An Interdisciplinary Prehabilitation Pilot for Patients Undergoing Elective Colorectal Surgeries Ms Eleanor Faul Consultant General Surgeon Jillian Smith Senior Physiotherapist ID: 1044388
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1. Our Lady of Lourdes Hospital Drogheda, Surgical DepartmentAn Interdisciplinary Prehabilitation Pilot for Patients Undergoing Elective Colorectal Surgeries Ms Eleanor Faul (Consultant General Surgeon) Jillian Smith (Senior Physiotherapist)Claire Treanor (Senior Occupational Therapist) Maria McCabe / Eileen Beagan (Dietician)
2. In 2020, elective colorectal cancer surgical procedures accounted for 461 bed days in Our Lady of Lourdes Hospital (OLOLH), averaging €461,000.Recommended average Length of Stay(aLOS) KPI for Anterior Resection is 8 days(NCP Surgery 2013). In OLOLH, median aLOS for Elective Anterior Resections between 2016-2020 was 10 days, 2 days over the KPI. Hartmanns Reversal aLOS is recommended as 8 days. In OLOLH the median aLOS between 2016-2020 was 9 days.Prehabilitation aims to reduce length of stay by identifying and managing any modifiable risk factors that may impact aLOS and optimise patients physiological reserve to reduce postoperative complications.Modifable Risk Factors Impacting aLOSAge D/C PlanningMarriagePost-op Delirium Cognitive ScreeningPost-op ComplicationsComorbidities Exercise & DietPre-op FunctionAim: To reduce the aLOS for patients admitted for elective anterior resection surgery from 10 days to 8 days and elective Hartmann’s reversal from 9 days to 8 days by January 2026OCCUPATIONAL THERAPYPHYSIOTHERAPYDIETITIANaLOS for Elective Anterior Resections between 2016-20 vs National KPIBackground
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4. ‘The programme helped me get ready for surgery and think about home after’‘I’ve really improved my fitness with this programme. It’s helped me lose 1 stone before my surgery’‘I was able to chat to my family about the help I would need when I got home and make sure there would be someone there to help me’