This document provides an occupational therapy guide for patients recovering from hip arthroscopy surgery. It covers various topics to support well-being and independence in daily activities post-operatively. The guide discusses common occupational risks patients may face like deprivation, alienation, and imbalance. It also addresses how specific everyday occupations may be affected and provides strategies therapists can employ to address issues through graded activities, environmental modifications, and social support. The overall document aims to educate patients and promote occupational engagement during recovery.

1. A post-operative
occupational
therapy well-being
guide for hip
arthroscopy
patients and
therapists.
By Claire Burke BSc (Hons), MSPsS.
& Victoria Emma Gleave LLB (Hons),
MSc, MSPsS.

2. Contents
• Disclaimer Page 1
• About the Authors Page 2-3
• About this Guide Page 4
• Key Points to Remember Page 5-6
• What is an OccupaRon? Page 7
• An IntroducRon to OccupaRonal Therapy Page 8-9
• OccupaRonal Risk Factors and InjusRce Page 10
• OccupaRonal Risk Factors aer a Hip Arthroscopy Page 11
• OccupaRonal DeprivaRon Page 12
• OccupaRonal AlienaRon Page 13
• OccupaRonal Imbalance Page 14
• The OccupaRonal Therapy Process Page 15
• A Case Study Page 16-17

3. Contents
• OccupaRons Affected By a Hip Arthroscopy Page 18
• Driving Page 19-21
• Employment Page 22-23
• Washing and Dressing Page 24-25
• Housework Page 26-27
• Food PreparaRon Page 28-30
• Hobbies Page 31
• Social IsolaRon Page 32
• Sex Page 33-38
• Equipment Page 39-40
• Grading Page 41-42
• Energy ConservaRon Page 43-45

4. Contents
• How to manage your mood Page 46-51
• AcRvity Diary Page 52-53
• Goal Seang Page 54-55
• Self-Assessment Scale Page 56
• SignposRng Page 57-59
• References Page 60-67
• Glossary Page 68-69

5. Disclaimer
This occupa+onal therapy guide has been designed to provide you with
informa+on on health and well-being, post opera+on; in order to promote
independence in daily living. It is intended for educa+onal purposes only. You
should not rely on this informa+on as a subs+tute for, nor does it replace,
professional occupa+onal therapy advice, diagnosis, or treatment.
1

6. Victoria Emma Gleave
LLB (Hons), MSc, MSPsS
Claire Burke
BSc (Hons), MSPsS
About The Authors
2

7. About The Authors
Claire Burke and Victoria Emma Gleave are final year OccupaRonal Therapy Masters students
who are training at Leeds Becked University. Both Claire and Victoria have previous degrees
in Psychology which are accredited by The BriRsh Psychological Society. They are both
members of The Royal College of OccupaRonal Therapists and graduate members of The
BriRsh Psychological Society, and together have experience in a wide variety health care
fields including:
• Spinal injury Motor Neurone Disease
• Orthopaedics Stroke
• Paediatrics AuRsm
• Cerebral palsy Bipolar
• MulRple Sclerosis Schizophrenia
• Parkinson’s disease Personality Disorder
This wellbeing booklet has been developed as the result of a six week role emerging
placement at Physiocure. Role emerging placements allow students to go into a seang
where there is no role of an occupaRonal therapist, and their aim is to promote occupaRonal
therapy services within that seang1.
3

8. About This Guide
• The aim of this guide is to highlight how the occupaRonal therapy
profession could support you during your recovery of a hip arthroscopy.
• The following guide is not comprehensive or extensive, for specialist
informaRon please visit the Royal Collage of OccupaRonal Therapy
website.
• This guide has been formulated as a result of the data collected via a
Health Needs Assessment with paRents from the Physiocure pracRce.
• This guide is for educaRonal purposes only and should not replace the
hospital guidelines and professional advice you have been given. The
advice given is to be used in collaboraRon with other health professionals.
4

9. Key Points to Remember
This guide will support you in implemen3ng
the following occupa3onally focused
messages into your daily life during your
recovery from your hip arthroscopy.
5

10. Listen to your
body..
Occupa3onal
therapy can
keep you
well..
Break down
ac3vi3es into
small steps..
Meaningful
occupa3ons
can improve
your health
and well-
being
Conserve
your energy..2
6

11. What Is An Occupation?
An occupation is anything you do to occupy your time. Occupations can be
classified into three separate categories3.
Leisure
Hobbies
Socialising
Things you do to
relax
Quiet recrea3on
Spor3ng ac3vates
Self-care
Washing
Grooming
Toile3ng
Dressing
Cooking
Produc3vity
Paid employment
Volunteering
Sleep
Sex
Caring for others
7

