Preoperative Care
Preoperative Care — TJR
Preoperative | |
TJR Framework
Addendum to the Rehabilitative Care Best Practice Framework in the Context of COVID-19 |
Includes the framework, referral decision tree, and process indicators for support performance monitoring and QBP-related outcomes.
Addendum includes additional evidence-based recommendations to the TJR Framework that align with current COVID-19 restrictions. |
Quick Reference Guide – TJR | Based on the full framework. Provides a concise summary of best practices to guide clinical practice in each setting. |
Ontario Health Quality Quorum Bundled Care Community of Practice | Community of Practice provides support for successful implementation of bundled care, including resources and webinars. |
Patient & Family Education Materials | |
Bluewater Health Total Joint Replacement Education Videos | Pre-surgery intake and assessment class videos for patients receiving total hip replacement. |
Bluewater Health Total Joint Replacement Patient & Family Education Booklets | Education booklets include surgical and pre-operative forms, hip anatomy, coach program, healthy lifestyle and preparation for before, during and after surgery. |
Canada’s Food Guide | Website outlines Canada’s Food Guide. |
Canadian 24-Hour Movement Guidelines | Movement guidelines provide guidance on the optimal amount of physical activity and sleep for Canadians of all ages. |
Canadian Orthopaedic Foundation | Website for patients and caregivers to help them learn how to prepare for and recover from a hip or knee replacement, including videos and pre- and post- surgery booklets. |
Cambridge Memorial Hospital — Guides to Total Joint Replacement | Education booklets review the reasons for a total hip or knee replacement and preparation for before, during and after surgery. |
Halton Healthcare Prehab Program | Web page with educational videos to support patients undergoing total hip and knee replacement and links to Patient-Reported Outcome Measures and publicly-funded physiotherapy clinics. |
Healthcare Excellence Canada & Enhanced Recovery Canada | Patient and caregiver resources developed based on the Health Care Excellence Orthopaedic Surgery Pathway (for Inpatient and Outpatient Hip and Knee Replacement). |
London Health Sciences Centre Joint Replacement Surgery Patient Resources | Web page with patient guides to total hip and knee replacement, lifestyle changes before joint surgery and sex after joint replacement. |
Michael Garron Hospital — Before, During & After Hip or Knee Replacement Surgery | Patient handbooks and video courses review knee/hip anatomy and surgery and provide exercises and a step-by-step planning checklist for before, during and after surgery. |
Queensway Carleton Hospital – Champlain MSK Care Program | Preparatory videos and presentations to be watched by patients prior to their prehab appointment. |
Queensway Carleton Patient Booklet | Patient booklets review knee/hip anatomy and surgery and provide exercises and step-by-step planning checklist for before, during and after surgery. |
Sunnybrook Holland Bone and Joint Program Patient Education | Patient education materials including guides, pre and post surgery videos and exercise class tips. |
Total Hip Replacement and Total Knee Replacement Patient Readiness Checklist | Checklist to assist patients to prepare for and after surgery. |
North West Regional Joint Assessment Centre — Physiotherapy Post-Op Total Knee or Total Hip Replacement Booking | Patient information and referral form for post-op physiotherapy booking to be booked before surgery. |
South West Healthline | Resources to prepare patients for what to expect before, during and after joint replacement surgery in the South West LHIN region of Ontario. |
South West Musculoskeletal Rapid Access Clinic Information Sheet | Handout lists web links to information regarding arthritis, exercise & activity classes, physiotherapy, weight control, gait aides and preparing for surgery. |
Assessment & Intervention | |
GTA Rehab Network Guideline for TJR Pre-Operative Processes | Guideline includes processes in the pre-operative, acute care admission and outpatient rehabilitation phases; pre-operative triage considerations for referral to outpatient/inpatient rehabilitation; and referral criteria for home and community care. |
Michael Garron Hospital Orthopaedic Hip & Knee Arthritis Program Rapid Access Clinical Referral Form | Referral form to the Michael Garron Hospital Orthopaedic Hip & Knee Arthritis Program Rapid Access Clinic. |
Middlesex Hospital Alliance | Physiotherapy preoperative care assessment, treatment and recommendations form, including post-op physiotherapy plan. |
Sunnybrook Holland Bone and Joint Program Referral Information | Referral forms and processes for clinics and services, such as the Hip & Knee Arthritis Program and Outpatient Rehabilitation Services. |
Toronto Central Hip and Knee Arthritis Program Request for Orthopaedic Consultation Form | Request for Orthopaedic Consultation Form used by the Toronto Central LHIN Joint Health and Disease Management Program. |
Patient Experience | |
Visit-Specific Satisfaction Instrument | TVSQ-9 is a 9-item survey that measures patient satisfaction with direct interaction with a health care professional. Currently used in some pre-operative or fracture clinics. |