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Pre-Operative Classes


Joint Surgery Education Classes

If you are a joint replacement candidate, you must attend one of our Joint Surgery Education classes, which is provided free of charge. Our experience has taught us that patients who attend are more prepared for surgery and have a better recovery experience than those who do not attend. Having your care partner and/or spouse attend is just as important.

The class provides information on what you can expect before, during and after surgery, and you can have all your questions answered by our experienced staff. Classes last one hour. Our Care Navigator will contact you to enroll you in a class.

Schedule and Attend Your Pre-Anesthesia Testing Session
The Pre-Anesthesia Testing (PAT) Center will contact you by phone as soon as possible before your surgery date to discuss your personal medical information, including previous illnesses and surgeries, and your current medications. Based on your history and orders from your surgeon, the PAT may need to schedule you for a visit to do testing such as an electrocardiogram (EKG), lab work or X-rays.

Record Your Medication List
In addition to specific testing, the PAT staff will review your current medications. Please bring a list of your medications and any over-the-counter supplements, including the medication name, dosage, how often you take them and why you are taking them. The staff will also begin your pre-operative teaching, which includes instructions regarding bathing, items to bring with you to the hospital, and where and when to arrive on the day of your surgery. We understand that many patients are taking medications for pain relief. It is extremely important that you relay this information to your healthcare team so we may effectively treat your pain post-operatively.  

Perform Pre-Operative Exercises
It is important to strengthen your muscles before undergoing surgery. This will help with your recovery. Perform the exercises at least twice daily, but skip any exercise that is painful.

Outpatient Rehabilitation Services
CTMC’s Rehabilitation Institute provides a comprehensive, specialized approach for outpatient therapy. No matter your age or activity level, our goal is to help each individual return to normal daily activities as soon as possible. We also focus on prevention – whole body care to keep you well. Our approach to therapy focuses on preventing injuries and strengthening your body to keep you healthy and moving.

Smoking Cessation
If you smoke, try to stop or at least decrease the frequency for several weeks before surgery. This will enhance your healing abilities and lessen the chance for lung problems or infections after surgery. If you need help, please visit or speak with your primary care physician. Please note that CTMC is a smoke-free campus.

Weight Loss
Obese patients are at higher risk for complications following joint replacement surgery. Slower wound healing, higher infection rates and a longer rehabilitation process are just three of the possible problems a person with a weight issue may experience. You may have time to lose weight before your joint replacement surgery. Even losing a few pounds can lower the risk of complications and encourage a timely recovery. Please speak with you doctor about making an appointment with a dietitian.

Participate in Your Discharge Planning
Our goal for joint replacement patients is to discharge to home in two days with home health care or outpatient rehabilitation services. You may continue to require help from your support system, which may include care partners or other family, friends, neighbors, co-workers or church members. Going home and participating in outpatient therapy is the customary process for elective joint replacements. Some advantages to going home include:
• Less of a chance for infection
• Outpatient therapy is superior to home therapy, where there is appropriate equipment, space and assistance.
• You will have to deal with real life circumstances going back and forth to therapy that will enhance the rehab program and you will see that you are not the only person on a journey to improve your quality of life.
• Most patients heal faster and feel better when they go home after surgery

It is very important to identify a care partner/team to provide assistance and support at home for the first week, including transportation home. Following the first week, communicate with those who can provide additional assistance at several times throughout the day. For example, plan to have someone prepare your meals, and/or to provide assistance as necessary in the evening. Identify someone to provide transportation to any follow-up appointments, and outpatient rehabilitation therapy if ordered by your physician. NOTE: Private duty home care services are also available and may be covered under long-term care insurance or through private pay. Home health care services or outpatient rehabilitation will be arranged during your hospitalization by your Case Manager, and generally begin 24-48 hours after discharge.