Showers may not be allowed the first few days after surgery. However, the patient can be given a sponge bath so long as the wound does not get wet. The day after the procedure, most people who have scoliosis surgery are able to briefly get out of bed and walk to a nearby chair with the help of a nurse or physical therapist.
Some people take two or three days before feeling up to the challenge of getting out of bed. It is normal for the patient to be hesitant or fearful before attempting to get out of bed the first time. The patient will likely be in some pain, as well as tired and possibly dizzy. However, even small amounts of moving around and walking will be important for starting the process of strengthening the back and regaining some flexibility.
During these first few days of recovery, medical professionals may need to use a sheet to help transfer the patient in and out of bed. Due to the medications taken during scoliosis surgery, it will be a few days before the stomach and intestines start working again and food and beverages can be consumed.
Fluids will be given intravenously IV during this initial period. Once the doctors confirm that the stomach and intestines are starting to work again, small amounts of solid food can be tried. Tobacco or nicotine in any form is not permitted during recovery because that would increase the likelihood for infection and decrease the chance for a successful fusion.
Medical professionals are able to correct the spinal curvature by approximately or more than 50 percent.
After the scoliosis surgery is complete, the patient often has to stay in the hospital for approximately four days. The orthopedic team that monitors the patient during their hospital stay is typically made up of a surgeon, resident surgeon, nurse RN , and a physician assistant.
After scoliosis surgery is complete, an epidural is placed in the back in order to control pain. Generally, the epidural is removed after the third day following surgery. A catheter is placed in the bladder in order to keep the patient from walking to the bathroom following the first couple of days after surgery is completed. After the catheter and epidural are removed, patients are assisted by a physical therapist in order to walk. The first day of physical therapy often involves the individual moving from the bed and into a chair.
The second day of physical therapy involves the patient walking a further distance, usually outside of their hospital room. On the third day of physical therapy , the patient is allowed to walk as much as they can tolerate. Finally, the physical therapy treatment ends on the fourth day when the patient is allowed to walk up and down stairs. Before a patient is able to be discharged, they must undergo x-rays of their spine.
These x-rays are taken in order to ensure that there are not issues with the spinal alignment or implants that were placed during surgery. After leaving the hospital and returning home, individuals are homebound and are not allowed to go into school, work, or engage in physical activity for approximately two weeks. It is important that your child answers as many of the questions asked as possible, even if they are feeling tired or grouchy. Immediately after your child has surgery, they will be brought to the recovery room, also called the post anaesthetic care unit PACU.
It is normal for your child to be drowsy after the procedure. Your child will be connected to a monitor throughout their stay in the PACU. If applicable to your child, a patient-controlled analgesia PCA pump will also be set up in the recovery room. This is a computerized pump that delivers pain medication to your child through their IV line. During the surgery, a Foley catheter is placed. Your child will have the Foley catheter in their bladder for one to two days following surgery.
Only one to two family members will be allowed to visit your child in the recovery room once they are awake and stable. During peak times in the PACU, only one visitor may be allowed. While in the recovery room, your child will only be allowed to have some ice chips and small sips of water.
Your child will stay in the recovery room for about one hour. They will only be transferred to another hospital room once they are stable. Every child who has surgery recovers differently. Some children are admitted to the intensive care unit or the constant observation room on the inpatient unit for their first night following surgery. The next day, they may then be transferred to the room where they will stay for the rest of their time in hospital.
Others may go to their hospital room directly after surgery. If your child is not sent directly to their hospital room, they will be admitted to the intensive care unit or placed in the constant observation room for their first night after surgery.
The constant observation room is usually shared with 6 other patients. Only one parent can stay with their child overnight. Your child will be assigned a nurse who will be closely monitoring them throughout the first night. The next morning, your child will be moved to their own private room. This room will have a cot for one parent to stay overnight and a washroom with shower. A nurse will ask your child to rate their pain.
This helps the nurses make sure that your child is getting the right amount of pain medication. Before going home, your child will need to be able to manage their pain by taking pain medication by mouth instead of through an IV.
The nurse looking after your child will take a vital sign assessment at least every four hours throughout the day and the night while your child is in the hospital. This is important to make sure there has been no injury to their spinal cord. Nurses and doctors will perform various tests to confirm that your child has sensation in their spine and other limbs:. The nurse will closely monitor everything your child drinks and eats, along with the IV fluids that they are getting.
The nurse will also closely monitor how much your child is voiding. This is measured through the Foley catheter bag every hour. Once the catheter is removed, your child will be able to urinate on their own in the washroom using a toilet hat, which is a collection container that is put on the toilet for measuring.
It will often take a few days before your child returns to their normal appetite after surgery. As a result, your child may not have a bowel movement for a few days after surgery. They will likely have stomach bloating and pass a lot of gas. This is a normal response. The bowel routine involves giving your child different types of medication to help them have a bowel movement.
It is very important that your child drinks as much fluid as possible. This will prevent bladder infections and also help to prevent constipation. Getting out of bed and walking around will also help your child to pass gas, reduce bloating, and prevent constipation. Make sure that when your child takes painkillers, it is for the pain in their back and not for their abdominal discomfort. This is because painkillers can make abdominal bloating worse.
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