Post-Operative Day 2

Daily Plan of Care: Day Two

 

  • You will continue with incentive spirometer to exercise your lungs.
  • Pain medicines will continue, as you need them. The PCA device is usually stopped on this day and oral medicines for pain are used.
  • A blood thinning (anticoagulant) medication will continue.
  • IV fluids and antibiotics will be stopped.
  • Smaller bandages will be put over your incision.
  • You will be given a laxative at bedtime if needed.
  • An orthopaedic resident, PA and NP will make rounds daily.
  • Ice may be applied to your knee to help with swelling and pain.
  • Compression boots will be worn to promote circulation and prevent blood clots. You may also have elastic stockings. The bladder catheter may be removed.
  • Lab tests may be done.
  • Your diet will be advanced as tolerated and fluids increased to prevent constipation.
  • If you have not already done so, encourage a family member or friend to come to the Hospital to review the next day’s discharge planning with a member of your health care team. Staff will provide a tentative discharge time so you can arrange for transportation home.

Activity 

Physical Therapy: Two sessions, one morning and one afternoon

  • CPM or Cam Oped 
  • Progression of strengthening and range of motion exercises.
  • Progression of bed mobility, transfers bed to chair and back and walking. 

Occupational Therapy:

 

  • Self-care activities such as bathing, dressing, grooming while sitting.
  • Training in use of adaptive equipment, if needed.
  • Bathroom transfers on and off commode or toilet.
  • You will spend more time out of bed during the day.
  • You should perform the exercises given by your therapists – try to do a little more each day. You will complete more walking and transfers from bed to chair with help from your therapists and nurses.

Case Management

  • Case manager or social worker may be in to further discuss discharge plan.
  • Arrange for home services if needed. 

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