12. An Introduction To
Occupational Therapy
What is occupa3onal
therapy?
OccupaRonal therapy is a health discipline
in which the importance is placed on
being able to independently parRcipate
and engage in acRviRes of daily living
through the use of occupaRon; thus
encouraging health and well –being4.
How do occupa3onal
therapists work?
OccupaRonal therapy pracRRoners work
with communiRes and individuals to
develop their ability to engage in the
occupaRons they want and need to do.
This is achieved by adapRng the
environment or occupaRon to tailor their
needs, in order to increase their
occupaRonal engagement5.
8

13. An Introduction To
Occupational Therapy
Who do we work with?
OccupaRonal therapists work with and alongside a wide variety of health
professionals including but not limited to; nurses, doctors, clinical
psychologists and physiotherapists.
When collaboraRng with other health professions, this enables
occupaRonal therapists to deliver beder care, treatment and outcome rate
for service users6.
9

14. Occupational Risk Factors And
Injustice
Regardless of physical and mental difficulRes, you have the
right to choose what meaningful acRviRes you engage in
day-to-day that will promote your health and well-being.
This is what is referred to as occupa&onal jus&ce7.
When the right to engage in your meaningful occupaRons is
challenged, this is called occupa&onal injus&ce8.
Having a hip operaRon puts you at risk for experiencing
occupaRonal injusRce. There are several different types of
occupaRonal injusRces however, we are going to focus on
the main three injusRces that you may face:
• Occupa3onal depriva3on
• Occupa3onal aliena3on
• Occupa3onal imbalance
10

15. Occupational Risk Factors
After a Hip Arthroscopy
OCCUPATIONAL
DEPRIVATION
OCCUPATIONAL
ALIENATION
OCCUPATIONAL
IMBALANCE
When you are unable to do the
occupaRons you want to because
your recovery from your hip
operaRon deprives you from doing
them9.
When there is an absence of
meaningful occupaRon in your life.
ResulRng in feelings of
disconnectedness, isolaRon,
empRness and lack of sense of
idenRty10.
When you do not have an equal
balance between self-care, leisure
and producRvity occupaRons11.
11

16. Occupational Deprivation
“I felt isolated due to not being able to conRnue with my
career”.
“I was unable to independently wash and dress myself and
relied upon my parents, sister and boyfriend to do this for
me”.
Following your opera+on, you will have a reduced choice of occupa+ons that
you can take part in, due to the decreased mobility that you now have, and
the pain you will be in. Therefore, you may feel deprived from engaging in
ac+vi+es that you normally take part in. Below are some examples of how
previous hip arthroscopy pa+ents experienced occupa+onal depriva+on12.
12

17. Occupational Alienation
“I can no longer
spend quality Rme
with my family and
hug my children”.
“I can no
longer train for
my marathon
with my
running club”.
“I am going to
cinema with my
children later, can’t
wait!”
“Sounds fun! I’m
going rock climbing
with my husband
at the weekend!”
During your recovery you may find that you are unable to engage in
occupa+ons which are meaningful or purposeful to you due to your limited
mobility and pain. Below are some examples how previous hip arthroscopy
pa+ents have experienced occupa+onal aliena+on13.
13

18. Occupational Imbalance
Too much
Not
enough
Going to work
Looking aer
your children
Socialising
Social
isolaRon
Washing and
dressing
APer your opera+on, you may find that you are spending more +me
engaging in certain occupa+ons than others, for example spending more
+me on self-care occupa+ons due the increased +me they now take, reducing
the +me you may have to socialise14.
14

19. The OccupaRonal Therapy Process
The occupa+onal therapy process, is a term used by
occupa+onal therapists to refer to the complete interac+on
between client and therapist, from point of contact to
discharge - and all steps in between15.
15

20. Case Study
Below is an example of how an occupational therapist can support you post
operatively.
I feel socially
isolated due to
limited mobility
I cannot access
kitchen utensils and
food
I need 3me off
work for recovery
Sally has just undergone a right hip arthroscopy and has highlighted the following self care,
leisure and produc&vity occupa+ons as an issue for her post opera+on.
16

21. Occupational Therapy Solutions
Graded
ac3vi3es back
into work
Move utensils and
food items into
accessible areas in
the kitchen
Invite friends
over/ keep in
touch over the
internet
Below the recommenda+ons collabora+vely made by the occupa+onal
therapist to address these issues.
17

22. Occupations Affected By a Hip
Arthroscopy
“In occupaRonal therapy, occupa&ons refer to the everyday acRviRes that
people do as individuals, in families and with communiRes to occupy Rme
and bring meaning and purpose to life. Occupa&ons include things people
need to, want to and are expected to do16”.
Driving
[CATEGORY NAME]
[CATEGORY NAME]
Hobbies Housework
Socialising
Sex
Food Prepara3on Employment
Washing and Dressing
Hobbies
Leisure
Produc3vity
Self-care
18

23. The following secRon of this guide will
provide you with informaRon on how to
engage and parRcipate in acRviRes of
daily living, aer your hip arthroscopy
operaRon.

