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Medical Forum / Diseases and Disorders / Arthritis / September 2006

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Accomodations at home for THR, TKR??

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Ginnie - 23 Sep 2006 07:40 GMT
Maybe I'm getting ahead of myself, but my head wants me to get my house
"equipped" for what devices I'll need after the hospital releases me, after
having a total knee and/or total hip done in separate surgeries.

So far, I've ordered:

•  a bath/shower bench, with suction cup feets, that folds for storage.
    (I already have a Shower Massage shower head on a looooonnnng metal
    hose... shower heaven!)

•  a 2-level handrail that clamps to the side of the tub, so I have something
    higher than the edge of the tub to hold myself steady.

•  a maybe 18" round, cushioned "lazy Susan" for my driver's seat. The thing's
    big and about 2" thick, so I can elevate my posterior out of the deep bucket
    seats, and spin my tushy in or out of the car.

One of my questions for y'all is:  What does the hospital provide?  Will they
be giving me a walker and a cane to take home with me?   I already own a
pair of wood crutches - should I take them to the hospital?

It's gonna look like I'm checking in forever...  bringing my memory foam
mattress topper, my own pillow, (and maybe a long body pillow?), my
CPAP machine, my crutches, my laptop...

I was looking on Dr. Leonard's site tonight, and found a set of chair arms
for the toilet, and a couple of different ways to make the toilet seat higher.
My toilet already is an ADA-compliant height, but I want to add about 2
more inches height to the seat.

They also had a folding cane for $15...  is this something I should buy for
myself?  After a TKR or THR, how long will I be using a cane, and - again -
is a cane something the hospital provides?  They had a Gopher grabber -
almost 3 ft. long - has anyone used the Gopher brand?  You know, the thing
that lets you pick things up without reaching?

I just loved that they wanted about $15 for a pair of tennis balls for the
feet of your walker!!  No thanks, can cut up my own tennis balls.

But on another site, I saw some walker ideas that were cool!  One was a
walker that "walked" with you -- it had vertical hinges that allow the two
right feet of the walker to move forward with your right foot, then the
two left feet of the walker moved forward with your left foot, so you
had kind of a normal gait.  As opposed to "move the whole walker a few
inches, then walk up to it.  Stop and move the walker a few inches, then
walk up to it again......  What do you walker users think of that?  But,  in
recovering from either hip or knee replacement, would I be using a
walker long enough for it to make sense buying it myself?

And once I'm home, what will I be using the most to get around?  If it's
a walker, what do I need on it to say, carry a sandwich and a big QuikTrip
drink thermos out of the kitchen?  I saw walker trays in Dr. Leonard's that
fit over the tops of the walker handles - are those helpful?  How DO you
carry your lunch, big drink, and a book or the mail, when your hands
are busy with crutches, a walker, or a cane?  I live alone, so I need to
figure out ahead of time these otherwise rote habits!

Well, lookee, I wrote another book-length post!  Sorry, please bear
with me.  But maybe these kinds of survival/helpful strategies are some-
thing we could put into a FAQ or something similar?

Thanks in advance for your help!!

Ginnie       >^..^< ...she already knows I can't walk with my 'hands' full...
________________________________________________
spodosaurus - 23 Sep 2006 08:21 GMT
Hi Ginnie,

I wasn't able to read through your whole post (I have to head out in a
minute and wanted to reply so I wouldn't forget) but I don't think you
mentioned having permanent shower and toilet handrails installed. The
local hospital does that for me (and built a ramp for my wheelchair -
unrelated to my THRs) but things are different here in Australia. A
handyman can install these for you. You can buy them at a hardware store
usually (we get them here) but they should be installed correctly as
they will be taking your weight and used for emergencies (which will
hopefully never happen, but that one time you lose your balance and you
have the handrail to grab onto is worth all the effort of organising
their installation). Over here they cost between $30-$100 each for the
hardware depending on how fancy you want. Probably cost about that for
professional labour to install them, too.

Regards,

Ari

Signature

spammage trappage: remove the underscores to reply

I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. Complications in
hospital following this resulted in a serious illness. I now need a bone
marrow transplant. Many people around the world are waiting for a marrow
transplant, too. Please volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/

Ginnie - 23 Sep 2006 08:37 GMT
Thanks, Ari!

I really hadn't thought about putting permanent rails in.  They look
so 'industrial'.  But, maybe I need to redo my thinking...  turning 60
next year should be a reminder that these inconveniences like
surgery are gonna be a routine thing, at the rate I'm going!

