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Posts Tagged “hip replacement”

Home Care and Hip Replacement Surgery

Phoenix Home CareIn our last blog post, we shared details on what to expect before and during hip replacement surgery. But what happens next? Many seniors, while eager to get back home and to a regular routine, are also nervous about the recovery process. Will she be able to manage the everyday tasks of living? What if she falls again?

Nightingale Homecare wants to reassure you that recovery at home is not only possible, but preferred by the majority of seniors. Professional home care services can make the journey to recovery smoother and safer. Here’s how.

Recovery at Home

The senior will work very closely with a physical and occupational therapist for several weeks following discharge to home, and a full recovery can take anywhere from six to twelve months.  The success of the senior’s recovery depends upon her overall health and how closely she adheres to the rehabilitation plan. With Nightingale Homecare, therapists work with the senior right in the comfort of home, eliminating the need to figure out transportation issues, and allowing her to focus fully and safely on the recovery process.

Home Planning Checklist

Consider the following items to maximize safety and comfort during recovery:

  • A stable shower bench or chair for bathing
  • A long-handled sponge and shower hose
  • Safety bars or handrails in the tub/shower
  • Handrails along all stairways
  • A straight, foam-backed chair with arms and a firm seat cushion that allows the knees to remain lower than the hips
  • A raised toilet seat
  • A dressing stick, sock aid, and long-handled shoe horn
  • A grabber to reach items without excessive bending of the hips
  • Firm pillows for chairs, sofas and cars to keep knees lower than the hips
  • Removal of loose carpets and electrical cords in walking areas of the home

Our Phoenix in-home care staff can perform an assessment of the home to make sure that these and other safety measures are in place.


Exercise is a really important component to recovery at home. The senior will continue to work on her assigned exercises with and without the physical therapist, which will improve strength and restore movement. She will be able to resume some light activities within about three weeks following surgery, and will be instructed to gradually increase walking using a walker or a cane to start, and also gradually increase home activities. A bath aide for several days or weeks to assist with bathing and dressing is also recommended.


It’s normal to have some loss of appetite following surgery. Remind the senior to eat a balanced diet including adequate protein and iron to help promote muscle and tissue healing and strength. Increased fluids and fiber are also critical for normal bowel movements, which can be affected by decreased activity, pain and use of pain medications.

Home care can be a critical component to the success of your senior loved one’s hip replacement surgery. Choose the home care agency that has been the choice of the Valley’s top orthopedic surgeons for over twenty years. Nightingale Homecare understands that home is a place of comfort and healing and that most of the recovery from an orthopedic surgery, illness or injury happens at home. Through our orthopedic rehabilitation program, highly trained physical therapists and occupational therapists provide hands-on therapy in the comfort of the senior’s own home. Contact us to learn more at 602-504-1555.

Hip Replacement Help from Nightingale Homecare

Nightingale Homecare PhoenixSometimes the pain is worst while lying down. Sometimes it causes walking to become an excruciating effort. And sometimes the ache remains even while sitting in a normally comfortable position, striking anywhere from the groin area down the leg into the knee. Hip pain and subsequent hip replacement surgery impact over 30,000 Americans every year, but there’s good news too! Hip replacement surgeries are rated among the most successful operations overall.

As with any medical condition, knowledge and planning are key to empowering patients and increasing the likelihood of a successful outcome. If your senior loved one is facing an upcoming hip replacement procedure, Nightingale Homecare of Phoenix is here with helpful information to make the process as smooth as possible.

Possible Surgical Candidates

There are many conditions that may lead to a hip joint replacement, including hip fractures. The more common causes of hip degeneration that may lead to a total hip replacement or hip arthroplasty surgery include:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Traumatic arthritis
  • Bone tumors
  • Childhood hip disease
  • Osteonecrosis or avascular necrosis

The Expected Outcomes of Total Hip Replacement

Following surgery, most people experience a dramatic improvement in their ability to perform their daily activities. There is also a significant decrease in pain. These improvements lead to a dramatic increase in the quality of life in the individual.