24. Driving
Although you are allowed to resume driving 2 weeks aPer having a hip
arthroscopy, the general rule is that you are able to make an emergency stop if
required, without damaging the operated hip17. The following points are to be
considered aPer your opera+on…
The side you
had operated
If the operated side is
the right side or you
don’t have an
automaRc vehicle, it is
advisable that you wait
for up to 2 weeks
before driving; due to
increased movement in
the affected side.
The car you
drive
If you have an
automaRc vehicle, and
it is your le side that
has been operated on,
you may be able to
drive earlier, however
you should discuss this
with your surgeon.
Your
insurance
policy
Please check your
insurance policy, as
some insurance
companies will not
insure you for a number
of weeks aer your
operaRon.
19

25. Driving: Being A Passenger
Geang in and out of a
vehicle can be
challenging aer having a
hip arthroscopy.
Repeatedly geang in and
out of your vehicle can
risk straining the hip and
stretching Rssues. Please
think carefully before you
make a journey.
If you do decide that you
do have to make a
journey in your vehicle
as a passenger, please
make sure the passenger
seat is reclined and
pushed fully back, as this
will maximise your
legroom.
To make the journey a
smooth one, you can use
a pillow to higher the
seat to your level. This
means that you do not
have to bend down onto
the seat when geang in
the car.
Travelling as a passenger is permiWed 1 week post opera+vely, however if you do
have a journey to make, please consider the following points, and do not force
any hip movements18.
20

26. Driving
Prac+ce Run!
Aer 2 weeks, subject to the
stage you are at during
recovery, you might want to
test your fitness to drive. Do
this in a safe place without
puang the keys in the
igniRon: simply sit in the
driving seat and pracRse
puang firm pressure on the
pedals.
If you feel pain, you are not
yet ready to drive. If you feel
sore aerwards, you may
need to wait a day or two
and try again. Only when you
can put enough pressure on
the pedals to do an
emergency stop - should you
think about driving again.
UlRmately, it is
your responsibility
to ensure that you
are in control of
your vehicle at all
Rmes and to feel
confident that you
would be able to
demonstrate this if
asked.
21

27. Employment
Engagement in occupa+on contributes not only to health and well-being,
but also social inclusion and personal development, and employment is a
part of this. Therefore, it is important that you go back to work in a safe and
controlled manner19.
Workplace
evaluaRon and
job analysis
Goal seang and
intervenRon
planning
Workplace
modificaRons
Injury
prevenRon
Mental
Wellbeing
An occupaRonal therapist can help you in the
following areas:
22

28. Employment
You need to be pa3ent with yourself
You have just undergone a major
trauma3c surgery, it is important that
you are kind to yourself during this
period.
Your employer should not expect too
much too soon
You will have been given post-opera3ve
advice by your surgeon, please follow
this. You will not have the same range of
mo3on pre opera3on. You may be able
to aZend work however, your
performance may be slower due to pain,
but remember this is ok, take your 3me.
See grading sec3on.
You are trying your best
You know your body beZer than
anybody else, listen to it and only do
what you can manage. Set realis3c goals
for yourself. See goal se[ng sec3on.
Going back to work aPer a trauma+c surgery can be a daun+ng experience,
it is important to remember to look aPer yourself during this +me, both
mentally and physically20. It is essen+al to make your employer aware of the
following:
23

29. Washing & Dressing
Body Washing Hair Washing
You may not be able to independently wash and dress yourself for the first
few weeks following on from your opera+on21. Therefore, the following +ps
are designed to enable you to carry out this occupa+on as self-sufficiently as
possible.
In order to protect
your operated hip, it
is important that
you do not step into
the bath or shower
for the first 2 weeks,
or un3l your
surgeon advices that
you can do this
safely.
During the first 2
weeks it is strongly
advised that you
strip -wash or use a
walk-in shower
when you are
discharged home.
Please see
equipment sec3on
for adap3ve
equipment.
It is advised that you
wash your hair in a
shower or a sink.
24

30. Washing & Dressing
Dressing
.
Keep your clothes in
easy to reach places;
you should organise
this before your
opera3on. It is
advised that you
wear comfortable,
flowing clothing post
opera3on, for ease
of movement.
When you get
dressed, sit on the
edge of your bed or
chair with your
clothes beside you,
within easy reach
Ensure you dress your
operated side first. Use
the grabber, for
underwear and lower
half dressing; and the
sock aid and long shoe
horn for your socks and
shoes. For examples of
helpful adap3ve
equipment, please see
the equipment sec3on.
Comfortable, well
fi[ng shoes are
advisable which you
can either slip on or
are fiZed with
elas3c shoelaces or
Velcro straps 21.
25

