welcome to joint school. aims of the session to help you prepare for your admission explain what...
TRANSCRIPT
AIMS OF THE SESSION
To help you prepare for your admissionExplain what will happen throughout your
stay at Spire Gatwick ParkExplain about your recovery afterwardsTeach you to use sticksTeach you to use the stairsTeach you a programme of exercisesTo ensure you are well informed and prepared for your operation
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What is Enhanced Recovery
Pioneered in DenmarkA new approach to caring for patientsBegins with your G.P., improved anaesthetic and surgical techniques.
Early food and drinkEarly mobilisationFaster return to your normal activitiesYou have an active role in your recovery and full responsibility for your rehabilitation
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How can you prepare ?
What to bring in with you :ToiletriesDressing gownSlippers with backsSmall travel clockMobile phoneAll medications in their original containers
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…more to bring in
Flat shoes with backs ideally slip-onComfortable day clothes – shorts, skirts or
dresses – not trousersSmall packs ready to eat prunes, apricots,
figsWalking sticks (or crutches)Your information pack and exercise programme
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How can you prepare?
Optimise your health before your operation
Eat healthily – avoid putting on weightHigh fibre and fluids to help prevent constipation
Stop smokingRegular walks as ablePrepare the homeYou will be in hospital for 2-4 nights
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Arrange for someone to take you homeArrange for someone to be with you for a few days
Arrange to be off work for 6-12 weeksPractise your exercisesPractise walking with your sticksPractise the stairsRead all the information again before you come in
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Pre- admission clinic
Usually 3 weeks prior to surgeryNurse clinicPhysiotherapy assessment
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Anaesthesia, pain control
Spinal anaesthesiaRegional anaesthetic blockSedationGeneral anaesthetic
Pain score“Regular” medication and “as required medication”
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Our Patient Journey
Admission timeFasting timesBefore the operation – you will see your consultant, anaesthetist, nurse, physiotherapist and pantry staff
Walk to theatreIn recoveryBack on the ward – attachments !Drink, eat, move
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Day 1 - discharge
Daily ward round at 8.30Regular drug roundsNurses will assist with washing/dressingPhysiotherapy morning and afternoonWalk to bathroomSitting out for all mealsX rayBlood test
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Day 2
Washing in the bathroom, maybe showerPhysiotherapy – bed and standing exercises, progressing to sticks, stairs
You may be ready to go home later in the afternoon
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Day 3
You will be helped to showerYour wound dressing will be changedContinued physiotherapyHopefully home today!
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When can I go home ?
Good movement in your new jointWalking wellSafe on stairsIndependent with some supervision with daily needs
Signs of wound healingLength of stay – 2-4 nights (when clinically ready to go home)
Time of discharge will be confirmed
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Follow up care
Wound clips are removed at 10-14 days (at Gatwick Park or at your G.P. surgery)
Follow up physiotherapy at 2,4, and 6 weeks
Consultant appointment at 6 weeks (at Gatwick Park or in your local trust hospital)
Hip and knee classes after 6 weeks
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Practise makes perfect
Please practise with your sticks for at least 5 minutes every day
Please use your sticks for at least 1 full 24 hour period before you come in for your
operationPlease practise your exercises daily
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THANKYOU
ANY QUESTIONS?
This information is also available on our website.
www.spiregatwick.com/ER
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