Hip Replacement Healing Record: Track Mobility, Activities, Exercise, Pain, Post-Surgical Effects, Medications, Therapy as you Recover & Recuperate Arthroplasty 6x9

Physical Effects and Pain

Select from prelisted options including inflammation, swelling/bruising, draining, nausea, limited range of motion, and more.

Mark location of pain on images.

Select type of pain from prelisted options.

Medications and Pain/Incision Changes

Medications - check the box for 'Usual Daily Medications' and for 'Usual Daily Supplements'

Additional medications can be entered on lines along with reason, dose, time and whether it was helpful.

Pain/Incision Changes - because pain severity can vary during the day there is an option here to rate the severity and the time. Also able to mark if required wound care occurred.

Assessments, Mood, Statistics

Assess the following as 'Increased, Same, Decreased' : Pain, Mental Clarity, Balance, Fatigue, Sleep Quality, General Mood, Stress, Energy, Activity.

Enter blood pressure, heartrate, Oxygen level, temperature, hours slept.

Mood

* See example of completed page

Activities, Notes, Meals & Snacks

Exercise - check box to say if Physical Therapy and/or Recommended Exercises occurred.

For more specificity - list the exercises and the amount of time spent at it.

* See example of completed page

Activities - select from prelisted options and enter time as desired.

Notes - space allocated for additional information, questions, insights.

Meals & Snacks - enter meals with the option to check box for dairy, gluten, sugar and fats.

Hydration

Example of completed page

Shows that pain, fatigue and stress have decreased. Balance, energy and activity have stayed consistent. Mental clarity, sleep quality and general mood have all improved.

Exercise - recommended exercises were done today. Stretching, dexterity, resistance, walking and cognitive exercises were all performed for specified times.

Example of completed page

Pain location is marked on image.

Regular prescribed medications are checked off as being taken - additional ibuprofen was taken for headache.

Knee/hip was rebandaged and wound treated.

Personal Information and Healthcare Team

Personal information including emergency contact, allergies, medical alerts, and health conditions.

Page for contact information of doctor, specialists, pharmacy, and insurance information.

Current Daily Medications and Changes to Medications

Current daily medication list along with reason, dose and when refill is due.

Changes to current medications can be listed along with new dose and reason for change.

Exercises, Walking Log and Medical Appointments

Tests/Results & Blood Pressure/Heartrate Log

Example page