Orthopedic Patient Navigator


Joint Solutions Program Overview

Preparing for Surgery
Once you and your surgeon have decided on joint replacement, the surgery is scheduled. At this time, you enroll in a pre-operative education class.

You and a caregiver, who will be your "coach" through your recovery, are invited to class to learn what to expect and how to prepare for the surgery. The class also gives you an opportunity to ask questions and interact with other people preparing for surgery. You'll learn about the importance of pre-operative exercises in preparation for the surgery and you'll receive an education guide outlining what to expect before, during, and after the operation.

Your Stay at Cayuga Medical Center
The surgical day involves completion of the surgery and optimal post-operative pain control to help prepare you to begin moving. Orthopedic nurses and physical therapists will teach you about total hip precautions or total knee care. The Joint Solutions team will continue to emphasize these safety factors throughout your hospital stay

The day following surgery physical therapy begins and continues twice a day, each day in the Joint Solutions gym. The therapist works with you to improve strength, range of motion and mobility. Your "coach" is invited to attend therapy group sessions to observe and assist you.

As the exercises become more advanced and walking distances increase, you will become more independent in preparation for discharge. You'll progress to stair climbing and learn more about total hip precautions or self total knee stretches. The occupational therapist will assist you with activities of daily living and make recommendations regarding assistive devices.

Returning Home
Prior to discharge, our discharge-planning nurse will assist you in obtaining necessary equipment and will help to determine an optimal discharge plan. The discharge plan will determine whether you will qualify for acute rehabilitation or be discharged directly home. When you are ready for discharge to home, the discharge planning nurse will assist in setting-up continued services for home-care physical therapy and nursing if needed. You will work with a therapist on continuing to improve strength, range of motion, and mobility.

Your surgeon may also recommend outpatient physical therapy following home-care to further optimize your recovery. Cayuga Medical Center has two outpatient physical therapy clinics at Physical Therapy & Sports Medicine Island Health and Fitness Center or Cayuga Medical Center's Brentwood Physical Therapy offices.

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