31. Housework
Use a rolling trolley to transport items with
ease.
Use long-handled grabber, mop, brush and
dustpans to do light chores. Do not engage in
acRviRes that involve bending, or twisRng for
example; washing floors, dusRng low tables,
or making beds.
Place items you use oen above knee level or
on the top shelf of your refrigerator, so that
you do not have to bend down.
Slide items along the kitchen counter and use
a perching stool whilst preparing food.
There is not set +meframe on when to engage in household ac+vi+es. It is
always important to listen to your body21. However, if you do decide to carry
out household task please adhere to the following precau+ons…
26

32. Housework
Do not use heavy items such as a
vacuum cleaner.
Do not try and clean yourself if you
cannot manage independently. Hiring
a cleaner, is a safer alternaRve.
Do not move heavy furniture.
Do not reach to get highly placed
items.
.
If you are going to par+cipate in housework, avoid doing the following21:
27

33. Pre-chopped fruit and
vegetables will make cooking
meals easier.
A slow cooker is excellent for
making healthy meals.
Prepare your ingredients at
night and switch on the
cooker in the morning.
If you have access to the
internet, you can do your
food shop online and have
it delivered to your door.
However, please note, if
your kitchen is not on
ground level, some
supermarkets are not
legally allowed to use
internal stairs. Please check
with the provider before
making a purchase.
Food Preparation
APer your opera+on you may find preparing meals very challenging. The
following +ps may help you overcome some obstacles you may face21!
28

34. Prior to your operaRon,
you could cook large
batches of food (e.g.,
lasagne), prepare them
into daily porRons and
freeze them.
A perching stool is useful
for when you are
spending long periods of
Rme in the kitchen.
Siang on this will
remove the weight from
your operated hip.
Ready meals, although
not an ideal source of
nutriRon require
minimum effort to
prepare21. There are
various different
companies who provide a
service which deliver hot
meals to your front door!
Please see the
signposRng secRon for
more informaRon.
Food Preparation
29

35. Food Preparation
Do not carry heavy items
you need to make a meal.
Ask someone you live
with to put them in a
place you can reach
without needing
assistance.
Refrain from cooking
meals from scratch as this
is a strenuous acRvity.
Make sure you ask for
help if you want to cook a
meal from scratch.
It is not advised that you
carry hot liquids or hot
food as you may be a
lidle unsteady on your
feet for a few weeks.
If you find yourself wan+ng to prepare meals from scratch, please use
cau+on and take into account the following21:
30

36. Hobbies
.
Adap3ng your hobby
Watch TV programs related to your
hobby.
Watch online videos.
Buy hobby related magazines.
Listen to radio staRons that talk about
your hobby.
AZend social events related to
your hobby
Go watch your hobby e.g., football/
rugby matches.
Start a new hobby
Prior to your operaRon explore
different hobbies you could do when
you are in recovery e.g., learn a new
language.
Return to hobby
When you feel ready to go back to
your hobby, do not dive straight back
into, start off small and listen to your
body. Please see grading chapter for
more informaRon.
Having a hobby is important for your health and well-being. APer your
opera+on you may not be able to par+cipate in your hobby for a long period
of +me22. The following advice may help you to be able to s+ll engage in your
hobby even if you cannot physically par+cipate in it.
31

37. Social Isolation
Tips to
prevent
social
isolaRon
Invite your
friends and
family round
for a night in!
Plan acRviRes
with friends and
family where you
know you will be
able to rest
breaks.
Use Social
media to keep
in contact with
your friends
and family.
Explore the
internet for
forums/blogs
related to your
operaRon.
Before your
operaRon, buy a
diary and pencil in
acRviRes you would
like to do aer your
operaRon. This will
give you something
to look forward to.
Research has found that post opera+ve social support can counteract the
nega+ve impact of physical disease or trauma. Therefore, please find some
helpful +ps below on how to reduce social isola+on aPer your surgery23, 24.
32

38. Sex
Sex and emo+on aPer a hip arthroscopy
Sexual acRvity with your partner is an important aspect of your
relaRonship, which can help you to connect on both a physical and
emoRonal level. The absence of sexual acRvity following on from a
hip operaRon may prove to be an issue within you relaRonship25.
Therefore, this chapter is designed to equip you with emoRonal and
pracRcal advice to support you in having a safe and healthy sexual
relaRonship following on from your hip arthroscopy.
33

39. Sex
There is no definiRve answer for when you should first engage in sexual
acRvity aer your hip operaRon. However, the main indicator of knowing
when you are ready to engage in sexual acRvity is when you can balance
independently without any aids or equipment.
It is paramount that you listen to your body and are aware of your physical
limits. If at any point you feel in pain, please refrain from conRnuing with
this acRvity.
It is important to remember that your confidence to engage in sexual
acRvity may take Rme to return following on from your hip operaRon. This is
normal! Please go at a pace that comfortable for you25.
How soon can I engage in the
occupa3on of sex?
34

