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Joint Replacement Handbook | Providence Sacred Heart and Holy Family Hospitals

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33 GOING UP AND DOWN ST AIRS: When climbing up and down stairs remember the rule: "UP with the good" (lead with your non-operated leg), and "DOWN with the bad" (lead with your operated leg). SLEEPING Please talk to your surgeon on the recommended sleeping position. Your therapist may instruct you to get in/out of bed from either side depending on your needs and your home environment. EXERCISE P ROG RAM Following your surgeon's instructions, your PT will prescribe your home exercise program. These may be started before surgery if they don't increase pain. DISCHARGE Discharge can happen at any time of the day. To be discharged from the hospital, you must: Be cleared by your physician. Receive adequate pain control from oral pain medications. Demonstrate understanding of new medications and when to seek medical attention. Demonstrate understanding of use of stairs and home exercise program. Demonstrate safe transfers using adaptive equipment (i.e., getting out of bed or off the toilet), with or without using adaptive equipment Demonstrate understanding of knee precautions (if applicable). Demonstrate independence with mobility or have sufficient help at home to ensure your safety. Be able to care for yourself or have help in your home for a few days. Have arrangements finalized for coaches/caregivers, family, equipment and/or services at home. Care coordinators, social workers or case managers, are available to assist you with discharge planning if needed. This person will work with you and your family to make your transition home as smooth as possible.

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