Acknowledgments, This revised booklet is based on information produced This edition of the booklet was developed by OASIS. over the years by a variety of organizations We would OsteoArthritis Service Integration System at. like to acknowledge the contributions made by Vancouver Coastal Health in partnership with. The Arthritis Society BC Yukon Division Fraser Health Authority. The Mary Pack Arthritis Program Interior Health Authority. Hip Hip Hooray Northern Health Authority,BC Orthopedic Association Providence Health Care. Canadian Orthopedic Foundation Vancouver Island Health Authority. We would also like to thank the joint replacement clients who participated in the revision process of this booklet. Your feedback and suggestions will be of great help to people who are preparing for joint replacement surgery. Hip Knee Surgery,Hip Knee Surgery,Hip Joint 7,Hip Disease 7. Joint Precautions,Total Hip Replacement Surgery 8,Hip Revision Repeat 8. Knee Anatomy 9,Knee Disease 9,Total Knee Replacement 9. Double Bilateral Knee Replacement 10,Partial Knee Replacement 10. Knee Revision Repeat 10,Prep for Surgery,Joint Precautions. Hip Precautions 13,Knee Precautions 13,Things You Can Do 15. Set Up Your Home 16,Set up your Bathroom 17,Set Up Your Seating 18. After Surgery,Equipment List 19,Where to Get Equipment 20. Preparing for Surgery,Exercise 23,Nutrition and Weight Management 24. Education Before Surgery 26,Recovery at Home,Staying Healthy 26. Pre Admission Clinic Appointment 27,Day Before Surgery A Final Checklist28. Morning of Surgery 29,At the hospital 30,continued on next page. After Surgery,In the Recovery Room 32,In the Surgical Unit 33. Length of Hospital Stay 34,Mobility 35,Controlling Pain 36. Preventing Blood Clots 37,Going Home 37,Recovery at Home. Controlling Pain 41,Physiotherapy 44,Transportation 45. Everyday Activities 47,Dental Work and Medical Procedures 51. Returning to Work 51,Possible Problems 52,Resources 60. Hip Knee Surgery,In this section you will learn about. Hip Disease,Total Hip Replacement Surgery,Hip Revision Repeat. Knee Joint,Knee Disease,Total Knee Replacement,Double Bilateral Knee Replacement. Partial Knee Replacement,Knee Revision Repeat,Hip and Knee Joint. Normal Hip Joint,The hip joint is a ball and socket joint that s. whyyou can move your hip in many directions,Acetabulum. The ball is the round head of the thigh bone, femur It moves in the socket of your pelvis Cartilage. acetabulum Muscles and ligaments support,and strengthen the joint. Normal Hip Joint,Hip Disease,The most common reason for joint replacement. surgery is OSTEOARTHRITIS It happens when Joint Damage. the cartilage on the end of the bones wears, down over time It usually appears in joints that Worn Cartilage. carry your body weight such as hips and knees,Osteoarthritis can cause joint pain and stiffness. When the damage to the joint is severe the joint,can be replaced Bone Spurs. Other health conditions can also damage the,joint and need a joint replacement Examples. rheumatoid arthritis bone infection or a,reduced blood flow to the bone. Talk to your doctor or nurse practitioner if you,have questions about your joint health. Osteoarthritic Hip Joint, Before During After Hip and Knee Replacement Surgery 7. Total Hip Replacement,In this surgery the surgeon replaces the diseased. joint with an artificial joint prosthesis,First the surgeon cuts down through the skin. Prosthetic the incision and moves the muscles and ligaments. cup away from the hip joint,The damaged end of the thigh bone is replaced. with an artificial ball and stem,The pelvic socket is smoothed and lined with an. artificial or prosthetic cup, The ball is fitted into the cup and the joint is put. back together,Once the new joint is in place the muscles and. ligaments are repaired,Your skin is closed with sutures or staples. Artificial Hip Joint,This surgery takes about 2 hours. Today many people who have a hip replacement can, move their joint more easily have less pain and are able to. walk more comfortably for up to 25 years after surgery. Hip Revision Repeat,Some people who have had a hip replacement need. another surgery because,the joint has dislocated,the joint is loose or worn out. there has been bone loss or an infection in the joint. These surgeries can be more complex and you might,need more rehabilitation afterwards Compared to. your first surgery you might not be able to put as. much weight on your new joint while you recover, 8 Before During After Hip and Knee Replacement Surgery. Knee Anatomy, The knee joint is where the thigh bone femur meets Patella. the shin bone tibia The knee is a hinge joint that. allows you to bend and straighten your leg,Knee Disease. The most common reason for joint replacement surgery is Tibia. OSTEOARTHRITIS It happens when the cartilage on the end. of the bones wears down over time It usually appears in the Normal Knee Joint. joints that carry your body weight such as hips and knees. Osteoarthritis can cause joint pain and stiffness When the. damage to the joint is severe the joint can be replaced. Other health conditions can also damage the joint and. need a joint replacement Examples rheumatoid arthritis Worn. or an injury to the joint Cartilage, Talk to your doctor or nurse practitioner if you have. questions about your joint health,Total Knee Replacement Osteoarthritic Knee Joint. In total knee replacement surgery the surgeon replaces. the diseased joint with an artificial joint prosthesis. First the surgeon cuts down through the skin the,incision and moves the muscles and ligaments away. from the knee joint Patellar,Femur Button, The damaged bones are shaped to fit the artificial joint prosthetic. The ends of the thigh bone femur and shin bone Plastic Liner. tibia are covered with metal shells prosthetics, separated by a plastic liner If the kneecap patella is Tibial. prosthetic,damaged it might be lined with a plastic disc. Once the new joint is in