40. Sex
• Do not try too much too soon. Know your limits!
• Ease slowly into a posiRon that is comfortable for you.
• Do not remain in the same posiRon for more than 20 min.
• Refrain from engaging in sexual acRvity on an unsafe surface.
• Don’t parRcipate in anything you feel pressured to do or you feel is
out of your comfort zone.
• Engage in posiRons that are low impact.
• Relax! The sRffer your body becomes, the more prone you become to
injury.
• Listen to your body! You know your limits beder than anyone else26.
Being in+mate with your partner is an important part of your rela+onship and it
is understandable that you will s+ll want to engage in this occupa+on. The
following points will enable you to par+cipate safely in this ac+vity.
35

41. The following posi+ons demonstrated are a guide only.
Please follow the advice of your surgeon.
It is important to remember that you will recover at a pace
that is comfortable for you, both mentally and physically, be
pa+ent with yourself.
Unwind, take your +me, take care, and enjoy yourself!
Sex
Comfortable posi+ons
36

42. Edge of
bed
Siang in
a chair
Woman
on top
37

43. Spoon
Standing
Missionary
38

44. Equipment
Shoe horn Bath board
Long handle sponge Grabber
To help you pick up objects you cannot
bend down to reach.
To help you reach those hard to
reach areas e.g. toes.
To help you with
puang on your
footwear.
To help you enjoy a bath
without stepping into the
bath.
You may find the following pieces of equipment helpful during your
recovery. The following equipment allows you to maintain independence
whilst adhering to your hip precau+ons. This list is not exhaus+ve, please
find further informa+on on equipment providers in the sign pos+ng
chapter.
39

45. Equipment
Raised toilet seat
Perching
stool
Shower
chair
To make sure the
toilet is at the right
height so you do
not break your hip
precauRons.
So you can enjoy a
shower whilst
siang.
So you can engage
in acRviRes such as
cooking whilst
taking the weight
off your hip.
This is not a comprehensive list of equipment, please see the Signpos+ng
sec+on for further specialised aids and adapta+ons. However, you may already
have items around your home that may help you transport hot drinks and
objects, for example a flask and a rucksack.
40

46. Grading
Carrying out your day-today ac+vates will be a challenge during the first few
weeks of your recovery. However, through simplifying your tasks, which is also
known as grading this will enable you to take part in occupa+ons which are
meaningful to you15.
Aer your hip arthroscopy, your daily occupaRonal performance will
be compromised. Therefore, it is recommended that you grade your
occupaRons.
Grading is a method that is used when you want to engage in an
occupaRon, but your current situaRon does not permit this15.
“Grading allows the individual to break down a task they wish to
complete, into stages that become increasingly more difficult27”.
By simplifying your tasks you will build up your confidence slowly,
this will in turn increase your moRvaRon and self-efficacy; and you
will be able to complete the task independently. working toward a
specific goal15.
41

47. Grading examples include:
• Increasing or decreasing the complexity.
• Increasing the difficulty of a task by changing the amount of steps
required to complete it.
• The amount of Rme given to complete a task may be altered.
• The amount of cues or assistance given to the person may be changed15.
Grading
Ac+vi+es and occupa+ons can be graded in a variety of ways.
42

48. Energy Conservation
Following on from your operaRon, you may find that you have a
reduced amount of energy. Therefore, it is essenRal you have an
occupaRonal balance; between doing your day to day acRviRes
and resRng28.
Energy conservaRon allows you to use your energy wisely
to make the most of the energy your body has35.
This chapter will explain how to implement energy conservaRon
techniques into your daily life. Using the following techniques:
- Pacing
- Priori3sing
43

49. Spread your tasks throughout the day.
Break a job down into stages and work out what is needed for the job. Doing things a lidle and oen can
be more effecRve than trying to do a task in one go.
Rest Breaks
Make sure you make Rme for regular rest breaks. Have a nap if you need to.
Finish the task before you become overRred.
Think through each task carefully – what is involved in the task? Do you need to stand up or sit down for
long periods of Rme?
Plan Ahead
Organise tasks and distribute heavier acRviRes throughout the week.
Plan light acRviRes, for example dusRng, organising social acRviRes, to prevent social isolaRon.
Don’t Do Too Much At Once
Pacing28
44

50. Prioritising28
Organise Tasks In Terms Of Importance
Think about whether everything needs to be done today or can some tasks wait unRl another day?
Organise the Rming of acRviRes to avoid unnecessary trips, for example limit the need to go
constantly up and down stairs.
Ask For Help
Ask yourself if you really do need something or can it wait for another day?
Do not be afraid to ask for help.
Set Achievable Goals
Set yourself goals you know you can realisRcally achieve, and only complete the acRviRes that mean
the most to you.
45

