharge from the hospital?
A. We encourage everyone to go home when they are discharged from the hospital. You should have a caregiver available to assist you with daily activities. Continued therapy can be done as an outpatient or with home health services. If your home care needs require more assistance than you have available, you may need a short stay at a local skilled nursing facility of your choice. This can be arranged before you are discharged.

Q. What transportation will I need to go home from the hospital?
A. You may go home in a private vehicle of your choice. Be sure the vehicle has plenty of legroom, a seat that reclines and is not too high or too low to get in and out of safely. You will need assistance with transfers in and out of the vehicle until you are stronger and able to do more for yourself. Local transportation services to home are available. There is a fee for this service. Let your nurse or discharge planner know if you would like this arranged.

Q. Will I be prescribed a blood thinner on discharge to help prevent blood clots?
A. Depending on your health history, you may be placed on oral Warfarin (coumadin) or Xarelto (rivaroxaban) alone or in combination with a low-molecular-weight heparin injection. It is common that these therapies be continued after you are discharged. If discharged on low-molecular-weight heparin, you or your support person will be instructed on how to administer these injections.

AFTER YOU LEAVE THE HOSPITAL
Q. What if my pain is not managed adequately at home?
A. You will need to continue to take pain medication two or three times a day — more if needed — to adequately control your pain when you go home. Ice can be helpful to control swelling and relieve pain. The need for pain medication should lessen within a week. Notify your physician if your pain is not relieved by medication and other therapies used.

Q. I have steps or stairs at home. Who will teach me to go up and down them?
A. Your physical therapist will teach you how to safely climb up and down steps or stairs. If your environment at home has steps or stairs, you may want to modify your living situation so you do not have to climb up and down steps or stairs on a daily basis.

Q. When will the clips in my incision be removed?
A. This is usually done during your first follow-up appointment with your orthopedic surgeon or physician’s assistant about 1 ½ to 2 weeks after surgery.

Q. How soon will I be able to return to normal daily activities?
A. You will have a modified lifestyle during the first six weeks with limited activities and can return to normal daily activities within three to six months.

Q. When will my partner and I be able to be intimate?
A. You need to be aware of certain precautions with regard to positions during intimacy. Talk with your orthopaedic surgeon at your first follow-up appointment.

Q. When will I be able to drive?
A. Certain activity restrictions may keep you from driving safely. You will need to have someone drive you to your appointments until these restrictions are no longer a consideration. Talk with your surgeon during your follow-up appointment.

Frequently Asked Questions for Spinal Surgery Patients

Here are answers to questions that patients often have prior to scheduling an elective orthopaedic surgery at Bay Area Hospital. These and other questions are addressed during our “Talking Back” class, for those having a spinal surgery.

DURING YOUR HOSPITAL STAY
Q. When will my family or friends be able to see me after surgery?
A. Your family and friends can wait in the family waiting areas until you are settled in your room and all needed nursing assessments are completed. Rest is important. It is often necessary for the nursing staff to interrupt rest periods. You can request “no visitors,” even if it’s for only a short time during your day. All visitors should wash or sanitize their hands.

Q. How soon will I be eating after surgery?
A. To allow your body to recover from anesthesia and lessen problems with nausea and vomiting, gradually taking fluids and food is best. You will start on clear liquids and advance to a normal diet as tolerated.

Q. How soon will I be able to get out of bed after surgery?
A. You will be assisted to reposition in bed for your comfort or dangle your feet at the bedside with assistance. You will start your activity with the physical therapist the day after your surgery. If you return from surgery late in the day you will start therapy the following day.

Q. Will I be able to toilet myself after surgery?
A. We ask that, until we determine that your anesthesia has worn off and that your balance and gait are within normal limits, you call for assistance to go to the bathroom. We will allow you privacy when toileting.

Q. When will I be able to shower after surgery?
A. You may shower 48 hours after you are discharged from the hospital. You will not be allowed to soak in a bathtub or hot tub until your incision is well healed.

Q. How will I bathe while I’m in the hospital or at home?
A. The nursing staff will provide assistance for you to have a bath with lanolin-based wipes daily. We will expect you to do as much of the bath as you are able. There are rinse-free shampoo caps available for your use.

Q. When will my dressing be changed after surgery?
A. Most surgeons will leave the surgical dressing intact for one or two days. Your dressing may need to be changed sooner, depending on drainage. When your dressing is changed the day of discharge, a silver-impregnated dressing will be applied. This dressing stays in place for seven days. You then remove it and throw it away. By this time, your incision should be healed, and you shouldn’t need another dressing. If you feel that you still need a dressing, you can apply sterile gauze and tape. Our surgeons use various types of dressings, and the patient will be given special instructions for their specific type at the time of discharge.

Q. Will I have staples in my incision?
A. Spine surgeries are generally closed with dissolvable sutures and Steri-Strips. Steri-Strips are small strips of adhesive bandage that assist in holding your incision together. You should never remove your Steri-Strips yourself. You should let them dry and fall off on their own.

Q. How long will I be in the hospital?
A. Your length of stay depends on how you progress after surgery. There are certain goals you must meet for a safe discharge. This includes being able to walk and apply any bracing with little or no assistance, tolerating diet and fluids without nausea, and good bowel and bladder function.

Q. What transportation will I need to go home from the hospital?
A. You may go home in a private vehicle of your choice. Be sure the vehicle has plenty of legroom, a seat that reclines and is not too high or too low to get in and out of safely. You will need assistance with transfers in and out of the vehicle until you are stronger and able to do more for yourself. Local transportation services to home are available. There is a fee for this service. Let your nurse or discharge planner know if you would like this arranged.

AFTER YOU LEAVE THE HOSPITAL
Q. Will I need to have someone stay with me for a while after I leave the hospital?
A. It is a good idea to have someone stay with you for a few days after you have had surgery. You will need help changing your dressing or help with cooking and cleaning. It is helpful to have your meals planned ahead as much as possible before your surgery. It is nice to have someone with you if some kind of help is needed. That person should be willing to help in the bathroom.

Q. What if my pain is not managed adequately at home?
A. You will need to continue to take pain medication as prescribed to adequately control your pain when you go home. Ice can be helpful to reduce swelling and relieve pain. Pain is a signal to slow down, so remember to lie down and rest. Notify your physician if your pain is not managed well with your medications.

Q. How soon will I be able to return to normal daily activities?
A. The sooner you become active, the sooner you will get back to normal. However, you also need to protect your back so that it can heal. Try to increase your activity level steadily but gradually. Be sure to follow any guidelines from your doctor and physical therapist. By about the sixth week, your back is well on the way to healing. If you are using correct posture and movements and are exercising regularly, you should feel better and be able to do more each week. Remember that pain is a warning sign to slow down.

Q. When will my partner and I be able to be intimate?
A. You need to be aware of certain precautions with regard to positions during intimacy. Side-lying positions may be more comfortable. Avoid arching your back. This is something you should discuss with your surgeon and or physical therapist prior to your surgery.

Q. When will I be able to drive?
A. Certain activity restrictions and the use of pain medication may keep you from driving safely. You will need to have someone drive you to your appointments until these restrictions are no longer a consideration. Talk with your surgeon during your follow-up appointment.

 

Find a physician

or Need Help Finding a Physician

Upcoming Events

Nicotine Anonymous
Wed, Jul 29, 2015 - 05:30 PM - 05:30 PM More
Cancer Treatment Support Group
Mon, Aug 03, 2015 - 09:00 AM - 11:00 AM More
Diabetes Review
Tue, Aug 04, 2015 - 12:00 PM - 01:30 PM More
View all Events >>