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Hospital readmissions have a significant impact on the process of recovery after general abdominal or colorectal surgeries. This study explored patient perceptions regarding healing, staying informed, communicating with healthcare providers, [...], Background With implementation of hospital readmission reduction programs, healthcare leaders have developed many strategies to improve quality of surgical outcomes. However, there is a lack of literature on patient perceptions of the complex phenomenon of readmission and factors perceived as crucial for recovery. Aim Explore the phenomenon of hospital readmission by combining patients' perspectives with a descriptive analysis of factors impacting hospital readmission. Methods A convergent mixed methods design was used. Factors impacting readmission were collected from electronic health records of 41 patients following major abdominal and colorectal surgery for descriptive analysis and converged with 15 patients' perceptions of hospital readmission. Results Five major themes were identified: feeling vulnerable, competing responsibilities, communication with healthcare providers, healing and recovery, and loneliness due to COVID-19 pandemic restrictions. Descriptive analysis revealed all patients received discharge education, yet patients indicated they were prepared inadequately to manage their care after discharge, even with home healthcare support. Limitations and Implications The study was conducted in a single healthcare center and included only English-speaking patients. Response could have been impacted by pandemic restrictions. Conclusion This study identified specific concerns of surgical patients that impacted their recovery, including inability to manage newly inserted tubes and drains, need for skilled home healthcare support and consistent communication with healthcare providers, better pain management, significance of social support in and out of hospital settings, and impact of emotional well-being during the healing process. Keywords general surgery, readmission, mixed methods, postoperative, patient discharge, self-care, self-efficacy, surgical recovery, surgical and procedural nursing management, education of patients and families

2022 OCT 15 (NewsRx) -- By a News Reporter-Staff News Editor at Obesity, Fitness & Wellness Week -- Current study results on cardiac surgery have been published. According to news [...]

2022 MAR 19 (NewsRx) -- By a News Reporter-Staff News Editor at Obesity, Fitness & Wellness Week -- Current study results on environmental research and public health have been published. [...]

2022 MAR 19 (NewsRx) -- By a News Reporter-Staff News Editor at Obesity, Fitness & Wellness Week -- Current study results on environmental research and public health have been published. [...]

We conducted a prospective, randomized, controlled trial to compare outcomes in type I tympanoplasty patients who received an autologous microsliced modified cartilage perichondrium shield graft (cartilage group) and those who [...]

The cardiac surgery program at Baystate Medical Center, Springfield, MA, emphasizes the importance of planning for discharge. Before the operation, discharge arrangements are discussed. Early extubation and structured activity guidelines are parts of the program. The staff nurse, the mid-level practitioner (MLP) and the clinical resource coordinator are all important in facilitating the plan. Length of stay, and thus cost, has declined over two years and it is hoped that intensive care unit cost and overall cost of care will continue to decrease with the start-up of the progressive care unit and the early extubation.

More research is needed to develop protocols for the assessment of symptom distress in post-operative symptom distress in ambulatory surgery patients. Since the number of ambulatory procedures is increasing, nurses need to identify symptoms in the recovery room that may cause trouble at home and be able to intervene with the patient. Little data exist on the effect of nursing interventions to reduce symptom distress for these patients. However, the General Symptom Distress Scale may be the most useful of many scales to assess distress in ambulatory surgery patients.

If your patient needs chest sugery, you'll need to know how to assess his operative risk and manage postop problems As recently as 10 years ago, any patient who had [...]

Post-operative children would benefit from special paediatric recovery areas with parents in attendance. A brightly decorated environment with toys is most condusive to stress free recovery. Parents can provide a calming influence that hastens recovery. Pre-operative visits would familiarise families with procedures. However, little progress has been made towards providing special recovery areas despite paediatric provision in accident and emergency departments, intensive care and out-patient departments.

High-tech care needn't mystify--or scare--your patients. I worked as a staff nurse on the abdominal surgery unit in a tertiary care hospital for several years. By the time patients were [...]

This study examined the clinical usefulness of the Short-Form McGill Pain Questionnaire (SF-MPQ). Thirty postoperative patients were asked to describe their postoperative pain and were then administered the SF-MPQ. Eighteen (60%) used exact SF-MPQ sensory or affective words or synonyms to describe their postoperative pain during the interview. These results provide further evidence of the clinical relevance of the SF-MPQ sensory and affective scales. Pain descriptions by patients that go beyond pain intensity descriptions may communicate more precise information about the pain and lead to more effective pain interventions. Patients with difficulty describing their pain might be assisted by using the SF-MPQ.

Patients are to be offered cannabis after they have had surgery, to assess the drug's usefulness for post-operative pain. In the trial, funded by the Medical Research Council, 2,000 patients [...]

Introduction: Imaging the heart after the Fontan operation is a vital part of long-term follow-up. There is now a large population of older patients for whom echocardiographic imaging may be [...]

IN RECENT YEARS the health care industry has been faced with a profound and remarkable transformation that shifts priorities to improving efficiency and reducing costs while maintaining quality of care. [...]

Introduction The number of patients undergoing a percutaneous coronary intervention (PCI) has dramatically increased. In Australia in 2008, 155 per 100,000 of population underwent PCI; compared with 61 per 100,000 [...]