Ginnie    >^..^<
_________________________________

> Hi Ginnie,
>
[quoted text clipped - 15 lines]
>
> Ari
spodosaurus - 23 Sep 2006 09:08 GMT
> Thanks, Ari!
>
[quoted text clipped - 4 lines]
>
> Ginnie    >^..^<

The shower especially. Often after joint replacement proprioception can
be not quite right for months (or longer). With shampoo in your eyes and
a little wobble a handrail can be a lifesaver. The toilet handrail is
generally best for the forst 3-6 months post THR/TKR (in my experience).
However, what're you going to do during those 3-6 months post
replacement without the handrails? Best just to have them done.

For me these are more important after all the fractures last year and my
smashed ankle. Also, when you're ill, or sleepy, or just not thinking
clearly having a habit of using the handrails in the shower and in the
toilet room can really save the day on those rare occaisions when our
balance suffers and we learn that our 'new' joints sometimes don't work
precisely the same as the old ones. (I say 'toilet room' because we
usually have a separate small toilet room away from the bathroom in
Australia, which is great as it's much more hygeinic).

Ari

> _________________________________
>
[quoted text clipped - 17 lines]
>>
>> Ari

Signature

spammage trappage: remove the underscores to reply

I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. Complications in
hospital following this resulted in a serious illness. I now need a bone
marrow transplant. Many people around the world are waiting for a marrow
transplant, too. Please volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/

Sunny52 - 23 Sep 2006 16:45 GMT
Hi Ginnie,

This past April I had a knee revision, so the "must have" list is still
fresh in my mind.

The hospital told me to bring whatever I felt would help me during the
recovery period.  I needed new crutches, so I bought them at the
hospital.  I did bring my dressing stick and my reacher.  Shorts were
helpful especially when walking through the halls with the physical
therapist! lol  I also brought button down shirts,as the hospital gowns
never stay closed.

Cell phones were not allowed in the hospital, so I purchased a phone
card the week before surgery.

At home I needed a chair which was regulation height (forget the
height, but doctor should be able to tell you) especially for post-THR,
but was also helpful for post-TKR.

I already had the other items you mentioned.  Hand rails already
installed in bathroom before first TKR over 13 years ago.  I still use
them every day.  The installation was expensive, but I'm so glad I have
them.

I made sandwiches, wrapped them in wax paper, and placed them in a
plastic grocery bag.  I also added a bottled drink and anything else
easy to carry in a plastic bag.  I was able to put the bag around my
wrist and head for the dining room.  I was not able to have coffee,
tea, or hot meals until I started using just one crutch.  I never
thought of going to a coffee shop (before surgery) to purchase a mug
with a sealed cover!  I used the plastic grocery bags to carry almost
anything, books, magazines, etc.

My revision required far less down time than the original replacement,
but everyone experiences surgery differently.  I was very aggresive
with physical therapy, and I did a lot of walking around my house.  I
never "got the hang of" a walker, so I have always used crutches.  They
are very hard on the shoulders and wrists though, and I was happy to
finally put them into storage.

After my surgeon gave me permission, I used a cane which I bought at a
local pharmacy. At the time, I never thought of purchasing a folding
cane.  Recently a friend from the U.K. sent me a folding cane.  I love
it because I can keep in my bag until I need it.

I wish you luck!

> Maybe I'm getting ahead of myself, but my head wants me to get my house
> "equipped" for what devices I'll need after the hospital releases me, after
[quoted text clipped - 61 lines]
> Ginnie       >^..^< ...she already knows I can't walk with my 'hands' full...
> ________________________________________________
ladylove77 - 23 Sep 2006 19:34 GMT
Ginnie, are you on Medicare, or are you too young for that?  I am on
Medicare and they paid for my walker and cane.  I had already gotten a
reacher (not Gopher), a dressing stick, and a long shoe horn, which you will
need for putting on shoes when you can't reach your feet because you can't
bend that far.  I went to a Rehab Hospital for a couple of weeks after I
left the hospital and they ordered the walker for me and had it sent to the
Rehab Hospital for me to use going home.  While at Rehab, I used their
walker.
Depending on what you have to sit on at home, you may need something to put
in a chair to make it high enough that you won't bend your hip over 90
degrees when sitting down and getting up.  It has been 5 years since my THR,
and that's all I can think of right now.  Oh, you will also need a tool to
help you put on socks or hose.
Gwen

> Maybe I'm getting ahead of myself, but my head wants me to get my house
> "equipped" for what devices I'll need after the hospital releases me,
[quoted text clipped - 72 lines]
> full...
> ________________________________________________
Henry - 23 Sep 2006 21:53 GMT
You mite consider renting a wheelchair.  I used it extensively moving
from desktop to desktop rather than moving my high chair with its arms
(THR).  Works also as a walker.  Wheelchair also a fine device for
moving laundry baskets from washer/dryer to folding area to
closet/dresser.  I also had a device to help me put on socks. And
elastic shoestrings.

