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Bone & Joint Institute
Patient Education
Preparing for your Joint Replacement Surgery - Class Attestation

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Preparing for your Joint Replacement Surgery - Class Attestation

* = required field

Patient Information

Name (FIrst) *

Name (Middle)

Name (Last) *

Date of Birth *

Procedure Information

Procedure

Surgeon *

Surgery Date

Contact Information

Email *

Phone *

Questionnaire

1) I understand a support person should stay with me 24-72 hours (or 1-3 days) after I transition home from the hospital *

(a) Yes
(b) No

2) Things I can do before surgery to help me be successful *

(a) Stop drinking alcohol 2 weeks before surgery
(b) Perform pre-habilitation exercises from my surgeon's office or Force Therapeutics
(c) Stop smoking and vaping at least 4-6 weeks before surgery
(d) All of the above

3) I have a Nurse Navigator team to answer questions and guide me through my surgical journey *

(a) True
(b) False

4) What is a regional nerve block? *

(a) Injection of medication near a nerve, or group of nerves, to block pain for a short period of time.
(b) It is the same as General Anesthesia.
(c) Both A & B
(d) None of the above

5) If I require healthcare services at home I can choose which agency to use *

(a) True
(b) False

6) The Bone and Joint Institute has a program called Meds to Beds to assist me in filling my new prescriptions before I leave the hospital *

(a) True
(b) False

7) Resources available to me after my Total Joint Replacement include *

(a) Nurse Navigation Team
(b) Written instructions from the hospital & my Total Joint Education Guidebook
(c) Both A & B
(d) None of the above

Attestation

Statement of Attestation *

I understand the information that was presented. If I have any questions, I will contact the Nurse Navigators at 860.972.6313 or boneandjointcareteam@hhchealth.org.

Are you a robot? *

Bone & Joint Institute

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Total Joint Education Manual

Ensuring the highest standards of medicine by committing to keeping you informed, and helping you become an active partner in your healthcare.

Related Links:

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Surgical Weight Loss Center
Wound Healing & Hyperbarics

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