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Spinal surgery: Caring for yourself at homeSSpinal surgery: Caring for yourself at homeSpinal surgery: Caring for yourself at homeEnglishOrthopaedics/MusculoskeletalTeen (13-18 years)Back;SpineSpinal Cord;BonesNon-drug treatmentTeen (13-18 years)NA2013-01-03T05:00:00Z5A Nursing Staff;Orthopedic Clinic Nursing Staff;Dennis Villanueva, Social Worker;Reinhard Zeller, MD, ScD, FRCSC, Spine Program8.0000000000000063.00000000000001091.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Use the information provided in this brochure to properly care for yourself at home after spinal surgery.</p><p>You have had major surgery to correct a curve or deformity in your spine. Most people go home within five days after the surgery. Here is some information to help you continue to heal at home. </p><h2>Key points</h2> <ul> <li>Most people return home within five days after spinal surgery.</li> <li>Avoid physical activity, such as gymnastics or contact sports, for about six months after the surgery.</li> <li>Have a family member check your spinal wound once a day to avoid infection.</li> <li>You may need to wear a brace after the surgery. Your doctor will provide you with instructions on how and when to wear the brace.</li> <li>Seek medical attention if you see signs of a wound infection.</li> </ul><h2>When to seek medical attention</h2> <p>On discharge you will be given phone numbers to call if you have any concerns while at home.</p> <p><strong>Call if you:</strong></p> <ul> <li>have numbness or tingling in the arms or legs that does not stop with changing positions.</li> <li>have nausea and vomiting that lasts more than 24 hours.</li> <li>have a fever greater than 38°C. </li> <li>show signs of a wound infection.</li> <li>have pain that worsens over time or is not helped by the pain medicine.</li> </ul><h2>Discharge Checklist</h2> <table class="akh-table"><tbody><tr><td>Has voided after Foley catheter removed</td><td></td></tr><tr><td>Pain managed on oral medication</td><td></td></tr><tr><td>Wound assessed by RN/NP prior to discharge</td><td></td></tr><tr><td><p>Walking independently</p><p>Practiced walking up/down stairs in physio room<br></p></td><td></td></tr><tr><td>Passing gas and eating small amounts</td><td></td></tr><tr><td>Post-op spine X-ray done</td><td></td></tr><tr><td>Script for pain medication obtained</td><td></td></tr><tr><td>Discharge instructions and teaching given to patient and family</td><td></td></tr><tr><td>Plan for follow-up in place</td><td></td></tr></tbody></table>
Opération lombaire : prendre soin de vous même à domicileOOpération lombaire : prendre soin de vous même à domicileSpinal surgery: Caring for yourself at homeFrenchOrthopaedics/MusculoskeletalTeen (13-18 years)Spine;BackSpinal Cord;BonesNon-drug treatmentTeen (13-18 years)NA2013-01-03T05:00:00Z5A Nursing Staff;Orthopedic Clinic Nursing Staff;Dennis Villanueva, Social Worker;Reinhard Zeller, MD, ScD, FRCSC, Spine Program8.0000000000000063.0000000000000Health (A-Z) - ProcedureHealth A-Z<p>Inspirez-vous des renseignements figurant dans cette brochure pour prendre soin de vous même à domicile après une opération lombaire.</p><p>Vous avez subi une opération importante parce que votre colonne vertébrale était courbée ou déformée. La plupart des patients retournent chez eux au plus tard 5 jours après l’opération. Voici des suggestions qui vous aideront à poursuivre votre guérison une fois à domicile.</p><h2>À retenir</h2> <ul><li>La plupart des patients retournent chez eux au plus tard 5 jours après avoir subi une opération lombaire.</li><li>Évitez toute activité physique (gymnastique, sport de contact) pendant environ 6 mois après l’opération.</li><li>Demandez à un membre de la famille de vérifier chaque jour votre plaie opératoire afin d’éviter toute infection.</li><li>Il se peut que vous deviez porter une orthèse après l’opération. Votre médecin vous expliquera comment et quand la porter.</li><li>Sollicitez des soins médicaux si jamais vous remarquez que la plaie opératoire s’est infectée. </li></ul><h2>Quand solliciter des soins médicaux</h2><p>Au moment du congé, on vous donnera des numéros de téléphone auxquels vous pourrez appeler depuis chez vous si jamais vous avez des questions.</p><p><strong>Appelez dans les cas suivants :</strong></p><ul><li>Vos bras ou vos jambes sont engourdis ou vous y ressentez des fourmillements, et cette sensation persiste même lorsque vous changez de position.</li><li>Vous avez la nausée et vomissez depuis plus de 24 heures.<br></li><li>Vous avez de la fièvre et votre température corporelle dépasse 38 °C.</li><li>Vous avez constaté des symptômes d’infection de la plaie opératoire.</li><li>La douleur empire ou les analgésiques demeurent sans effet.