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Once a surgery date is on the calendar, most people put their attention on the hospital: the pre-op appointment, the fasting rules, the ride there. The house usually gets ignored until the day someone comes home sore, tired, and under orders not to bend, lift, or climb. That’s the wrong time to find out the bathroom is too narrow for a walker or that the only comfortable chair is too low to get out of. A few hours of preparation beforehand makes the first week much easier, and it often makes the difference between a calm recovery and a frantic one. This checklist goes through the house room by room. It also covers the part people skip, which is lining up the people who will help. If you’re planning for home care after surgery, the best time to start is well before the operation. One note before the list. Your surgeon’s instructions come first. Restrictions vary a lot between a knee replacement, a spinal fusion, and an abdominal procedure, so treat everything here as a starting point and adjust it to what your care team tells you. Start With Questions for the Surgical Team You can’t prepare a house for restrictions you don’t know about. Ask these at the pre-op visit, and write down the answers: Will I be allowed to use stairs, and how soon after I get home? How much weight can I put on the affected area, and for how long? What equipment will I need, such as a walker, shower chair, or raised toilet seat, and will the hospital supply any of it? When can I shower, and how do I keep the incision dry? Will I be able to drive, cook, or be alone, and when? Is there any hospital or surgical center rule about who takes me home and who stays with me the first night? The answers shape everything else on this list. If you can’t get a clear answer on something, ask the physical therapist if you have one scheduled. They tend to know the practical details. The Entrance and Pathways Walk the route you’ll take on day one, from the car to the place you’ll sit down. Count the steps. Check whether there’s a handrail, and whether there’s one on both sides if the steps are steep. Look at the lighting. If you’ll be arriving after dark, the porch light should work and the path should be clear. Think about how a helper gets in. If you can’t reach the door quickly, a spare key with a neighbor or a lockbox saves a lot of awkward waiting. Then clear the first room you’ll enter. Move the shoes, the mail, the plant stand, and anything else that could catch a foot. Living Areas and Floors Clutter and loose rugs are easy things to trip over. The CDC publishes a free Check for Safety home fall prevention checklist as part of its STEADI program, and the basics it recommends are simple. Keep objects off the floor, rearrange furniture so walking paths are clear, and remove throw rugs or secure them with double-sided tape or a non-slip backing. Coil or tape electrical cords against the wall so nobody trips on them. Put a small table within reach with your phone and charger, the remote, water, tissues, your medication list, and any ice packs or supplies the surgeon recommended.…
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