Henry
d'huit - 23 Sep 2006 23:25 GMT
i haven't had a tkr (nor a thr), ginnie.  however, i remember several people
(donnah is one i specifically recall) on group mentioning that a rocking
chair is a big help with getting knee bend back after a tkr.  so, if you
already have a rocker at home, ask your doctor about that.

kate
Maybe I'm getting ahead of myself, but my head wants me to get my house
"equipped" for what devices I'll need after the hospital releases me, after
having a total knee and/or total hip done in separate surgeries.

So far, I've ordered:

•  a bath/shower bench, with suction cup feets, that folds for storage.
    (I already have a Shower Massage shower head on a looooonnnng metal
    hose... shower heaven!)

•  a 2-level handrail that clamps to the side of the tub, so I have
something
    higher than the edge of the tub to hold myself steady.

•  a maybe 18" round, cushioned "lazy Susan" for my driver's seat. The
thing's
    big and about 2" thick, so I can elevate my posterior out of the deep
bucket
    seats, and spin my tushy in or out of the car.

One of my questions for y'all is:  What does the hospital provide?  Will
they
be giving me a walker and a cane to take home with me?   I already own a
pair of wood crutches - should I take them to the hospital?

It's gonna look like I'm checking in forever...  bringing my memory foam
mattress topper, my own pillow, (and maybe a long body pillow?), my
CPAP machine, my crutches, my laptop...

I was looking on Dr. Leonard's site tonight, and found a set of chair arms
for the toilet, and a couple of different ways to make the toilet seat
higher.
My toilet already is an ADA-compliant height, but I want to add about 2
more inches height to the seat.

They also had a folding cane for $15...  is this something I should buy for
myself?  After a TKR or THR, how long will I be using a cane, and - again -
is a cane something the hospital provides?  They had a Gopher grabber -
almost 3 ft. long - has anyone used the Gopher brand?  You know, the thing
that lets you pick things up without reaching?

I just loved that they wanted about $15 for a pair of tennis balls for the
feet of your walker!!  No thanks, can cut up my own tennis balls.

But on another site, I saw some walker ideas that were cool!  One was a
walker that "walked" with you -- it had vertical hinges that allow the two
right feet of the walker to move forward with your right foot, then the
two left feet of the walker moved forward with your left foot, so you
had kind of a normal gait.  As opposed to "move the whole walker a few
inches, then walk up to it.  Stop and move the walker a few inches, then
walk up to it again......  What do you walker users think of that?  But,  in
recovering from either hip or knee replacement, would I be using a
walker long enough for it to make sense buying it myself?

And once I'm home, what will I be using the most to get around?  If it's
a walker, what do I need on it to say, carry a sandwich and a big QuikTrip
drink thermos out of the kitchen?  I saw walker trays in Dr. Leonard's that
fit over the tops of the walker handles - are those helpful?  How DO you
carry your lunch, big drink, and a book or the mail, when your hands
are busy with crutches, a walker, or a cane?  I live alone, so I need to
figure out ahead of time these otherwise rote habits!

Well, lookee, I wrote another book-length post!  Sorry, please bear
with me.  But maybe these kinds of survival/helpful strategies are some-
thing we could put into a FAQ or something similar?

Thanks in advance for your help!!

Ginnie       >^..^< ...she already knows I can't walk with my 'hands'
full...
________________________________________________
Judy Bay - 24 Sep 2006 00:49 GMT
Re: the walker - I have the 3-wheeled rollator type, and I put a mixing bowl
in the vinyl "basket" for carrying coffee cups, etc.

> Maybe I'm getting ahead of myself, but my head wants me to get my house
> "equipped" for what devices I'll need after the hospital releases me,
[quoted text clipped - 72 lines]
> full...
> ________________________________________________
ladylove77 - 24 Sep 2006 04:38 GMT
I got a Harriet Carter catalog in the mail today and it has a walker basket
that  it says," Holds everything while you're on the move; books,
needlework, letters,checkbook,calculator, snacks, even bottled water.  Soft
sided carrier has a zippered compartment, two open pockets plus a beverage
holder inside, 3 mesh pockets and a pen-pencil holder outside.  Attaches
securely to any standard walker with included hook-and-loop straps."  It
sells for $9.98.  I have no interest in this company; just happened to
notice this as I looked through the catalog, and this has been discussed in
the last couple of days.
Gwen

> Re: the walker - I have the 3-wheeled rollator type, and I put a mixing
> bowl in the vinyl "basket" for carrying coffee cups, etc.
[quoted text clipped - 80 lines]
>> full...
>> ________________________________________________
Fire Chief - 27 Sep 2006 07:38 GMT
> Maybe I'm getting ahead of myself, but my head wants me to get my house
> "equipped" for what devices I'll need after the hospital releases me, after
[quoted text clipped - 5 lines]
>      (I already have a Shower Massage shower head on a looooonnnng metal
>      hose... shower heaven!)

