Notes from Cornwall Hospital pre-hip replacement information session

2 hour session, March 2014

Primary speaker: Hospital Physiotherapist (1 hour)
Hospital Dietician (half hour)
Hospital Pharmacist (half hour)

Physiotherapist:

 Check your home for home hazards: Electrical cords, loose carpets etc. Make sure you have an entrance handrail. Sufficient lighting (e.g. night lights).

There is a questionnaire to answer which will assess the hazards in your home.

3 rules for 3 months

You can expect to have a 3 month long recovery period, although individuals vary. During this time there are 3 important rules:

1. NO BENDING FROM THE HIP more than 90°. When getting in a car, go in backwards with the seat pushed right back and inclined back. Lean back to swing in your legs.

2. DON'T CROSS THE AFFECTED LEG over the mid-line of your body. don't cross legs or ankles.

3. DON'T TWIST the torso. To look behind, turn around a little at a time.

You should expect to sleep with a pillow between your knees.

What to bring to the hospital

Bring one change of clothes in addition to what you are wearing. Have loose fitting pants (e.g. track pants). If you bring a gown it should not be more than knee length. Bring all the toiletries that you need, and label them with your name. If you have a cane, bring it, but label it with your name and phone number. You may get moved from room to room so things can get lost!

At the hospital 

On your surgery day, arrive at the admissions department. You are already registered. You will be given a pre-operative assessment and some drugs (injections).You will most likely be having an epidural (spinal) anesthetic with a sedative so you don't need to be awake.

The operation takes 2-3 hours to replace the ball and socket in your hip.

You will then be put in the recovery room. After you have recovered you will be taken to a regular room. Visiting hours are 11am - 1pm and 4pm - 8pm.

You will be helped to get up and walk on your surgery day. You will get some exercises to do.

Pain management is important. You will have pain from the incision although your present hip pain will  be gone. You will be on self-administered intravenous morphine.

When you get home

You need to be able to sit in a high chair, with high back and arms, and your hips higher than your knees. No soft couch.

You will need a cane or a walker and appliances like a grabber/reacher and a sock aid.

When dressing in pants, put on your operated leg first then your good leg. When undressing, take off the good leg first then the operated leg.

A large can wrapped in a towel is to be used for exercises. Ankle weights can be made or bought.

You will need a raised toilet seat, preferably with hand rails.

You will be on blood thinners for 4 weeks and you cannot drive for 6 weeks.

Dietician

 Make sure you eat properly! You need to heal and keep strong.

Protein with every meal.
Whole grains. Vegetables, fruit, milk, yoghurt.

Canada's Food Guide.

Pharmacist

Get a list of all your medications from your pharmacist. Make a list of all the non-prescription drugs that you are using.

Report any allergies on registration/admission.

You will be given pain killers (opiates) with a laxative to help prevent constipation.

Anti-inflammatory (probably Celebrex, Advil etc.)

Antibiotics before the operation and for 1 day after. Only get more antibiotics if you develop an infection.

You will have anticoagulants to prevent blood clots for 28-35 days. Either an injectable or a pill.

You may need anti-nausea pills (Gravol)