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髖及膝關節置換手術： 術前、術中、術後

患者指南Before, During and After Hip and Knee Replacement Surgery – A Patient’s Guide

OAS S

The Arthritis Society, BC & Yukon Division

The Mary Pack Arthritis Program

Hip Hip Hooray

BC Orthopedic Association

Canadian Orthopedic Foundation

Vancouver Coastal Health OASIS

(OsteoArthritis Service Integration System)

Vancouver Island Health Authority

Northern Health Authority

Interior Health Authority

Fraser Health Authority

Providence Health Care

OAS S

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Ortho Connect(Canadian

Orthopedic Foundation)

www.canorth.org ( “patient resources”)

1-800-461-3639 mailbox@canorth.org

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Resources

Arthritis & Surgery Information

OASIS Program; “Osteoarthritis Service Integration System” Vancouver Coastal Healthoasis.vch.ca

Phone: Vancouver: 604-875-4544 Richmond: 604-675-3644 Coastal: 604-904-6177

The Arthritis Societywww.arthritis.ca

Email: info@arthritis.ca Arthritis Answers Line: 1-800-321-1433

The Arthritis Resource Guide for BCwww.arthritis.ca/Provinces/BC/Resource-Directory

Canadian Orthopedic Associationwww.coa-aco.org

Canadian Orthopedic Foundationwww.canorth.org

and Ortho Connectwww.orthoconnect.org

“My Joint Replacement” informationwww.myjointreplacement.ca

Surgical or Orthopedic InformationAmerican Academy of Orthopaedic Surgeonshttp://orthoinfo.aaos.org

Equipment

Veterans Affairs Canadawww.veterans.gc.ca

Toll Free: 1-866-522-2122

Red Crosswww.redcross.ca/where-we-work/in-canada/british-columbia-and-yukon

Toll Free: 1-800-565-8000

or check local listings for area phone number

Health Professionals

HealthLink BCPhone: 8-1-1www.healthlinkbc.ca

Non-emergency health information provided by a nurse, pharmacist or dietitian.

Dietitians of Canada www.dietitians.ca

Physiotherapy Association of British Columbia (PABC)– to find a physiotherapistin your areawww.bcphysio.org

Home Safety

Home Safety Renovations (low income seniors)www.cmhc-schl.gc.ca.

Phone: 1-800-639-3938

Transportation

HandyDARTwww.translink.ca/en/Rider-Guide/Accessible-Transit/HandyDART.aspx

Provided by local bus services throughout BC – check your local listings for phone numbers

In Lower Mainland: Phone: 604-575-6600

SPARC – disabled parking passwww.sparc.bc.ca

Phone: 604-718-7744

TAP – Travel Assistance Programwww.health.gov.bc.ca/tapbc/

Phone: 1-800-661-2668

*

62 | Before, During & After Hip and Knee Replacement Surgery [Chinese Traditional]

acetabulum ............................. 7, 8air travel ................................... 46anemia ..........................29, 54, 57anesthesia ........................... 31, 35bathing ..........................24, 38, 50bed (getting in and out) ............ 49bed blocks .......................... 25, 49bilateral knee replacement ...................16, 37, 48blood clots ...36, 38, 41, 48, 54, 55blood thinner ................36, 41, 55both knees .......................... 16, 48car transfer ............................... 47chest infection .......................... 56complications ...................... 54-57constipation ..................29, 39, 54crutches .............23, 26, 32, 38, 48Dalteparin ................................ 41day of surgery ........................... 35deep breathing and coughing ... 36dental ....................................... 57Dial-a-Dietitian .................. 30, 61disabled parking pass (SPARC pass) ................27, 46, 61discharge (hospital) ............ 37, 41dislocation (hip) ............10, 54, 57dressing .......11, 19, 26, 32, 38, 50driving ..................................... 46education ................................. 31emergency situations .....55, 56, 57equipment .....................26, 27, 61exercise ..28, 36, 38, 40, 45, 46, 54falls prevention ..............23, 28, 50femur ................................7, 8, 15follow-up.................................. 41grab bars .................24, 26, 50, 53government agencies .......... 27, 61hand-held shower hose ..24, 26, 51HandyDART ................27, 46, 61heparin ..........................36, 41, 55high-density foam cushion 11, 25,

26, 46, 47, 49, 53hip precautions ........10, 11, 49, 51 ......................................52, 53, 55

hip replacement .................8, 9, 37hip resurfacing ..................... 8, 37hip revision .......................... 9, 37home set-up ............................. 23ice .................................23, 40, 55incision infection ................ 52, 56infection ........................31, 52, 56injection ........................36, 41, 55intravenous ........................ 35, 36joint loosening ................... 54, 57knee precautions............18, 19, 55knee replacement ...........15, 16, 37knee revision ............................ 16knee stiffness ...................... 15, 18leg lifter .................................... 49length of hospital stay .............. 37lighting .................................... 23long-handled reacher ......... 11, 19,

26, 50long-handled shoehorn ...... 11, 19,

26, 50loosening (joint) ................. 54, 57Low Molecular Weight Heparin (LMWH) ................................. 41medical appointments .............. 41medical supply stores ................ 27medicine ................31, 35, 36, 39, ......................................40, 41, 54nausea ................................ 36, 39nutrition .................................. 29OASIS ...................................... 61occupational therapist ..38, 47, 50,

52, 53office work ............................... 53Ortho Connect ..................... 4, 61osteoarthritis ........................ 7, 15pain ................7, 8, 15, 30, 35, 36,

38, 39, 40, 54, 55, 56, 57 pain assessment scale ................ 39partial knee replacement ..... 16, 37physiotherapy ....38, 40, 41, 45, 48Pre-Admission Clinic ......... 31, 35Pre-Operative checklist ............. 32Pre-Operative education ........... 31

prosthesis ....................8, 9, 15, 16protein ..................................... 29railings ..................................... 23raised toilet seat ............11, 19, 24,

26, 36, 50recovery room .......................... 35Red Cross Loan Cupboards 27, 61rehabilitation ............................ 38resources .................................. 61returning to work ..................... 53revision ...........................9, 16, 37sexual activity ........................... 52shower chair ..................24, 26, 51showering ................24, 32, 51, 52sitting ....................................... 49sleep ................................... 11, 40sore throat ................................ 56SPARC pass ...................27, 46, 61spinal anesthetic ................. 35, 36stairs (going up, down) ............. 48staples .................8, 15, 41, 51, 52steristrips.................................. 52swelling .........................54, 55, 56The Arthritis Society ................ 61toilet transfer ............................ 50transportation ...............27, 46, 61Travel Assistance Program (TAP) ........................................... 46, 61tub clamp ......................24, 26, 50tub transfer bench ...24, 26, 50, 51underweight ............................. 30urinary tract infection .............. 56unicompartmental knee replacement .............................. 16urinating ............................ 36, 54vitamins ................................... 29walker .....................26, 32, 38, 48walking .........................28, 45, 48weight-bearing status ............... 36weight management ................. 30work environment .................... 53wound care ............................... 52wound infection ....................... 56

何時求醫OAS S

出現以下情況，應致電911：

•手術後腿突然劇痛

•手術後腿不能活動

•腿縮短

•氣促

•胸痛

出現以下情況，應致電外科醫生：

•手術切口處泛紅及有分泌物

•發燒

•極度疲憊

•頭暈

For more copies, go online at http://vch.eduhealth.ca or email phem@vch.ca and quote Catalogue No. FB.130.B393.CN © Vancouver Coastal Health, April 2014