I didn't use one following my THR.

> ·  a 2-level handrail that clamps to the side of the tub, so I have something
>      higher than the edge of the tub to hold myself steady.

I was lucky and had my mother's old one that I used for
a couple of weeks after I returned home.

> ·  a maybe 18" round, cushioned "lazy Susan" for my driver's seat.

Don't drive, so didn't need anything like that.

> One of my questions for y'all is:  What does the hospital provide?

Nothing that your insurance isn't paying for.

>  Will they be giving me a walker and a cane to take home with me?

Hospitals don't "give" anything.

>  I already own a pair of wood crutches - should I take them to the hospital?

Only if your doctor tells you to take them.

> It's gonna look like I'm checking in forever...  bringing my memory foam
> mattress topper, my own pillow, (and maybe a long body pillow?), my
> CPAP machine, my crutches, my laptop...

I'm skipping this - I didn't take any of that crap.

> I was looking on Dr. Leonard's site tonight, and found a set of chair arms
> for the toilet, and a couple of different ways to make the toilet seat higher.
> My toilet already is an ADA-compliant height, but I want to add about 2
> more inches height to the seat.

My HMO paid for a toilet set booster.  Probably 3" high.

> They also had a folding cane for $15...  is this something I should buy for
> myself?  After a TKR or THR, how long will I be using a cane, and - again -
> is a cane something the hospital provides?

Again, the hospital provides only what insurance pays for.

> They had a Gopher grabber - almost 3 ft. long -

Got a free one from OT through my insurance.

> I just loved that they wanted about $15 for a pair of tennis balls for the
> feet of your walker!!  No thanks, can cut up my own tennis balls.

Of course.  All of those catalogs are out to empty your
wallet/bank account.   Think!   Why does anyone need
balls for a walker?   Looks?   Decoration?   Feeling of
insecurity without them?

> And once I'm home, what will I be using the most to get around?  If it's
> a walker, what do I need on it to say, carry a sandwich and a big QuikTrip
[quoted text clipped - 3 lines]
> are busy with crutches, a walker, or a cane?  I live alone, so I need to
> figure out ahead of time these otherwise rote habits!

I alread had my dad's old cane which I used off and on
before the THR.  I used it around the house - the walker
was too akward.   I could carry plates of food or a drink
from the kitchen to the table with one hand.  Learned to
take 2 trips instead of 1.  I put the mail in a pocket to bring
inside -- and women usually have larger pockets than
men.   Or wear an apron with pockets to the mailbox. or
to carry a book.

I had no use for a tray.  Your foolish to spend money for
something you'll use just 1 or 2 months.

Outside my place, I used a walkder (see below) for
about 5 weeks.  Gave it up just before my first check
up with the surgeon.

I was given - by my HMO/insurance - a Plain Jane walker
with itsy-bitsy, teeny wheels that caught/snagged every
imperfection in my path.  During my 2 weeks in rehab, I had
been using their walker with LARGE wheels that ran over
everything in sight - transition from carpet to tile, holes in the
outside patio floor, etc. etc.

The night before I was scheduled to go home, I swapped
their wheels for the puny ones on my walker.  <g>  The
head nurse, who had seen my troubles the day before,
remaked, "Oh, I see you fixed your problem."   <vbeg>

... Windoze 95/98/ME/NT:  Insert wallet and press any key to empty.
Ginnie - 30 Sep 2006 20:26 GMT
You guys are the best!  Thank you sincerely for all the good
ideas on what I'll need (as well as don't need to spend $$ on)
when I have my surgeries.  And for those who provided a source,
I've checked them out and found some very useful things.

And, DRAT!  Some of the things I recognized I need *not* just
for the surgeries, but because I've been in a bit of denial
about aids I need just for everyday life.  Lesson learned!

Thanks again, I just love you guys. :-)

Ginnie    >^..^<
____________________________

> Maybe I'm getting ahead of myself, but my head wants me to get my house
> "equipped" for what devices I'll need after the hospital releases me, after
[quoted text clipped - 68 lines]
> full...
> ________________________________________________
 
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