Q. I am having a hip replacement in a few weeks. While I’m looking forward to being able to walk around with less pain, I’m not looking forward to the necessary therapy after surgery. My orthopedic surgeon recommends that I go to a short-term rehabilitation facility after being discharged from the hospital. I know I’ll benefit from the extensive therapy. However, I’m dreading the many unknowns of what to expect. My husband and I are in our 60s. He’s semi-retired and plans to visit in the evenings once I’m settled. What should I expect during my short-term stay? Do you have any tips to make this experience more bearable?
A. Short-term rehab is often recommended after hip replacement surgery to help patients achieve their best possible level of physical function. Patients who opt for short-term rehab generally have a higher recovery rate than those that opt out.
I know it can be intimidating to be placed in an unfamiliar environment. Fortunately, short-term rehab facilities are often more inviting and comfortable than the hospital setting. You can rest assured that you will be in capable hands.
Upon admission, you’ll be evaluated by the therapy team and a nurse. Other departments will stop by to introduce themselves and get to know you. Someone from activities will orient you to the programs they offer. A dietician will ask about food preferences and offer nutrition education should you need it. A social worker will work closely with you to help coordinate your discharge from the facility.
You can expect extensive physical and occupational therapy five days a week. You may see a physical therapist in the morning and an occupational therapist in the afternoon. Sometimes, the two disciplines team up as you make progress toward your goals.
You can also expect to receive hands-on care from the nursing team. A nurse will administer your medications and oversee your dressing changes per the doctor’s orders. A certified nursing assistant will assist with personal care.
Your therapists will drive how long you stay based on your goals to return home. They want to ensure that you are at your previous level of functioning before your surgery. Some patients need four weeks to make a full recovery, others take eight weeks to meet their goals. Be patient with yourself and the process.
Since your surgery is scheduled, I suggest you tour short-term rehab facilities nearby before your surgery. You have the luxury of time and can get a preview of what you can expect at each rehab facility. Most rehab facilities are willing to hold a bed for new patients, especially if they’ve previously toured. Make a list of your top two or three places and give your list to your hospital discharge planner.
I also recommend that you pack items from your home to help make your stay as comfortable as possible. Bring your favorite pillow and an extra blanket to keep warm. Pack essential toiletries. Choose comfortable clothing that you can layer. Bring a few books, your tablet or laptop, word puzzles, or adult coloring books to help pass the downtime. Don’t forget your phone chargers. Although you’ll be busy with therapy, you can expect to have some downtime and will want things to keep your mind busy.
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