Post surgical care Flashcards
Maximum protection phase
Patient educate for self-management
Decrease post-op pain, muscle-guarding, spasm.
- relaxation
- cold/heat
- TENS
Prevent infection.
Minimize swelling
- elevation
- distal muscle pumping
- compression
- STM
Prevent circulatory and pulmonary complications
- active exercises to distal musculature
- deep breathing
Prevent joint stiffness or contracture
- PROM, AAROM
Minimize muscled atrophy
- muscle-setting
Maintain motion and strength distal and proximal to surgical site
- AROM, RROM
Maintain functional mobility
- assistive devices
Moderate protection/controlled motion phase
Patient education
Restore soft tissue and joint mobility
- AAROM or AROM w/in limits of pain
- joint mobilization
Scar mobility
- STM
Strengthen involved musculature and improve joint stability
- alternating iso
- rhythmic stabilization
- light resistance dynamic exercise (OC and CC)
- light functional activities on limb
Minimum protection/return to function phase
Patient education
Prevent re-injury
- review signs of excessive use
Restore full joint and soft tissue mobility
- joint mobilization
- self stretching
Maximize muscle performance, dynamic stability, NM control
Restore balance and coordinated movement
Relearn motor skills
Potential postoperative complications
pulmonary complications
DVT
subluxation or dislocation
restricted motion from adhesions and scar tissue formation
failure, displacement, or loosening of internal fixation
Precautions
Avoid positions, movement, WB that could compromise surgical repair
Keep wound clean
Avoid high intensity stretching or resistance exercise with soft tissues that have been repaired or reattached for 6 weeks
Modify activity to prevent stress to repaired area
Wells decision making for DVT
Highly likely if 3 or more:
Active cancer (6 mo)
Paralysis or immobilization of LE
Recently bedridden (>3 days) or major surgery w/in 4 weeks
Localized tenderness along venous system
LE swelling
> 3 cm calf swelling
Pitting edema
Nonvaricose veins