place the muscles and,ligaments are repaired. Your skin is closed with sutures or staples,This surgery takes about 2 hours. Today many people who have a knee replacement can, move their joint better have less pain and are able to walk. more comfortably for up to 25 years after surgery,Artificial Knee Joint. Before During After Hip and Knee Replacement Surgery 9. Double Bilateral Knee Replacement, In some cases a surgeon might decide that both knees need to be. replaced at the same time This depends on a number of things. including your overall health joint damage and lifestyle The. surgery is the same as a total knee replacement Your hospital stay. could be longer and you might need more rehabilitation after. surgery to help you get back to your daily activities. Partial Knee Replacement, If you only have bone damage on one side of your knee. your surgeon might decide that you are a suitable candidate. for partial knee replacement surgery As with total knee. replacement surgery the surgeon reshapes the damaged parts of. the bone to fit the artificial joint prosthesis The hospital stay. is shorter and the recovery is often quicker compared to a total. knee replacement,Partial Knee Joint,Knee Revision Repeat. Some people who have had a knee replacement need another. surgery because,the joint is loose or worn out, there has been bone loss or an infection in the joint. These surgeries can be more complex and you might need. more rehabilitation afterwards Compared to your first surgery. you might not be able to put as much weight on your new. joint while you recover, 10 Before During After Hip and Knee Replacement Surgery. Precautions,Joint Precautions,In this section you will learn about. Hip Precautions,Knee Precautions,Things You Can Do. Set Up Your Home,Set up your Bathroom,Set Up Your Seating. Equipment List,Where to Get Equipment, Before During After Hip and Knee Replacement Surgery 11. You will need to follow Joint Precautions for up to 3 months. as directed by your surgeon,Hip Precautions, These precautions help your hip joint to heal The precautions also help. reduce the chance of your hip accidentally popping out of the socket. dislocating,Shaded leg is the operated leg, DO NOT bend your hip past 90 degrees DO NOT cross your legs at the ankles or knees. A right angle is a 90 degree angle an L shape as,shown above Lifting your knee or bending forward. narrows the angle,Additional notes for hip precautions. DO NOT twist your body or legs, Before During After Hip and Knee Replacement Surgery 13. Knee Precautions, These precautions help your knee joint to heal The precautions also. help keep the new joint from getting stiff,Shaded leg is the operated leg. DO NOT put a pillow behind your knee DO NOT kneel on your new knee joint. Your knee may become stiff if you keep,Additional notes for knee precautions. DO NOT do deep squats squatting,down to the floor, 14 Before During After Hip and Knee Replacement Surgery. Things you CAN DO,DO sit on a raised chair or use a cushion. It is easier to get on and off higher surfaces after surgery. Consider using a raised toilet seat, DO use long handled aids to help you get dressed or pick up items. Examples long handled shoehorn reacher or grabber, DO sleep with pillows between your legs at least for the first 3 months. You might need help placing the pillows or you can use an. extra long pillow, Before During After Hip and Knee Replacement Surgery 15.
book will describe what you will do to be successful before, during and after surgery. Hospital stays are short. It is healthier for you to recover at home where you will eat, sleep and heal better. Most people go home within one to three days after surgery with help from family or friends. The hospital team will help you get moving and safely ...
You are considering or planning to have a total hip or knee replacement surgery or surgery for a broken hip. You are an adult (this information is from research on adults). What does this summary cover? This summary covers what research says about the possible benefits and side effects of treatments to help prevent a blood clot after hip
This report covers ten health care activities: hospital medical admissions, coronary bypass, angioplasty, catheterisation, admission/surgery after hip fracture, knee replacement, knee arthroscopy, caesarean section, hysterectomy, magnetic resonance imaging scan, and computed tomography scan.
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separate bottom plate from beneath deck surface (posts can be leveled as needed by using steel washers as shims) (Figure 4) Concrete Surface Note: Purchase four 5? 16" masonry anchors according to local building codes. For Residential (Somerset, New Castle, Versarail, Elite Aluminum Rail): 1.) Attach mounting plate to post with provided 1 ...
deck surface and bottom of bottom rail and balance of post for 36" and 42" height railing. Set post in place, mark and drill for 5/16" mounting blots (hardware not supplied). Set post in place, install mounting hardware. Check post with level and shim if necessary (using metal shims). STEp 3 Measure distance from post to post and deduct 3/8 ...
Adapted from Fred Kofman (1992). Double Loop Accounting - A Language for the Learning Organisation. Please note that additional detail about the main assumptions that underpin this Theory of Change can be found in Appendix one.
Invitation to Ordination Oral Examination on Friday, September 29, 2017 . 10am-12pm . First Presbyterian Church, San Antonio, TX . Candidates for Ordination Examination and to be Certified Ready to Receive a Call:
Connect the TYTO-01 harness to the wiring harness in the vehicle. 1. With the vehicle and radio turned on, turn the volume up 3/4 of the way. 2. With a small flat-blade screwdriver, adjust the potentiometer clockwise to raise the audio level; counter clockwise to lower the audio level. 3. Once at a desired level, audio adjustment is complete. 1.