The hip replacement prosthetics will last for many years, although like any other artificial part, the parts of the hip implant will begin to wear over time. The amount of wear will depend upon the material the hip prosthesis is made of, the patient’s weight, and the amount of activity.

The Hip Replacement Surgery

The actual procedure will take a few hours to complete. In total hip arthroplasty, the damaged bone and cartilage is removed and replaced with metal, polyethylene, ceramic, or a combination of those materials.

The Hospital Stay

Most hospital stays last between 3 and 5 days following the surgery. While in bed and resting, the senior should expect to keep a positioning splint between his or her legs to prevent the hip from going out of alignment. The patient will also be given pain medications to control post-surgical pain, medication to prevent blood clots, and tight compression stockings to help blood to circulate and prevent clotting. He or she may also be instructed to:

  • Take deep breaths and cough frequently while in bed if a catheter is in place, to prevent congestion in the lungs while activity level is low
  • Move feet up and down and flex muscles to keep blood circulating
  • Perform exercises as directed by the physician to improve movement and increase strength, including physical therapy work such as getting in and out of bed and chairs, walking, and getting to and from the bathroom

Many patients are discharged to an extended care facility for rehabilitation for a period of time, to practice more moving and activities of daily living (bathing, toileting, and dressing, etc.) prior to being discharged to home. This is a great time to make arrangements for in-home care assistance, allowing for a smooth transition from rehab to home. Contact Nightingale Homecare at 602-504-1555 to continue the recovery process with our friendly, encouraging senior home care experts, and help your senior loved one get back to living life to the fullest!

Posted in Blog, Phoenix, Senior Health on October 19th, 2016 · Comments Off on Hip Replacement Help from Nightingale Homecare

Occupational Therapy Gets Seniors Up and About After Hip Replacement Surgery

phoenix elder careThere’s great news for octogenarians and even nonagenarians when it comes to healthy hips: hip replacement in older seniors is on the rise, and not only is it safe for those in reasonably good health, but is recommended by experts to reduce pain and restore mobility.

But what’s the best method of recovery following hip replacement surgery? More and more frequently, occupational therapy is being touted as the preferred means, allowing for not just physical healing, but psychological and emotional recovery as well, as occupational therapists share ingenious ways to quickly and safely get back to daily activities. The following are just a few of the many areas in which occupational therapists can assist with recovery from hip replacement surgery:

  • Sitting: Learning to sit properly during hip replacement recovery includes avoiding leaning forward or crossing the legs until the doctor approves of these movements. OTs provide instruction and suggestions on devices to maintain a safe, upright position while seated.
  • Walking: Using a walker, transferring with the walker from chair to bed or bath, and getting into and out of a car all require careful instruction and maneuvering in order to keep the hip aligned properly and avoid placing too much or too little weight on it.
  • Dressing: There are a variety of tools available that an OT can recommend and train seniors to use to make daily dressing easier, such as a sock aid to pull socks into place and a dressing stick to pull clothing on without bending.
  • Sleeping: OTs can teach proper sleeping positions and the best ways to get into and out of bed safely, as well as assist in obtaining, if necessary, the best type of bed to promote healing.
  • Living: Many daily tasks of life that were once so simple and taken for granted become challenging following hip replacement surgery. Occupational therapy teaches valuable skills to help make the transition back to daily life as safe as possible, such as sliding heavier objects across the counter rather than lifting them, using a reaching tool to pick up objects, and utilizing a basket or bag attached to a walker.

At Nightingale Homecare, we understand the value of occupational therapy in the lives of our clients recovering from hip replacement surgery, as well as a variety of other conditions. We employ a full staff of medical professionals, including occupational, physical and speech therapists, registered nurses, dieticians, home health aides and nursing assistants, ensuring the seniors in our care a complete in-home care solution. For the most comprehensive and highest quality Phoenix elder care, call on Nightingale Homecare at 602-504-1555.

Posted in Blog, Phoenix, Senior Health on April 6th, 2016 · Comments Off on Occupational Therapy Gets Seniors Up and About After Hip Replacement Surgery