51. How To Manage Your Mood
• Your emoRons may be up and down aer surgery and you
may have to take Rme off work to recover.
• Depending on how physical your occupaRons are, you may
not be able to fully engage in them for a number of weeks.
• The following secRons on sleep and stress and anxiety have
been designed to support you through this challenging and
difficult Rme.
Undergoing a trauma+c opera+on, can prove to be a challenging +me in a
persons life, not only does it affect you physically, but emo+onally as well.
The following chapter will address the emo+ons you may feel aPer your
recovery and help you to manage them.
46

52. Sleep
• Do not drink any caffeinated products. For example, coffee
and energy drinks.
• Refrain from consuming food or drink at least 2 hours
before you go to bed.
• Limit your alcohol and nicoRne intake.
• Do not have long lie ins.
• Try have a bed Rme rouRne. For example, set bed Rmes.
• Try relax before going to bed.
• Aromatherapy and a hot bath can be helpful.
• Mindfulness can help you relax before bed. Please see sign
posRng secRon for further informaRon29.
Sleep is essen+al for mood and occupa+onal performance. Below
are some +ps to op+mise your sleeping habits.
47

53. Anxiety and Pain
Low mood can increase pain percepRon and can heighten your pain
levels30. When you experience low mood, you may experience the
following:
Catastrophising- this involves dwelling on the worst possible outcomes.
It is associated with pain severity.
Hypervigilance – this occurs when there is an increased adendance to
pain and decreased ability to distract yourself from pain.
Fear avoidance- this is when you avoid movement or acRviRes based on
fear of pain or re-injury. This is especially counterproducRve for physical
rehabilitaRon and is termed ‘kinesophobia’.
Research has found that anxiety can nega+vely affect your thoughts and
behaviour, which has the poten+al to prolong your rehabilita+on.
48

54. Cycle of Worry
Physical
symptoms
Worrying
thoughts about
symptoms
High stress
level
APer the opera+on you may have thoughts that can lead you to feel
anxious these thoughts can lead to anxiety which can then become out of
control. It Is important to recognise this paWern in order to take control31.
49

55. How Can I Fight Low Mood?
• PracRcing relaxaRon and controlled breathing can help to reduce any
physical symptoms you may be experiencing.
• Acknowledging any negaRve thoughts that you have and turning them
into posiRve ones will help with your mood.
• When you get negaRve thoughts, try distracRng yourself!
• Grading yourself back into your daily roles and rouRnes. This will help
you to have a posiRve impact on your behaviour31.
Below are some +ps on how to manage when you are feeling low.
50

56. Breathing Strategies to Manage
Stress and Anxiety
Step 1
Begin by breathing out through your mouth, as
far as you are able to do so. Releasing all tension
around your stomach.
Step 2
When you feel that your stomach is relaxed,
take a deep breath in.
Step 3
When you breathe in, make sure your stomach
rises. This allows for deep breathing
Step 4
Try holding the breath for a moment, releasing the
breath slowly. Relax your shoulders.
Step 5
Repeat this process three Rmes. You should noRce
yourself feeling calmer and heavier.
Step 6
To check that you are doing this technique correctly,
place one hand on your stomach. You should noRce your
hand rising up and down with the in and out breath29.
51

57. Activity Diary
An acRvity diary can support you in planning
your weeks and keeping you on track with
your rehabilitaRon31.
52

58. Activity Diary
MONDAY TUESDAY WEDNESDAY TURSDAY FRIDAY SATURDAY SUNDAY
Wake- 9am
9am-10am
10am-11am
11am-12
noon
12 noon –
1pm
1pm-2pm
2pm-3pm
3pm-4pm
4pm-5pm
6pm-7pm
7pm-8pm
8pm-9pm
9pm-bed
53

59. Setting Your Goals
Seang goals is important for your
rehabilitaRon as they allow you do the
things you want and need to do whilst,
monitoring your progress; making changes
accordingly. Goal seang can improve your
self-efficacy, self-esteem and occupaRonal
performance. Overall, supporRng your
health and well-being15.
54

60. How to write a SMART
goal
A SMART goal is:
Specific
Measureable
Adainable
Reviewable
Timed
Sally will be able to walk to the corner shop at the top of
her street in line with hospital precauRons. She will use her
crutches, with support from a friend/family member, within
two weeks of coming home from hospital. Sally’s progress
will be self-monitored using a self assessment.
Below is an example of a SMART goal.
55

61. Self Assessment: Setting Goals and
Measuring My Progress
My Goal
(Overall goal, e.g. walk to
the shop)
SMART Goal
(How I am going to achieve
my goal)
Have I
achieved my
goal
Is the result
what you
expected?
1.
2.
3.
Much beder
Much beder
Much beder
Much beder
Much beder
Much beder
A lidle beder
A lidle beder
A lidle beder
A lidle beder
A lidle beder
A lidle beder
Yes
No
As expected
As expected
As expected
As expected
As expected
As expected
No
No
Yes
Yes
56