</li></ul> <h2>Liste de contrôle à domicile</h2><table class="akh-table"><tbody><tr><td>Est allé à la selle depuis le retrait de la sonde de Foley</td><td></td></tr><tr><td>Médicament oral contre la douleur</td><td></td></tr><tr><td>Évaluation de la plaie par un infirmier autorisé ou praticien avant le congé de l’hôpital</td><td></td></tr><tr><td><p>Peut marcher sans aide</p><p>S’est exercé à monter et à descendre l’escalier de la salle de physiothérapie</p></td><td></td></tr><tr><td>A des gaz et mange en petites quantités</td><td></td></tr><tr><td>La radio de la colonne après l’opération a été faite</td><td></td></tr><tr><td>A obtenu l’ordonnance d’analgésiques</td><td></td></tr><tr><td>La marche à suivre après le congé de l’hôpital a été expliquée au patient et à sa famille</td><td></td></tr><tr><td>Un plan de suivi a été dressé<br></td><td></td></tr></tbody></table>

 

 

Spinal surgery: Caring for yourself at home1249.00000000000Spinal surgery: Caring for yourself at homeSpinal surgery: Caring for yourself at homeSEnglishOrthopaedics/MusculoskeletalTeen (13-18 years)Back;SpineSpinal Cord;BonesNon-drug treatmentTeen (13-18 years)NA2013-01-03T05:00:00Z5A Nursing Staff;Orthopedic Clinic Nursing Staff;Dennis Villanueva, Social Worker;Reinhard Zeller, MD, ScD, FRCSC, Spine Program8.0000000000000063.00000000000001091.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Use the information provided in this brochure to properly care for yourself at home after spinal surgery.</p><p>You have had major surgery to correct a curve or deformity in your spine. Most people go home within five days after the surgery. Here is some information to help you continue to heal at home. </p><h2>Key points</h2> <ul> <li>Most people return home within five days after spinal surgery.</li> <li>Avoid physical activity, such as gymnastics or contact sports, for about six months after the surgery.</li> <li>Have a family member check your spinal wound once a day to avoid infection.</li> <li>You may need to wear a brace after the surgery. Your doctor will provide you with instructions on how and when to wear the brace.</li> <li>Seek medical attention if you see signs of a wound infection.</li> </ul><h2>What kind of things can I do? </h2> <p>Once you go home, you will gradually increase your level of daily activities. For example, increasing the amount and distance of walking you do every day will decrease pain and improve your appetite. With regard to school, most patients return three or four weeks after the surgery. Some students go for half days at first and gradually increase the length of their school day. Your surgeon will let you know if they have any specific restrictions about returning to school.</p> <p>For at least six months, do not fully bend over or twist your back, and do not take part in activities such as gymnastics, contact sports (football, basketball and hockey), skiing or bicycle riding. Your surgeon will tell you when it is safe to resume these activities. They will also tell you when you can start swimming.</p> <p>Do not worry if you feel tired during the first few weeks after the surgery. Remember, it takes time to fully recover from major surgery. You may need to continue taking your iron supplement for about six weeks after the surgery. </p> <h2>Wound Care </h2> <p>In most cases, your dressing (or bandage) will be removed before you go home. You will have Steri-Strips on your back covering your spinal incision (wound). The Steri-Strips will eventually fall off on their own, or you can gently remove them 10 to 14 days after the surgery. Ask your doctor or nurse about your stitches before you go home. Most stitches are self absorbing and do not have to be removed. Sometimes, staples are used instead of stitches. The staples can be removed 10 to 14 days after the surgery. Your family doctor can do this. </p> <p>In most cases, you will not need a home nurse after discharge. Be sure to have a family member check your spinal wound once a day until it is healed. It is important to monitor your wound for signs of infection, which include swelling, tenderness, redness, the incision separating or increased, or the appearance of foul smelling fluid or pus. If any of these occur, it is important to notify your surgeon's office. </p> <h2>Bathing</h2> <p>You may start to take showers four or five days after the surgery. Do not worry if the Steri-Strips get wet. You may want to use soap on a rope so you will not be tempted to bend over to pick up the soap. We recommend that you do not bend down to sit in a bathtub. Your doctor will tell you when it is OK to take a tub bath. </p> <h2>Taking your pain medication at home </h2> <p>You will probably feel pain for the first few days while at home. However, the pain should lessen each day. The medication you are to take at home will be based on the pills or liquid that was working to relieve your pain while in the hospital. Generally, you will be given a prescription for a stronger pain medication called an opioid, such as <a href="/Article?contentid=194&language=English">morphine</a> or oxycodone. It is likely that you were given <a href="/Article?contentid=62&language=English">acetaminophen</a> while you were in the hospital. It is important to continue taking acetaminophen along with the stronger medication.