Presentation on theme: "Pre-admission Spine Surgery Education. Understanding your spinal procedure Preparation for surgery Day of surgery expectations Discharge Instructions."— Presentation transcript:
Understanding your spinal procedure Preparation for surgery Day of surgery expectations Discharge Instructions Recovery Process Preparation Surgery Recovery
7 Cervical 12 Thoracic 5 Lumbar Sacrum and Coccyx Provides us strength Allows us to stand Supports our weight Passageway for spinal cord and nerves
Laminectomy Creation of a “window” in the vertebrae. This allows more room for nerves and releases pressure on the nerve
Discectomy Creation of a “window” in part of the outer ring of the disc. This allows removal of a portion of the disc nucleus releasing the pressure on the nerve
Fusion A graft ( bone or bone protein material) placed between 2 or more vertebrae. Provides stability to the spine- many times screws are used to maintain stability while healing occurs.
How fusion is done Bone Graft Immobilization Types of fusion Posterolateral Interbody ALIF PLIF TLIF XLIF
Obtain all required pre-admission testing recommended by surgeon and bring information to Pre-Op (may include blood work, EKG, chest x-ray, medical clearance from primary doctor, or self-donated blood) Clear all medications with your physician, including any herbal substances or nutritional supplements you may be taking Bring All insurance cards & picture identification to Pre-Op Do not eat or drink after midnight the night before your surgery
Personal care items (such as toiletries) Rubber soled / non-skid shoes or closed back slippers Comfortable clothing for therapy Loose fitting pajamas and /or light weight robe Bedside snacks Important contact phone numbers List of medications, including the ones you may stopped prior to surgery, dosing information Eyeglasses instead of contacts Dentures / hearing aids if needed Brace if you have one and are asked to bring it Walker or cane if used at home Important: Leave all valuables at home!!!
General Health Guidelines Weeks before the surgery, you should concentrate on the following: Nutrition Eat healthy Drink plenty of fluids Do not drink alcoholic beverages Stop smoking Take your daily medication as directed by your physician Discuss with your physician any nutritional and/or herbal supplements you are taking
Pre-operative shower Take the evening before or day of surgery Wash with Triseptin soap provided at pre-op Do not eat or drink after midnight As directed by your physician, take required medications with a sip of water only
Your specific surgical time will be determined at your pre-op visit Report to the Main Lobby at the time appointed in your pre- op visit Surgery will last 1-2 hours Time in the recovery room is generally 1-2 hours During surgery your family will wait in the surgical waiting room After recovery, you will be transferred to the nursing unit on 2 South where family members can see you
Following your surgery, you may have: Intravenous therapy (IV) to provide fluids, medication and/or antibiotics Drain at your incision site which prevents fluids from building up Urinary catheter to help drain your bladder Foot pumps to prevent blood clots Incentive spirometer to help with deep breathing exercises
You will see anesthesia at your pre-op visit General anesthesia or a spinal anesthetic will be administered during surgery Pain relief options after surgery include: Epidural anesthesia Patient controlled analgesia (PCA) pump Injections (as needed) Oral medications (as needed)
10 Worst possible pain 9 8 Very severe pain 7 6 Severe pain 5 4 Moderate pain 3 2 Mild pain 1 0 No pain
Leg exercises and support stockings (TEDS) or foot pumps help keep the blood flow in your legs moving and to prevent blood clots (DVT) How it happens …. Ways to help prevent it …
During your first day of recovery, you may have or begin: Lab tests Intravenous (IV) fluids, catheter and/or your drainage tube removed Your dressings or bandages changed To turn, ambulate, deep breath and use your spirometer Dressing and bathing activities Physical and Occupational Therapy
Working with physical/occupational therapy to participate in walking, exercise and daily living activities programs Working with a Case Manager or Nursing staff to prepare you for the next level of care, your discharge location and any equipment needs Take pain medication as needed in order to participate with therapy
Roll your entire body instead of twisting at the waist Once on your side, ease your legs off the edge of the bed to sit up
Depending on your surgery, your recovery progression and your surgeon will determine if additional days are required in the hospital. During your second day in the hospital you will Continue to work with physical and/or occupational therapy Continue to deep breath and use your spirometer Continue to discuss discharge planning Take your pain medication as needed
You will be discharged from the hospital when you are able to: Eat and drink to prevent dehydration Empty your bladder without any problems Effectively manage any pain Increase your mobility (walking and exercising) Have bowel movement without complications
Your physician, nurse, or physical therapist will discuss the following: Spine precautions and special instructions Pain control and prescriptions Signs of infection or problems Bandage changes and care of incision site Approval for driving, sexual activity, and any other physical activities
Proper lifting techniques No bending or twisting back Keep back straight Limit sitting in upright chairs to 10-15 min Log rolling to get in and out of bed Do not lay on your stomach Further instructions will provided at your post- operative physician appointment.
Remove or tack down throw rugs Remove clutter from hallways and walkways Keep electrical and telephone cords safely out of sight (Use cordless phone, if possible) Rooms and hallways are well lit for visibility Safety and grab bars are installed as needed Keep items in the kitchen/bathroom at waist level for accessibility Arrange pet care, if needed Home Safety Tips…
Things to keep in mind: Keep your incision clean and dry Shower with mild soap and do not put any creams on your incision Take your medication as prescribed Progressively increase activities as directed Use proper lifting techniques. Do not lift anything heavier than a light bag or book Sit in a supportive chair with arms Keep your walking areas free of clutter Keep moving!!
If prescribed by your physician, a case manager / nurse / therapist will educate you on the use of these assistive devices: Canes Rolling Walkers Elevated commode seats Bedside commode or 3 in 1 commode Back/neck braces Pillows to be used when sleeping Ankle pumps Reacher Sock aid
Chest pain or difficulty breathing – Call 911 Sudden inability to move your leg(s) – Call 911 Fever above 101° Pain in your back, NOT relieved by medication Unusual redness, heat or drainage from your incision site New numbness/tingling in your leg(s) Changes in bowel or bladder
To avoid infection: Antibiotics To Avoid Blood clots: Anticoagulants Foot Pumps To Avoid Heart Attacks: Talk with your doctor about your medications Courtesy of the Surgical Care Improvement Project Partnership (SCIP)
To avoid pneumonia Pneumonia vaccine is available, if ordered by your physician Early mobilization (or getting out of bed) Incentive Spirometry To avoid flu Flu vaccine is available, during flu season, if ordered by your physician
Precautions are taken prior to and during surgery to reduce risk Smoking increases risk. Ask us how to quit! Make sure your doctor and healthcare providers wash their hands or use sanitizer before exams, ask “Did you wash your hands?” Clean your incision based on your discharge instructions daily until follow-up with your doctor Call your Doctor if you have any signs or symptoms of infection (redness, increased pain, increased drainage, fever)
Thank you for reading through this presentation. If you have any questions, you may call our Human Motion Institute Spine Line at 706-651-2449.