Highly Skilled Surgical Specialists
Having helped thousands of people with joint discomfort and disability find relief, we know this: each patient’s condition and course of care is unique. Our skilled surgeons specialize in advanced, individualized surgical solutions. For the joint replacement procedure you need close to home, count on Avista.
A Four-Joint Improvement With 3D Technology
Duane Duggan had both his knees and then his hips replaced by Dr. Michael Wertz at Avista Adventist Hospital. Within one month after his successful knee procedure using 3D technology for greater precision, Duane already had logged some 30,000 miles on his bike! Here, Duane talks about his positive care experience at Avista Adventist Hospital and how he is back to riding his bike pain free.
Changing Lives for the Better
Nancy isn’t a woman who slows down. She’s a wife, mother, grandmother, dog lover and life-long adventurer. So when hip pain started making everything she loved to do unbearable, she turned to Dr. Michael Wertz and Avista Adventist Hospital for hip replacement surgery. Watch Nancy’s story to learn how the surgery, her orthopedic team and the care she received at Avista changed her life for the better.
Here's what you can expect.
Avista Adventist Hospital is a 114-bed hospital, with a 13-bed Joint & Spine Care Center in the Boulder/Louisville area specializing in caring for joint replacements. Our program focuses on caring for patients in an atmosphere of wellness. Our highly trained staff is dedicated to making your experience as pleasant as possible so you can get back to doing what you love. This means:
- Patients receive room service meals with many food choices.
- Atrium Cafe and Roots Cafe meals and snacks are also available.
- Visiting hours are open, so family and friends can visit whenever you wish.
- Our Therapy Dog teams are happy to visit, if you choose.
- Our Avista Therapy Center is on-site for more convenient outpatient therapy after surgery.
Our joint replacement patients also benefit from ERAS®--our Enhanced Recovery after Surgery program. It’s a patient-centered, evidence-based, multidisciplinary team approach that helps reduce the patient’s surgical stress response, optimize their physiologic function, and facilitate recovery. ERAS care pathways form an integrated continuum, as the patient moves from home through the pre-hospital / preadmission, preoperative, intraoperative, and postoperative phases of surgery and home again.
Your journey through joint replacement.
When your surgeon schedules your procedure, you’ll be invited to a one-hour small-group educational session (with questions and answers) led by our Joint Center team. We’d like you and your support person to join us for lunch in our Roots Café afterwards.
After you are registered on the day of your procedure, you will go to Pre-Op. You will be given an opportunity to speak to your surgeon and anesthesiologist. They can answer any questions you may have.
Your anesthesiologist will discuss with you which form of anesthesia is best suited for you. Choices may include spinal anesthesia with sedation or general anesthesia. Spinal anesthesia with sedation is usually recommended for joint replacement surgery. You will not be awake or aware during this type of anesthesia, and patients have fewer side effects from it. General anesthesia is also sometimes recommended, depending upon your medical history.
Before leaving the Pre-Op area for surgery, you will be given a sedative. Usually patients do not remember anything after receiving the sedative. Your family and friends will be asked to wait in our waiting area. After your surgery, your surgeon will contact them to give them an update on your status.
After your surgery has been completed, you will be taken to the Recovery Room, also called the Post-Anesthesia Care Unit, or PACU. Your vital signs will be closely monitored, and any needed medications will be given. Ice will be applied to your surgical site for comfort. Patients usually remain in PACU for 1 to 2 hours before being transferred to their rooms. Family and friends are not allowed into the PACU area, but rather will reunite with you in your room.
From PACU you will be taken to your room, where you may reunite with your family and friends. Your Joint Care Center nurse will greet you and instruct you on how to perform ankle pumps and deep breathing exercises. You may start drinking clear liquids and may resume a regular diet as tolerated. Your nurse will ask you about your pain, and you will be asked to rate it using a 0-10 pain scale. To relieve your pain most effectively, your nurse needs to know how well pain relief measures are working for you. Medications can be adjusted to meet your needs.
The Next Day
Provided all is going well, you may get dressed in your own comfortable clothing if you desire, and you will participate in group therapy.
After meeting predetermined discharge goals, you can be discharged from the hospital. If needed, a discharge planner will meet with you regarding any needs you may have, such as home care, private-duty assistance, or rehabilitation in a skilled nursing facility. Before leaving the hospital, you will be given written instructions concerning medications, physical therapy, activity, wound care, and follow-up appointments.