Joint Surgery Center: Home Recovery Planning Worksheet, Study notes of Surgical Pathology

Download Joint Surgery Center: Home Recovery Planning Worksheet and more Study notes Surgical Pathology in PDF only on Docsity! 1 Joint Surgery Center: Home Recovery Planning Worksheet Name:___________________________________ Date of Surgery:________________ Living Situation □ I live with my family. This includes: □ my spouse □ my adult child or children □ my adult sibling or other relative □ my able parent □ I live alone □ I will recover at someone else’s home □ I live in an extended care facility □ Other: _____________________________________________________________ Home Environment 1) Steps: To enter my home, there are ____ steps. Inside my home, there are ____ steps. 2) Handrails on stairways On stairs to the entrance of my home: □ Right side □ Left side □Both sides □ No Handrails On stairs inside my home: □ Right side □ Left side □Both sides □ No Handrails 3) Home structure: My home has ______ stories. Bathrooms: Main floor: □Tub □ Walk-in Shower □ Grab Bars □ No Tub or Shower □ No Bathroom Second floor: □Tub □ Walk-in Shower □ Grab Bars □ No Tub or Shower □ No Bathroom Other floor ____ □Tub □ Walk-in Shower □ Grab Bars □ No Tub or Shower □ No Bathroom 4) If necessary, are you able to set up a bedroom/bathroom on the first floor of your home? □Yes □ No 5) Do you have pets? : □ No □ Yes: type and how many:_______________________________