Transforming the Post‑Operative Experience
Dr. Linda Russell, the Director of Perioperative Medicine at the Hospital for Special Surgery (HSS), is leading a multidisciplinary team comprising internists, hospitalists, and rheumatologists to ensure that patients receive comprehensive support before, during, and after surgery. In a recent conversation with members of the LifeWorx team, Dr. Russell discussed the philosophy guiding her team and how HSS is adapting to challenges in post-operative care.
Post-operative care challenges
HSS performs more than 45,000 surgeries each year, many of them knee and hip replacements. Recent changes to Medicare and Medicaid have ended coverage for post-operative inpatient stays after these surgeries. Because of this, patients are often sent home quickly, sometimes before they can move around safely. A visiting nurse may help at first, but many patients still do not get enough care during this important time.
Steps to improve recovery
To address these challenges in post-operative care, HSS has implemented specific measures to support patients’ recovery. To reduce the risk of complications, readmissions, and extended recovery times, HSS now assesses patients’ cognitive health before surgery using the American Society of Anesthesiologists (ASA) scale. Most orthopedic patients land between ASA 2 and 3, indicating mild to moderate health concerns. For patients with higher ASA scores, pain medications are carefully managed and adjusted to avoid cognitive side effects.
After surgery, families are encouraged to bring familiar items, such as photos and trinkets, to help patients reorient themselves following anesthesia. Incorporating simple, effective interventions like this into the recovery protocol can make a surprising difference.
Nutrition and home support
Nutritional support is another critical aspect of recovery emphasized by Dr. Russell. She highlighted the importance of nutritious meals during recovery, particularly for older adults who live alone or have limited mobility. In her experience, older patients often resort to convenience foods like microwave meals, toast, and crackers. However, healing requires proper nourishment. For patients with limited mobility or cognitive decline, preparing healthy meals can be challenging.
To help with these needs, HSS has the VOICES 60+ program. This network of social workers helps Rheumatology patients access care, community resources, home care support, and education to get through their challenges. The program supports those who’ve had surgery and those who haven’t as they plan their next steps.
As the Director of Patient Services at LifeWorx, I’ve been increasingly concerned by the growing need for home care during the post-operative phase. Whether care is provided by a family member or through a formal in-home care service, it’s important that patients receive adequate support during this time in their recovery. I encourage my clients and their families to ask questions and listen to advice from doctors, nurses, and social workers. Being prepared, setting clear expectations, and knowing what signs and symptoms to look for can make a big difference. These steps help lower the risk of problems and hospital readmission, especially when recovering at home.
Director of Patient Services, Dwiann Morgan
With a growing gap in post-operative support for older adults living alone, there’s a clear opportunity for in-home care services to improve patient outcomes. Qualified and compassionate caregivers can prepare nutritious meals, monitor cognitive changes, assist with mobility, and provide companionship. With the right support, the recovery process can be safer, healthier, and more dignified.
Related Resources
Tips on Quick Recovery to Surgery
Hip replacement and hip resurfacing are life-changing operations that restore mobility and relieve chronic pain. Here are some secrets to a smooth recovery from hip replacement or resurfacing.Hip replacement and hip resurfacing are life-changing operations that restore mobility and relieve chronic pain…
Ask The Expert: Interview with the Alzheimer’s Drug Discovery Foundation (ADDF)
Presented in Partnership with the Alzheimer’s Drug Discovery Foundation June is Alzheimer’s and Brain Awareness Month, a time for us to heighten awareness for various types of dementia and show support towards the individuals who are living with it. Alzheimer’s is currently ranked as the seventh…
Choosing the Right Long-Term Care Option
Long-term home care is emerging as a preferred alternative to institutional care settings like assisted living facilities. Aging in place can provide emotional, physical, and psychological benefits when approached with careful planning and consideration. In-home care compared to assisted living facilities Long-term…
Post-Stroke Recovery at Home
Stroke is the leading cause of serious long-term disability in adults across the United States and worldwide. Thanks to advances in treatment and rehabilitation, many survivors can regain independence and return to meaningful activities. In fact, about 70% of patients who receive rehabilitation are discharged…
