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. 

• 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.