62. Signposting
Carers Informa3on
www.carersleeds.org.uk
Counselling
www.naRonalcounsellingsociety.org
Hip Blogs
www.myfaihippain.blogspot.co.uk
Mindfulness
www.headspace.com
Meals on Wheels
www.meals-on-wheels.com
Occupa3onal Therapy Health Insurance
www.bupa.co.uk
57

63. Signposting
Physiotherapy
www.physiocure.org.uk
Bri3sh Psychological Society
www1.bps.org.uk
Royal College of Occupa3onal Therapy
www.rcot.co.uk/OT services & advice
Red Cross
www.redcross.org.uk/en/What-we-do/Health-and-social-care/
Independent-living/Support-at-home
58

64. Signposting
Self-help for Low Mood
www.getseltelp.co.uk/index.html
Surgery and Driving
www.gov.uk/surgery-and-driving
William MerriZ – Equipment Store
www.wmdlc.org
59

65. References
1. Thew, M. Edwards, M. BapRste, S. and Molineux, M. (2011) Role
emerging occupa3onal therapy: maximising occupa3onal focused
prac3ce. West Sussex: Wiley – Blackwell.
2. Wilcock, A. and Hocking, C. (2015) An occupa3onal perspec3ve of
health. 3rded. Thorofare, NJ: Slack Incorporated.
3. Whalley Hammell, K. (2009) Self- care, producRvity, and leisure, or
dimensions of occupaRonal experience? Rethinking occupaRonal
“categories”. Canadian Journal of Occupa3onal Therapy, 76 (2), pp.
107-114.
4. World FederaRon of OccupaRonal Therapists (2012) Defini3on of
Occupa3onal Therapy [Online]. Available from: <hdp://www.wfot.org/
aboutus/aboutoccupaRonaltherapy/de
finiRonofoccupaRonaltherapy.aspx> [Accessed 12th July 2017].
60

66. References
5. The Royal College of OccupaRonal Therapists (2017) What is
occupa3onal therapy? [Online]. Available from: <hdps://
www.rcot.co.uk/about-occupaRonal-therapy/what-is-occupaRonal-
therapy> [Accessed 12th July 2017].
6. World FederaRon of OccupaRonal Therapists (2016) About occupa3onal
therapy: where do OTs work? [Online]. Available from:<hdp://
www.wfot.org/AboutUs/AboutOccupaRonalTherapy/
WheredoOTswork.aspx > [Accessed 12th July 2017].
7. Wilcock, A. and Townsend, E. (2009) OccupaRonal JusRce. In: Crepeau, E.
Cohn, E and Schell, B. eds. Willard and Spackmans occupa3onal
therapy 11th ed. pp. 192-199. Philadelphia, PA. Lippincod Williams and
Wilkins, pp. 192-199.
8. Townsend, E. and Wilcock, A. (2004) OccupaRonal jusRce and client-
centred pracRce: A dialogue in progress. Canadian Journal of
Occupa3onal Therapy, 71 (2), pp. 75-87.
61

67. References
9. Whiteford, G. (2000) OccupaRonal deprivaRon: Global challenge in the
new millennium. Bri3sh Journal of Occupa3onal Therapy, 63 (5), pp.
200-204.
10. Townsend, E. and Wilcock, A. (2004) OccupaRonal jusRce and client-
centred pracRce: A dialogue in progress. Canadian Journal of
Occupa3onal Therapy, 71 (2), pp. 75-87.
11. Stadnyk, R. Townsend, E. and Wilcock, A. (2010) OccupaRonal jusRce. In:
ChrisRansen, C. and Townsend, E. eds. Introduc3on to occupa3on: the
art and science of living. 2nd ed. Englewood Cliffs: PrenRce Hall, pp.
329-358.
12. Whiteford, G. (2010) When people cannot parRcipate: occupaRonal
deprivaRon. In ChrisRansen, C.H. and Townsend, E.A (Eds.) Introduc3on
to occupa3on: the art and science of living Second Edi3on. Upper
Saddle Creek, NJ: PrenRce Hall. pp. 303-328. 62

