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Total Joint Management

The Total Joint Management Program is designed to provide appropriate timely care and education for patients following a total joint procedure. The purpose of this program is to coordinate care for patients, under the direction of their physician, and to provide ongoing assessment, education, and skilled hands-on treatment for patients following acute hospitalization or acute and sub-acute rehabilitation. The Catholic Home Care Total Joint Management Program was developed in conjunction with all CHS entities to maximize patient outcomes throughout the continuum of care.

Components

  • Ongoing assessment of the patient’s status through individualized visits by the home care clinicians.
  • Physical Therapy staffing available seven days per week as needed to provide care and treatment. The PT will see the patient within twenty-four hours following hospital discharge.
  • Evaluation and education by qualified Physical and/or Occupational Therapist in home exercise programs individualized to improve patient’s function, strength, and endurance.
  • Balance assessment using multiple tools such as: the Tinetti Gait and Balance Assessment Tool, the Timed Up and Go Test, and the Missouri Falls Assessment Tool in order to monitor progress throughout the patients program.
  • Coordination of CPM delivery for Total Knee Replacement patients by CHS Home Support Services.
  • Education about the importance of exercise in the treatment of Total Joint Replacement.
  • In-depth instruction of medications by our RN staff, including anticoagulant therapy precautions.
  • Coordination of Lab for PT-INR monitoring.
  • Patient’s ability to verbalize understanding of the disease process and medications that may contribute to patient’s risk for falls.
  • Patient’s compliance with rehabilitation program and assistance with outpatient placement when patient is stabilized.
  • Knowledge of disease management including functional deficits and optimizing independence in activities of daily living (ADLs).
  • Patient’s compliance with risk reduction strategies such as medication compliance, co-morbidity disease management, and daily exercise.