Providence Orthopaedics - Joint Replacement - Hip Pathway

DAY 1
(first day after surgery)

DAY 2

DAY 3

Medications

• Pain managed by IV, injections or pills
• IV antibiotics to prevent infection
• Blood thinner possible to prevent blood clots

• Pain managed with pills and/or injections 

• Pain managed with pills
• Nurse reviews medications for home

Activity 

• Transfer to chair 3 times with staff assistance
• Use pillow between legs when in bed
• Begin exercise plan with Physical Therapist
• Ice packs to hip, as tolerated

• Begin getting out of bed on your own
• Learn to manage stairs safely with therapist
• Transfer to chair 3 times with staff assistance
• Use pillow between legs when in bed
• Begin exercise plan with Physical Therapist
• Ice packs to hip, as tolerated

• Get out of bed independently
• Walk 25 to 50 feet with walker
• Therapist teaches you how to manage stairs safely
• Ice packs to hip, as tolerated
• Independent with hip exercises

Breathing Exercises

• Deep breathing with breathing exerciser every hour while awake

• Deep breathing with breathing exerciser every hour while awake

• Deep breathing with breathing exerciser every hour while awake

Diet

• Eat as much as you like; Drink water and juices

• Constipation is possible; Eat fruits and vegetables; drink water and juices.

• Eat fresh fruits and vegetables; drink water and juices 

Bathroom 

• Catheter may be removed today
• May begin walking to bathroom with assistance

• Walk to bathroom to build strength and prepare for discharge

• Walk to the bathroom

Self Care

• Feed and bathe yourself, with assistance if necessary
• Dress in street clothes, if possible

• Bathe yourself with minimal assistance
• Dress in street clothes with assistance

• Therapist teaches you how to manage tub or shower   
• Dress and shower independently

Planning Your Return Home  

• Meet with Occupational Therapist

• Work with therapists to identify home equipment needs; Therapists place orders
• Discuss other concerns with therapists
• Demonstrate hip precautions
• You may be discharged today based on your progress 

• Follow hip precautions with all movement
• Nurse reviews instructions for home care, including incision care, medications,  and follow-up appointments with physician
• Equipment delivered to hospital or home before discharge
• You will be discharged today