Contemporary day surgery: patients’ experience of discharge and recovery

Abstract

The results and problems identified have applicability for the development of discharge planning services and patient education in a day surgery context. It is suggested that the use of evidenced-based and innovative interventions among health professionals might improve patient outcomes.

Quality of counselling for knee and shoulder arthroscopy patients during day surgery

“…The findings of this study support those of an earlier study (Heino, 2005, Fagermoen & Hamilton, 2006, Gilmartin, 2007 which showed that good quality counselling was focused on oral counselling, with written materials to support it. It is also known that patients are not so well oriented to counselling after anesthesia (Stomberg et al, 2008).…”

“…In day surgery, patients also need counselling on the use of analgesics and pain assessment (Rhodes et al, 2006, Stomberg et al, 2008 counselling as well as on rehabilitation, such as knee extension and flexion, and in how to use mobility aids (such as crutches) and for how long (Pieper et al, 2006, Gilmartin, 2007 Patients also want to know about the possible complications (Gilmartin & Wright, 2008), nutrition (Rhodes et al, 2006, Fredericks et al, 2010 and what health changes are normal or not after surgery (Fagermoen & Hamilton, 2006). Having an opportunity to meet with healthcare staff after day surgery is important to patients (Rhodes et al, 2006, Gilmartin, 2007, Stomberg et al, 2008, Knier et al, 2015. Day surgery leads to emotional stress, such as anxiety and fear, counselling meaning that emotional counselling is also necessary (Hagberth, 2008, Stomberg et al, 2008, Gardiner et al, 2009).…”

“…To achieve the counselling goals, the appropriate counselling methods should be used. Oral counselling is mostly common (Nagelkerk et al, 2006, Gilmartin, 2007, Stomberg, 2008, Tse & So, 2008 in conjunction with written materials (Kyngäs et al, 2004, Lipponen et al, 2006, Kääriäinen et al 2011. Technology is rarely used during counselling (Gladfelter, 2006).…”

“…(Kääriäinen 2007, Kääriäinen & Kyngäs, 2010, Kaakinen et al, 2012a, Raitanen et al, 2015. After day surgery, patients may be confused due to the anesthesia and it is important to support any family members with counselling (Burden, 2007, Gilmartin, 2007. Interactive counselling allows the patient to ask questions and receive feedback in a positive atmosphere (Lipponen et al, 2006, Kääriäinen, 2007, Kaakinen et al, 2012.…”

“…Adequate counselling relating to the disease, its treatment and recovery at home can help patients to assess and act on changes in their well-being and recovery (Fagermoen & Hamilton, 2006, Gilmartin, 2007, Ortoleva, 2010.…”