Recovery at home



Definition

Recovery at home after surgery may require certain dietary and environmental restrictions, recommended rest and limitations to physical activities, and other dos and don'ts as recommended by a physician or surgeon.


Purpose

Post-operative recovery at home should promote physical healing and rest and recovery from the stress of surgery. For patients who undergo orthopedic surgery, the home recovery period will also involve rehabilitation to regain diminished musculoskeletal functioning. Emotional and psychological recovery from life-altering surgeries may also begin during the home recovery period.


Description

When patients are discharged from either an ambulatory surgical facility or a hospital, they will receive written instructions from their physician on restrictions and recommendations for their post-operative recovery at home. A nurse will usually review these instructions verbally with the patient and answer any questions and concerns. They may also call one or up to several days after a surgical discharge to follow up on how the patient is feeling and answer any questions about home recovery.

Restrictions and recommendations outlined in home recovery instructions may include:

The postoperative period is also a time of emotional healing. Patients who face a long recovery and rehabilitation may feel depressed or anxious about their situation. Providing a patient with realistic goals and expectations for recovery both before and after the surgery can help them avoid feelings of failure or let down when things do not progress as quickly as they had hoped. Realistic recovery expectations can also prevent a patient from doing too much too early and potentially hindering the healing process.

Certain life-altering surgeries, such as an amputation or a mastectomy, carry their own set of emotional issues. Counseling, therapy, or participation in a patient support group may be an important part of post-operative recovery as a patient adjusts to their new life.


Preparation

Discharge recommendations for home recovery are typically explained to the patient before they are allowed to leave the hospital or ambulatory care facility. In some cases, the patient may be required to sign paperwork indicating that they have both received and understood home care instructions.

Depending on the surgical procedure they undergo, a patient may be taught some home care techniques while still in the hospital. Physical therapy exercises, incision care, and use of assistive devices such as crutches or splints are a few self-care skills that may be demonstrated and practiced in an inpatient environment.

A physical and emotional support system is also a crucial part of a successful home recovery. Faced with restrictions to movement, driving, and possibly more, a patient needs someone at home to assist them with the daily tasks of independent living. If family or friends are not nearby or available, a visiting nurse or home healthcare aid should be hired before the patient is discharged to home recovery.

Normal results

Following home care instructions can help to speed a patient's recovery time and ensure the safe resumption of normal activities. Several studies have indicated that women may have a longer postoperative recovery time than men. In some cases, the familiar, comforting home environment may even speed the healing process or improve the degree of recovery. One study of patients 64 and older undergoing hip surgery found that patients who were allowed to undergo rehabilitation at home had significantly better outcomes than those who underwent rehabilitation as hospital inpatients. On average, the former had better physical capacity and independent living skills when assessed six months after surgery.

Some studies have also indicated that gender may have an impact on the success and speed of post-operative home recovery. A 2001 study in the British Medical Journal found that women recovered from surgery at a 25% slower rate than men. Further research is needed to determine exactly why this gender gap exists, but the authors did hypothesize that both anatomical and physiological differences could be a factor.


Resources

books

Brubaker, Melinda, et al. Surgery: A Patient's Guide from Diagnosis to Recovery. San Francisco: UCFS Nursing Press, 1999.

Klippel, John H., ed. All You Need to Know About Joint Surgery: Preparing for Surgery, Recovery, and an Active New Lifestyle. Atlanta: Arthritis Foundation, 2002.

Trehair, RCS. All About Heart Bypass Surgery. Philadelphia: Oxford University Press, 2003.


periodicals

Golub, Catherine. "Ready Yourself for Recovery: Tips for Preand Post-Op Nutrition." Environmental Nutrition 24 (November 2001): 2.

organizations

National Association for Home Care and Hospice. 228 Seventh Street SE, Washington, DC 20003. (202) 547-7424. http://www.nahc.org .

Visiting Nurses Association of America. 99 Summer Street, Suite 1700, Boston, Massachusetts 02110. (617) 737-3200. http://www.vnaa.org .


Paula Ford-Martin

User Contributions:

1
Garry Nettleton
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Sep 25, 2006 @ 3:15 pm
Very good description of everything I was through even though I work in a histology dept. of the lab and see it almost on a daily basis. I am not a doctor, only a tech. but it was very easy reading. Keep up the good articles.. Garry
2
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Dec 2, 2010 @ 12:12 pm
I have had hip revision after only eight months. My Dr. says the femoral portion was loose. I obtained the old prosthesis from pathology after the operation. Only one side shows any evidence of bone growth. I don't know if it was a good fit to begin with. You're artical has supplied me with some very good info. and what to expect. I am interested in chating with others who have had a similar expierience as mine. Please E-mail me if you can help. Bob
3
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Jun 18, 2011 @ 1:13 pm
I would like to contact Bob as I am just seven weeks after a Girdlestone
operation.Thanks Ernie
4
Howard
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Jun 29, 2011 @ 10:22 pm
Bob I am 4 weeks out on a hip revision, I did not get my old prosthesis but am interested in chatting on the replacement
5
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Oct 12, 2011 @ 1:01 am
I am nearly 4 weeks post revision hip surgery. I'm only 39 and you can never keep learning.
your articles are very informative. You forget a lot of stuff that is why articles like this are always an eye opener and a refresher course
Thank you
6
ernie
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Jan 2, 2012 @ 12:12 pm
Hi, I'm most interested in "talking" to any one who has had
revision surgery after having a girdlestone operation.Thanks
7
Rginald L Moore
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Jan 6, 2013 @ 2:14 pm
Im having hip replacement surgery did in May 2013,an im really scared.Could have had it done in 2005 but didn`t.So my question is i`ll be 55 years old an how long will it take for me to return to normal.Now this only if i do what i was asked to do to.
8
Lawrence
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Jul 4, 2013 @ 1:13 pm
I am 55 years old I had my first total hip rpmt in 2006 I recovered in 2-3mths I recently had a revision this June and am doing very well after one mth I suspect I'll be back to work in a couple mths , also I quit drinking achohol and started eating good and follow your exercises regularly.

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