68. References
13. Bryant, W. Craik, C. and McKay, E. (2004) Living in a glasshouse: Exploring
occupaRonal alienaRon. Canadian Journal of Occupa3onal Therapy, 71 (5), pp.
282-289.
14. Backman, C. ( 2004) OccupaRonal Balance: Exploring the relaRonship among
daily occupaRons and their influence on well-being. Canadian Journal of
Occupa3onal Therapy, 71 (4), pp. 202-209.
15. McCllough, S. (2014) Planning and implemenRng intervenRons. In:
Bryant, W. Fieldhouse, J. and Bannigan, K. ed. Creeks occupa3onal
therapy and mental health. London: Churchill Livingstone Elsevier, pp.
86-102.
16. World federaRon of occupaRonal therapists (2016) About occupa3onal
therapy [Online]. Available from:<
hdp://www.wfot.org/AboutUs/AboutOccupaRonalTherapy/
DefiniRonofOccupaRonalTherapy.aspx> [Accessed 12thJuly 2017].
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69. References
17. Momaya, M. Stavrinos, D. McManus, B. Wiag, S. Emblom, B. and Estes,
R. (2017) Return to driving aer hip arthroscopy. Clinical Journal of
Sport Medicine.
18. DiSilvestro, K. Santoro, A. Tjoumakaris, F. Levicoff, E. Freedman, K.
(2016) When can I drive aer orthopaedic Surgery? A systemaRc review.
Clinical Orthopaedics and Related Research, 474 (12), pp. 2557-2570.
19. Ross, J. (2007) Occupa3onal therapy and voca3onal rehabilita3on. West
Sussex: John Wiley & sons.
20. Desiron, H. Drijk, A. Van Hoof, E. and Donceel, P. (2011) BMC public
health occupaRonal therapy return to work: A systemic literature review.
BioMed Central, 11 (615), pp. 1-15.
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70. References
21. Penrose, D. (1993). Occupa3onal therapy for orthopaedic condi3ons. England:
Chapman and Hall.
22. DeMadeo, R. Gross, M. and Mikenis, K. (2008) Leisure. In: Meriano, C. and
Latella, D. ed. Occupa3onal therapy interven3ons: Func3on and occupa3ons.
Thorofare, NJ: Slack, pp. 397-422.
23. Santoro, D. Sobocinski, S. and Klippel-TancreR, C. (2008) Social parRcipaRon. In:
Meriano, C. and Latella, D. ed. Occupa3onal therapy interven3ons: Func3on
and occupa3ons. Thorofare, NJ: Slack, pp. 423-465.
24. Terkelsen, A. Anderson, O. Molgaard, H. Hanson, J. and Jenson, T. (2004)
Mental stress inhibits pain percepRon and heart rate variablility but not a
nocicepRve withdrawal reflex. Acta Psychologica Journal 180 (4), pp.
405-414.
65

71. References
25. Chesanow, N. (2015) Sex aer hip surgery: advice that paRents may not
receive. Medscape, pp. 1-5.
26. Raut, S. Daivanjna, S. and Khanduja, V. (2016) Labral tears in young
sexually acRve women: an evaluaRon of paRent saRsfacRon aer hip
arthroscopy. Journal of Hip Preserva3on Surgery, (3) 1, pp. 1-10.
27. Finlay, L. (2004) The prac3ce of physiological occupa3onal therapy.
Nelson.
28. Guy’s and St Thomas’ NHS FoundaRon Trust (2017) Using your energy
wisely: 3ps to help you conserve your energy [Online]. Available from:
<hdp://www.guysandsdhomas.nhs.uk/resources/paRent-informaRon/
cardiovascular/using-your-energy-wisely.pdf>[Accessed 28th July 2017].
66

72. References
29. Thew, M. and McKenna, J. (2008) Lifestyle management in health and
social care. West Sussex: Wiley–Blackwell.
30. Vlaeyen, J. and Linton, S. (2000) Fear-avoidance and its consequences in
chronic musculoskeletal pain: a state of the art. Interna3onal
Associa3on for the Study of Pain, (85) pp. 317-332.
67

73. Glossary
Ac3vi3es of Daily Living
A structures series of acRons or tasks which contribute to occupaRons.
Grading
AdapRng an acRvity so it becomes progressively more demanding as a persons skills improve
or less demanding as an individuals funcRon deteriorates.
Occupa3onal Aliena3on
A sense that ones occupaRons are meaningless and unfulfilling, typically associated with
feelings of powerlessness to alter the situaRon.
Occupa3onal Depriva3on
A state of prolonged preclusion in engagement in occupaRons of necessity or meaning due
to factors out of the control of an individuals for example, geographic isolaRon,
incarceraRon or disability.
Occupa3onal Engagement
A sense of involvement, choice and posiRve meaning and commitment while performing an
occupaRon or acRvity.
68

74. Glossary
Occupa3onal Injus3ce
A consequence of restricted access to occupaRon for specific groups of people indicated by
occupaRonal risk factors of alienaRon, apartheid, deprivaRon, imbalance and marginalisaRon.
Occupa3onal Jus3ce
The human right related to occupaRon for all groups of people.
Occupa3onal Par3cipa3on
ParRcipaRon is defined as the involvement in life situaRon.
Occupa3on
A group of acRviRes that have personal and sociocultural meaning. It is named within a culture
and supports parRcipaRon within society. OccupaRons can be categorised as self-care,
producRvity and leisure.
69