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Project 3.3.4

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by

Hannah Eddy

on 9 March 2015

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Transcript of Project 3.3.4

Hip Replacement Surgery
Patient #2
Physical needs and Expectations
Physical Therapist Session
Occupational Therapist Session
Goals
Other Professionals
Other
Joanne Henry is a 65-year-old single mother of two adult children who lives alone in a third floor apartment. Joanne has been the childcare provider for her three young grandchildren for the last five years. She is a retired gym teacher who has always been physically active. She is actively involved in her community and spends her free time volunteering at the local convalescent hospital. Joanne lived with unbearable pain in both of her hips for the past few years and made the decision to have double hip replacement surgery. The surgery went well and Joanne is looking forward to being able to care for her grandchildren again.

Control Pain
Restore mobility in both hips

Unique Physical Needs:
Expectations :
Post Surgery
For the first two weeks post surgery the hip area will be bruised and slightly itchy; it is important to avoid using creams, lotions or ointments on the hip area to avoid additional irritation.
The patient also may experience a burning sensation, which can be relieved by using an ice pack for 10 to 15 minutes.
For the first month the patient will experience pain while walking.
The staples that closes the incision will be removed in 14 days, it is important to keep the area dry until the staples are out.
Post 6 Mouths
Within three to six weeks the patient should be able to resume normal physical activity with little pain. Although with this patient it will be best to continue physical therapy for 4-6 months because of her physical needs and age.

To be active while limiting extra pressure on the hips.
To be active in the community.
Occupation Therapist
Physical Therapist
The responsibilities of a physical therapist is to evaluate the patients progress as well as create a plan that will help the patient recover. This includes demonstrating strength building exercises that will help increase mobility and strength. The physical therapist will also prepare the patient and family for what is to come and how to handle the recovery.
The responsibilities of an occupational therapist is to evaluate the patients progress in everyday activities as well as create a plan that will help the patient gradually get back to everyday activities. This can include demonstrating certain exercises, evaluating the home, or renovation the home to make it easier to accomplish everyday activities. In addition, the occupational therapist will also inform and prepare the family and patient for what is to come after surgery.

Lie with both knees bent
Turn on core muscles
Bring one knee up to 90 hip bend
Lower leg down, keeping pelvis still with your core muscles
Do not arch your back
Repeat 6-8 times, once a day on both sides.

Bent Knee Lift
Stand near a supporting structure, place a hard book in front of your foot
Turn on core and lower buttock muscles
Shift weight onto one leg
Lift the other leg and place it on and off the book
Keep body and pelvis still, balancing on standing leg
Repeat 6-8 times, 3 times a day on each side.

Balance on One Leg

Sit on the edge of chair with your raised cushion
Tie an elastic band around thighs
Turn on core and lower buttock muscles
Push thighs against band and keep knees in line with shoulders, especially when sitting down
Bend forward at the hips to stand up and sit down, press into the feet and lift from the lower buttock muscles
Do not bend hips more than 90 degrees
Repeat 8-15 times, 3 times a week on each side.

Sit to Stand
Stand with support, resting operated leg behind you
Turn on core and lower buttock muscles
Bend knee by lifting heel toward buttock
Repeat 8-15 times, 3 times a week on each side.

Knee Bend, Standing
Use counter for support
Step forward with one leg
Turn on core and buttock muscles
Lower and lift body straight up and seen through the hip, bending at the knee
Do not lean forward. Keep your body weight behind your front knee and foot
Repeat 8-15 times, 3 times a week on each side.
Split Squat (lunge)
In a type Occupational therapist session the therapist will assess the patients ability to do everyday activities. Activities such as walking, reaching for things, getting out of bed, etc. If the patient is having a hard time with doing these activities than the occupational therapist will demonstrate how to properly do them with as little pain as possible.
Joanne will need to consult with her
surgeon
when wanting to do more physical activities such as biking.
Works Cited
http://www.ucsfhealth.org/education/recovering_from_hip_replacement_surgery/
http://www.webmd.com/osteoarthritis/guide/hip-replacement-surgery
Full transcript