Providing Support for Patients Following Discharge – A ...
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References: • Taylor C, Burch J (2011) Feedback on enhanced recovery programme for colorectal surgery. British Journal of Nursing. Mar 10-23;20(5):286-90 • Lassen K, Soop M, Nygren J et al (2009) Consensus review of optimal preoperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Arch Surg 144(10):961-9 Providing Support for Patients Following Discharge – A Standardised Approach Anna Simpson RGN BSc (Hons) Stoma Care Nurse, SecuriCare (Medical) Ltd. Contact: [email protected] Enhanced Recovery Pathway (ERP) is designed to optimise patients before, during and after surgery (Lassen et al 2009). All patients in the Leicester area who are on the ERP will have a follow up phone call from a specialist nurse 24-48 hours following discharge from hospital. The aim is to highlight any problems since discharge home, reassure and assist patients via telephone and therefore may reduce readmission to hospital. A focus group led by Taylor & Burch 2011, involved collecting feedback from ERP patients following colorectal surgery, who had received telephone follow up; 42% of patients considered the call to be useful and reassuring. This is further supported by a SecuriCare satisfaction survey where 84% felt that their aftercare since being discharged home was satisfactory. The use of a standardised telephone follow up protocol aims to improve this. The patients were asked a set of evidence based, standardised questions in key areas, to assess their recovery while giving the patient the opportunity to ask for any advice. › Highlight any problems since discharge › Provide reassurance and information › Regulate aftercare › Minimise readmission Introduction Method & Rationale Review and reflect on feedback from stoma care colleagues after pilot phase Assess and review the patient experience Update questions and format taking account of feedback from all parties Implement changes Regular reviews moving forward to ensure it continues to meet clinical need PID 2191 ASCN 2015 2 4 - 4 8 H r s Key Areas ✔ Stoma/Bowel Function ✔ Pain ✔ Appetite ✔ Anxiety ✔ Wound Management ✔ Hernia/Prolapse Prevention ✔ Sleep ✔ Supplies 8359 ASCN Poster PID 2191.indd 1 27/08/2015 09:44
Transcript of Providing Support for Patients Following Discharge – A ...
References: • Taylor C, Burch J (2011) Feedback on enhanced recovery programme for colorectal surgery. British Journal of Nursing. Mar 10-23;20(5):286-90
• Lassen K, Soop M, Nygren J et al (2009) Consensus review of optimal preoperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Arch Surg 144(10):961-9
Providing Support for Patients Following Discharge – A Standardised Approach
Anna Simpson RGN BSc (Hons) Stoma Care Nurse, SecuriCare (Medical) Ltd. Contact: [email protected]
Enhanced Recovery Pathway (ERP) is designed to optimise patients before, during and after surgery (Lassen et al 2009). All patients in the Leicester area who are on the ERP will have a follow up phone call from a specialist nurse 24-48 hours following discharge from hospital. The aim is to highlight any problems since discharge home, reassure and assist patients via telephone and therefore may reduce readmission to hospital.
A focus group led by Taylor & Burch 2011, involved collecting feedback from ERP patients following colorectal surgery, who had received telephone follow up; 42% of patients considered the call to be useful and reassuring. This is further supported by a SecuriCare satisfaction survey where 84% felt that their aftercare since being discharged home was satisfactory. The use of a standardised telephone follow up protocol aims to improve this.
The patients were asked a set of evidence based, standardised questions in key areas, to assess their recovery while giving the patient the opportunity to ask for any advice.
› Highlight any problems since discharge
› Provide reassurance and information
› Regulate aftercare
› Minimise readmission
Introduction
Method & Rationale
Review and
reflect on
feedback from
stoma care
colleagues after
pilot phase Assess and review the
patient experience
Update questions and format taking account of feedback from all parties
Implement changes
Regular reviews
moving forward
to ensure it continues to meet clinical
need
PID 2191 ASCN 2015
24-48 Hrs
Key Areas✔ Stoma/Bowel Function✔ Pain✔ Appetite✔ Anxiety✔ Wound Management✔ Hernia/Prolapse Prevention✔ Sleep
✔ Supplies
8359 ASCN Poster PID 2191.indd 1 27/08/2015 09:44
