Assisting with Recovery

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MikeSmith

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Hi. I joined this forum because a dear friend of mine is having double hip replacement surgery and I'd like some advice about how to help her through this process as a friend. I am her "coach" and will be at the hospital with her. She has her right hip scheduled for August 15 and her left at the end of September. What specific things can I do to help her through this process? Any advice would be greatly appreciated. Thanks.
Mike
 
Hi Mike and welcome to the forum. You've come to the right place. I had my first hip replaced on June 16 and the second one is scheduled for Aug. 18. Unfortunately, my husband was busy fighting the midwest floods in June and a friend had to be with me. But he will be with me in August, and I'm glad you can be there for your friend. While she's in the hospital, watch for signs that she may be in pain and if needed, suggest she call the nurse. Make sure to give her privacy when she needs it. This list is for after she returns home. First, be kind and patient. Sometimes we (I) get frustrated that I can't do everything for myself. Ask her if she needs anything before you leave the room (do this before you leave her hospital room, too). I was fortunate that my husband was home and able to give me the Lovenox shots after surgery. I'm squeamish and this meant everything to me. Be gentle when helping her into and out of bed; and she made need help for up to two weeks. If you must leave her for a little bit, make sure she has everything she needs to be comfortable. And make sure she has her cell phone by her side and maybe the land line, too. Put things that are usually out of reach on a counter or table. No kidding, I can't stand to run out of toilet paper :) so I always made sure there were two rolls handy. Don't let her overdo it. I felt so good when I went for my two week doctor visit, that I suggested we go to a bookstore. I was on my feet for a good thirty minutes and I paid for it later. But maybe she's in great shape and this wouldn't bother her. Holy cow, this is all I can think of. If I think of anything else, I will send another reply. She will be appreciative of your help, kindness, patience and support.
 
Dear Mike,
This is a great place to be. I had my RTHR on June 16th, which means I am 8 weeks post op tomorrow. Your friend is lucky to have a "coach" such as you. The first two days will be a bit rough. Surgery day, depending on the time she has her surgery, will be groggy and lots of pain medication. She may also get out of bed the first time. She may be dizzy and sick to her stomach, not to mention feeling like someone put a ton of weight on her ankle because her leg doesn't want to move. Be there to remind her that it will pass quickly.

Around the end of day 2 and into day 3 PT will work closely with her to help learn her hip restrictions (if she has them, which I did not), how to get in and out of bed, and in some cases they may work with her to go up and down the stairs. If she is not going to rehab, then she will likely be discharged by day 3 or 4.

The first days in rehab or at home will be filled with taking pain medicine every 4 hours, and make sure she does, even if she thinks she doesn't need it. It's better to stay ahead of pain, then it is to chase it... believe me I know of which I speak. Also, her appetite may not be very good, but you have to make sure she eats plenty of protein, fruits and veggies. I found EAS Advantedge protein shakes a real blessing when I came home because I didn't feel like eating much, and protein is essential for healing. I even had my hubby bring them to the hospital and rehab (I only spent 4 days in rehab) for me.

She will likely also be on some kind anticoagulant, likely coumadin or shots. These are important to take at the same time every day, and rides to the lab for blood work will be absolutely necessary. These are usually stopped at around 4-5 weeks. Also make sure she uses the hip kit, grabber, sock helper, shoe horn. These all make getting dressed so much easier.

Just being there to support her is so important. She will have really good days and really tough days and in the beginning you feel like you take 5 steps forward and 3 back. But as the days and weeks progress the bad days become less and less. She will need your encouragement when she feels like it's not getting better quick enough. Celebrate the successes with her. Like the first time she step into the tub without the seat, or being able to go up the stairs one foot in front of the other. I was so excited at 6 weeks when I could reach to put my sock over my toes!

Also, encourage her to come online with you to this site. She will know there are others going through the same thing she is.

Let us all know if we can help!

Thanks for being such a good friend, and post here with any questions. There are so many wonderful people here and I don't know what I would have done in the last 8 weeks if were not for the kindness and support I received from my husband, family, friends, and my friends here at BoneSmart!

Debra
 
Don't know if I can add much to the first hand experience of two who've been there! But I'll have a go.

Support and allow for tiredness, pain, frustration and generally being in a foul temper sometimes! Carers often get all this poured out on them so the patient can be sweet and charming to visitors! Being the carer is no fun!

But on the more practical side, don't do so much for her that she starts being dependent upon you. Make her get up and do things.
In hospitals nowadays, nurses are told to make patients do everything for themselves, no matter how disabled or sick they are. At first I thought it was not good nursing but I later realised that it was actually in the patient's best interests in keeping them active and independent.

I agree with dharlander. Get her to come here and chat with others who have been there before or are there with her now. She'll get so much encouragement from it. Plus she'll be able to vent here if she needs to so it will save you!

God bless you for this.
 
Thanks to everyone who has shared advice and suggestions so far. I would add to my description that my friend is athletic, in great shape, 47, and had worked as a physical therapist for 23 years before being diagnosed her hip condition. She is extremely knowledgeable about structure and function and her physiological systems and I have learned a lot about PT and hips from her. Last night, after I had posted here, I read an email from her that revealed her concerns/trepidation - the surgery is four days away and it's starting to "hit home", so I appreciate the advice and comments people are providing.
Mike
 
Sorry about that Josephine. :) While I believe that my friend's expertise and athleticism will make it easier for her to understand her own progress, I still think it's a physically and emotionally challenging process for her to go through, so I want to learn as much as I can about what I can do to be helpful.
Mike
 
Hi Mike,
This is wonderful that your friend is in great shape. If there is one thing I have learned through my years is that those who have the most knowledge (i.e. doctors, nurses, PT"s, etc) tend to be the toughest on themselves. It is very different when they become the patient. Unfortunately, they have also seen all that could go wrong, and this may cause some major anxiety.

Like you said, it's all starting to hit home. I have worked in medicine for many years (as a patient laiason) and I know first hand the anxiety that having access to a bit more information than I sometimes want. Sometimes the best thing you can do as a friend and caregiver is just be there for, to listen, encourage and make sure she knows that she is the patient.

As she moves through her recovery she may have a tendency to think she needs to faster, especially since she is in good shape. Just remind her this is MAJOR surgery, and sometimes recovery just has a mind of its own.

Good luck, and please keep us posted.

Debra
 
Mike,
I have to say first of all it would be such a wonderful world if everyone had a friend like you. It just gives me good feelings in side to read your posts.

I just had a right hip replacement 9 weeks ago, I am 51, always been an obsessive exerciser (mostly mountain trail running) and felt in great shape when I had surgery as I am sure your friend is. Same situation when I had my first child.

So I did expect everything to be perfect and quick recovery. Quickest my doc had ever seen was my plan. As someone else said, it doesn't always go as planned and your body recovers at the rate it wants to.
You being there to support her is probably the most beneficial thing I can suggest.
Even if it is on a timely manner, it may seem slow to her. Just be there for her as I know you will.
The last few days before I was very busy , hiking on vicodin, and did not have time to worry or get anxious. Actually the morning of, when I got out of the shower, I realized I was going to be a little late if I did not get into fast mode!!!

Judy
 
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