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Thank you for choosing OHSU for your surgery.
We look forward to being a partner in your health.
OHSU is an academic health center.
That means our doctors are not only highly trained care
providers, but researchers and teachers as well.
This powerful combination enables
us to provide you with the highest level of care
based on our breakthrough research, critical thinking,
and depth of expertise.
We want your stay with us to be as comfortable as possible.
Your Joint Surgery Guide contains detailed information
about your surgery and the recovery process.
Your care will be managed by a team of people, including
orthopedic surgeons, resident physicians, physician
assistants, registered nurses, nurse practitioners,
anesthesiologists, nurse care managers,
and physical and occupational therapists.
Our top priorities are your comfort, safety,
and successful treatment.
Welcome to 9K, the orthopedic unit,
where you'll spend one to two days recovering
from your surgery.
Let me give you a little tour.
All of our patient rooms are private.
So you will not be sharing with any other patients.
Mounted across from your bed is a large-screen TV,
where you can access TV, movies, and internet with a keyboard.
There is also a welcome video with additional information.
Underneath the TV, there is a large whiteboard,
which contains daily goals, medications, your room phone
number, and any anticipated discharge information.
There is a large private bathroom in your room.
And we'll provide you with toiletries and a water bottle
to use during your stay.
Finally, you are welcome to have guests at any time
during the day, as long as they're
respectful of the other patients.
This is the nurse's station located just
inside the front door.
This is where your visitors will stop
to see what room you're in.
We also have a rehabilitation room
down the hall from your room, where
you'll work with a physical therapist
to learn how to safely get in and out of a car
and to go up and down stairs.
We look forward to taking great care of you
after your joint replacement surgery.
Everyone's experience with joint replacement
is going to be different.
Your surgeon and rehab team will work with you develop a plan.
Before your surgery, there are certain things
you will need to do to prepare.
This includes a few appointments before surgery,
a pre-surgery appointment with a member of your care team,
a preop medicine testing or PMC clinic appointment,
and a physical therapy preop appointment.
You'll need to prepare your home for surgery.
Some things you need to prepare for are removing any tripping
hazards, like clutter and throw rugs,
putting a chair with armrests in each room
you plan to use after surgery, putting
any items you use frequently into easy to reach places,
and installing a handrail in the bathroom
and using a shower chair.
And finally, you'll need to make sure you have someone to bring
you to and from the hospital.
On the day of surgery, you're going
to enter through the main hospital doors
and check in with the admitting desk to your left as you enter.
After you've filled out your admission paperwork,
a hospital volunteer will escort you
to the preoperative ward on the sixth floor.
Here is where you will be prepped for your surgery.
You'll meet a secretary that will walk you back to a bay
and show you how to apply sterile
whites from head to toe.
After this time, you will change into a gown,
and a nurse will come in to speak with you
and ask you questions.
We'll also get a set of vital signs
and prepare an IV for medication administration.
And at this time, your anesthesia provider
will come in to discuss options with you
for anesthesia, pain control, and sedation
during your surgery.
Your surgery will take about one to two hours.
You will receive anesthesia before surgery.
We will direct your family to the family waiting area.
Now let's see what happens during hip replacement surgery.
Your hip joint connects the upper end of your thigh bone
or femur to your pelvis.
A ball on the end of your femur fits into the socket
of the hip joint.
Both ends are covered in cartilage,
which is a smooth lining that protects the joint and cushions
forces.
When the cartilage in your hip wears out,
the bones can rub together, causing hip pain.
During hip replacement surgery, your worn out cartilage
is removed from your hip joint and replaced
with artificial parts.
This restores the smooth surface of the hip joint
and helps it move without pain.
After your surgery, the nursing and surgery teams
will closely monitor you.
Once you're stable, you'll be moved
to a room on the orthopedics ward on the ninth floor.
While you are here, our goal is to help you control your pain
and to get you up and moving as soon
as possible, which will help avoid blood clots.
Nurses and physical therapists will help you get out of bed
and walk short distances with a walker.
In addition, you'll spend time in our rehab gym
with the physical therapist learning
how to safely move and do things like getting
in and out of a car and walking up and down stairs.
If you have a friend or family member
who will be assisting you in your recovery, please have them
come and join one of your therapy sessions,
so they can learn the best ways to assist you.
Some pain is expected after surgery.
Our goal is for you to have adequate pain control.
It will help you recover faster and avoid complications.
We will use several different ways
to control your pain, which will help decrease any side
effects from the medications.
Those include different types of opiate and non-opiate
medications as well as elevation and ice
to help manage swelling.
A nurse practitioner will monitor your pain
during your recovery and work with the resident and attending
physicians and your care team to coordinate your pain
management.
When you leave the hospital, you'll
receive prescriptions for oral medicines.
These should be taken as needed as you
continue your rehabilitation.
You'll be able to leave the hospital when your pain is
under control, you can mobilize safely on your own,
and your care team determines you're ready for discharge.
The medical staff will prepare your discharge papers
and your prescriptions.
You have the option to fill your prescriptions at OHSU
before you leave.
Please make sure to bring shorts or loose sweatpants
to wear when you leave the hospital.
We will help you into a wheelchair.
And one of our staff members will escort you
to the entrance of the hospital.
Your driver can park temporarily at the main entrance
to the hospital, where we will help you to your car.
Most patients can go home to recover,
but some will need to go to a rehab center.
Your care manager can help determine your needs.
Physical therapy is an important part of your recovery process.
It will help you recover faster and build your strength
and agility.
You'll be given an exercise and activity
program and specific activities to avoid.
Use ice packs to help control any swelling.
And if you've had knee surgery, elevating
your knee above your heart will help reduce pain.
You will want to take care of your incision, which is
the area where you had surgery.
You need to keep it clean and dry
until there is no more drainage, and then you
can shower, but no baths.
Physical therapy, managing your swelling,
and taking care of your incision are important steps
in achieving a faster recovery.
We want your stay with us to be as comfortable for you
as possible.
We hope this video has helped you
understand what's going to happen
as you prepare for surgery.
If you have any questions or concerns about your surgery,
please ask your doctor or any member of your health
care team.
Thank you.