</p> <p><a href="/Article?contentid=1253&language=English">Taking pain medication regularly while at home</a> will lessen the pain. After the first few days, take the stronger medicine only when you need it. Eventually, you will only need the acetaminophen. You should avoid taking any non-steroidal anti-inflammatory drugs (NSAIDS), such as <a href="/Article?contentid=153&language=English">ibuprofen</a> or <a href="/Article?contentid=198&language=English">naproxen</a>, for three months after the surgery. These medications will interfere with bone healing and fusion. </p> <h2>Eating and drinking after the operation </h2> <p>You may not eat well for a week or two after the surgery. Small meals and snacks every two to three hours will help you maintain a well balanced diet. You should eat foods from each food group every day. These groups are milk and dairy products, vegetables and fruits, meats, fish and poultry, and breads and cereals. </p> <p>You may be constipated because of the pain medication and lack of physical activity. However, eating a <a href="/Article?contentid=964&language=English">high fibre diet</a> (one containing whole grain breads and cereals, fresh fruit, raw vegetables, etc.) and drinking plenty of water and juices will help prevent <a href="/Article?contentid=6&language=English">constipation</a>. You will be given information about medications, such as stool softeners, laxatives, suppositories or <a href="/Article?contentid=985&language=English">enemas</a>, which might become necessary to administer should your bowel movements become difficult or painful.<br></p> <h2>Wearing a brace after your operation </h2> <p>Your doctor will tell you if you need to wear a <a href="/Article?contentid=970&language=English">brace</a> following the surgery. The brace may be casted in the operating room. You will be given plenty of instructions on how and when to wear the brace. When you return to the clinic, the doctor will tell you whether you will need to continue wearing the brace.</p><h2>When to seek medical attention</h2> <p>On discharge you will be given phone numbers to call if you have any concerns while at home.</p> <p><strong>Call if you:</strong></p> <ul> <li>have numbness or tingling in the arms or legs that does not stop with changing positions.</li> <li>have nausea and vomiting that lasts more than 24 hours.</li> <li>have a fever greater than 38°C. </li> <li>show signs of a wound infection.</li> <li>have pain that worsens over time or is not helped by the pain medicine.</li> </ul><h2>When will I see the doctor again?</h2> <p>Before you leave the hospital, you will receive information about your follow-up appointment with the surgeon. This appointment will be between six weeks and three months after the surgery. At this appointment, you will have the opportunity to ask the surgeon about increasing your level of physical activity. </p> <h2>Equipment/rehab needs at home</h2> <p>Generally, you will not require any special equipment, nursing care or physiotherapy while at home. In circumstances when any specific needs are necessary, we will advise and assist you with arranging whatever is required. Children with pre-existing physical disabilities may require transfer to a rehab centre post-operatively, which will be organized through the surgeon's office.</p><h2>Discharge Checklist</h2> <table class="akh-table"><tbody><tr><td>Has voided after Foley catheter removed</td><td></td></tr><tr><td>Pain managed on oral medication</td><td></td></tr><tr><td>Wound assessed by RN/NP prior to discharge</td><td></td></tr><tr><td><p>Walking independently</p><p>Practiced walking up/down stairs in physio room<br></p></td><td></td></tr><tr><td>Passing gas and eating small amounts</td><td></td></tr><tr><td>Post-op spine X-ray done</td><td></td></tr><tr><td>Script for pain medication obtained</td><td></td></tr><tr><td>Discharge instructions and teaching given to patient and family</td><td></td></tr><tr><td>Plan for follow-up in place</td><td></td></tr></tbody></table><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/Spinal_surgery_caring_for_child_at_home.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/Spinal_surgery_caring_for_child_at_home.jpgSpinal surgery: Caring for yourself at home

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