Our Lady of Lourdes Hospital Drogheda Surgical Department Ms Eleanor Faul Consultant General Surgeon Claire Treanor Senior Occupational Therapist Jillian Smith Senior Physiotherapist Maria McCabe Dietitian Roz Cheshire Stoma CNS Wendy O ID: 1044389
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1. ‘Preparing for your Bowel Surgery Booklet’Our Lady of Lourdes Hospital, DroghedaSurgical DepartmentMs Eleanor Faul, Consultant General Surgeon, Claire Treanor, Senior Occupational Therapist,Jillian Smith, Senior Physiotherapist, Maria McCabe, Dietitian, Roz Cheshire, Stoma CNS, Wendy O Dea, Colorectal CNS
2. BackgroundEnhanced Recovery After Surgery (ERAS) aims to reduce pre-operative stress, improve recovery and reduce complications in elective colorectal surgical patients. Comprehensive pre-operative counselling, the first principle of ERAS, reduces stress and anxiety and improves patients satisfaction and preparedness for surgery journey with associated improved LOS and morbidity postoperatively. In 2019 in Our Lady of Lourdes Hospital(OLOLH) Drogheda 71 patients (average age 62years) underwent elective colorectal surgery in OLOLH compromising 606 bed days.No formal perioperative counselling was available to patientsAim: To improve OLOLH’s compliance with evidence based ERAS Pre-operative counselling from no formal pre-operative education to introducing a patient booklet provided to all elective colorectal surgeries pre-operatively by October 2022.Interdisciplinary Patient information booklet includes information on;Surgery and stomaERAS expectations postopPacking for surgerySelf-optimisation pre-opDietExerciseSmoking/Alcohol CessationPost-operative expectations
3. Phase 1Qualitative Feedback
4. Value of our Booklet to Patients Surgical Journeys:Reduced aLOSSustainmentStatic Surgical MDTRegular PDSA CyclesRecurrent education sessions to NCHDsFormal printing of booklets after approval from all stakeholdersAssistance organised for discharge pre-operativelySpreadabilityNCHD educationSurgical Governance educationSurgical Ground rounds RCSI educationFirst all- Ireland Integrated Care Conference