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what to expect (generally)

Discussion in 'Knee Replacement Pre-Op Area' started by TerryS, Feb 24, 2018.

  1. TerryS

    TerryS junior member
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    my TKR (left) is on March 19 and I was wondering what I can expect while in the hospital after the surgery generally speaking. I realize not all hospitals/experiences are the same. I would just like to get a bit of an idea. Thanks.:bath:
     
  2. alexthecat

    alexthecat MODERATOR Moderator

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    @TerryS welcome to Bonesmart! You'll note that I moved your thread from the Recovery forum to the Pre-op forum. The Recovery forum is meant for people who have had surgery to discuss their progress. As you have not yet had surgery, this is a better place for your new thread.
     
  3. TerryS

    TerryS junior member
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    yes, I just now realized what I did. sorry. :banghead:
     
  4. Josephine

    Josephine FORUM ADMIN, DIRECTOR Administrator

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    Generally what you can expect is to be bumped out of hospital on day 2 or 3! But when you get home, you need to be well versed in the content of all these articles

    Knee Recovery: The Guidelines
    1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary
    2. Control discomfort:
    rest
    elevate
    ice
    take your pain meds by prescription schedule (not when pain starts!)
    don't overwork.
    3. Do what you want to do BUT
    a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you
    b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.​
    4. PT or exercise can be useful BUT take note of these
    5. At week 4 and after you should follow this

    The Recovery articles:
    The importance of managing pain after a TKR and the pain chart
    Swollen and stiff knee: what causes it?

    Energy drain for TKRs

    Elevation is the key

    Ice to control pain and swelling

    Heel slides and how to do them properly

    Chart representation of TKR recovery

    Healing: how long does it take?

    Post op blues is a reality - be prepared for it
    Sleep deprivation is pretty much inevitable - but what causes it?

    There are also some cautionary articles here
    Myth busting: no pain, no gain
    Myth busting: the "window of opportunity" in TKR
    Myth busting: on getting addicted to pain meds


    We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery. While members may create as many threads as they like in a majority of BoneSmart's forums, we ask that each member have only one recovery thread. This policy makes it easier to go back and review history before providing advice.
     
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  5. SusieShoes

    SusieShoes FORUM ADVISOR Forum Advisor

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    In the hospital you can expect to pay attention to controlling your post-pain. That’s seldom a problem but everyone wants you to have good pain control before going home. You’ll be expected to stand on your new knee soon after surgery. You’ll get some very basic physical therapy aimed at getting you safely home: walking, toileting, how to handle stairs, and getting in and out of a car.

    You will be given food to eat too. All my previous surgeries were abdominal, so when after this one I was told I could eat anything I wanted just two hours after surgery, I was delighted! :heehee:
     
  6. skigirl

    skigirl SUPER MODERATOR Moderator

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    Actually I was glad to get out of the hospital on day two!! It was so much more comfortable at home. Actually it is a relief, all the worry about surgery is now behind you. I was on pain meds for two weeks and pretty groggy. I spent most of my time on the couch or bed with my knee propped up on three pillows. You are so tired after surgery that you need lots of naps!!
     
  7. Beckadeez

    Beckadeez senior

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    I was made to walk from the hall, to my bed, as soon as I left the recovery room. Not pleasant but I lived. Expect to be woken up every few hours, to have your temp, oxygen level, and blood pressure checked. I didn’t get much sleep in there. You will probably be walking to and from the toilet, unless you have a catheter. I was very happy when I got to go home. Don’t hesitate to let them know when you’re in pain.
     
  8. skigirl

    skigirl SUPER MODERATOR Moderator

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    True, I walked to the toilet at about 2 hours post op. The nurse was mad, apparently she thought I was clarvoyant and would know to call her. After that, they made me use a walker which I would drag along behind me when I walked. My doctor saw me doing that and laughed and said, she does not have to use a walker!!
     
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  9. Beckadeez

    Beckadeez senior

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    I was to let them know when I had to go, as well. It would take a while for me to be done. They’d leave me in the bathroom and go off to do something else. There I’d be, having to call them and wait for them to come help me back to bed.
     
  10. skigirl

    skigirl SUPER MODERATOR Moderator

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    you are right, that is so silly. Of course I just got up and walked to bed and then they were mad!!!
     
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  11. Beckadeez

    Beckadeez senior

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    Well, next time, I shall not wait for them. Live and learn.
     
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  12. skigirl

    skigirl SUPER MODERATOR Moderator

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    It is ironic really that we are hospital experts now that we are no longer in the hospital!! I did not know what to expect the first time but now I know exactly what to do!! But, hopefully I will never need to use this knowledge!!!
     
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  13. Mutti3

    Mutti3 senior

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    important information you need to know, how many inpatient days will you stay. I was in the hospital one day. Hospital are keeping people less and less days. Ask questions and be an informed patient! Good luck!
     
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  14. kneeper

    kneeper FORUM ADVISOR Forum Advisor

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    I did that too with my second knee when they seemed to forget me in there. The problem with not waiting, of course, is that some people are a bit lightheaded and could fall.
     
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  15. pdx

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    It's not uncommon to get light-headed after surgery or just lying flat for a time, so you're at increased risk of falling. The new catch phrase is, "No one walks alone." Plus, they want to make sure you can get out of bed & maneuver the walker or crutches properly. (And take it from me, you don't want to suddenly drop your surgical leg off the side of the bed when you sit up. Ow ow ow!)
     
  16. SusieShoes

    SusieShoes FORUM ADVISOR Forum Advisor

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    Yes, you want to lower your leg over the side gradually. Sudden drops are painful! Helpers are really handy, as are leg lifters, which you can use to lower your leg gently when getting out of bed.
     
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  17. NDSunshine

    NDSunshine junior member

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    Ahahahaha, lol!!! The toileting post surgery sounds like me!! I did that after my scope surgery, lol...but then my bladder leaked on the way and I tried to stop and clean up, and they wouldn't let me. G-d must chuckle at us sometimes :)
     
  18. Mutti3

    Mutti3 senior

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    Good luck!
     
  19. lovetocookandsew

    lovetocookandsew supremo

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    I like what they do at the hospital where I go. When you need something, you push the call button. Someone at the desk answers right away to see what you need. If you need meds, they send in your nurse. if you need help going to the restroom, they send in an aide who helps you to the restroom, then waits in your room, usually straightening the bed while waiting, until you open the door, at which time they help you back to your bed or chair. They are mean though and have bed alarms that screech if you try to get out of bed alone....:heehee:
     
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  20. lovetocookandsew

    lovetocookandsew supremo

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    I just noticed your surgery date was today-I hope all went well and will look for you on the other side. :)
     

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