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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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Waiting for scheduled surgery: A complex patient experience.

Tracey Carr1, Ulrich Teucher2, Alan G Casson3

  • 11 St. Thomas More College, Canada.

Journal of Health Psychology
|September 10, 2015
PubMed
Summary

Patient surgical wait time experiences vary, impacting quality of life. Healthcare should focus on managing the psychological effects of waiting, especially for those with severe symptoms, rather than solely reducing wait times.

Keywords:
healthcarephenomenologypsychological distressqualitative methodssurgery

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Area of Science:

  • Health Services Research
  • Qualitative Health Research
  • Patient Experience Studies

Background:

  • Long wait times for scheduled surgery are a significant concern in healthcare systems.
  • Understanding patient perspectives on waiting is crucial for improving care quality.

Purpose of the Study:

  • To explore and understand the lived experiences of patients awaiting scheduled orthopaedic or cardiac surgery.
  • To identify the various effects of waiting on patients' well-being and daily lives.

Main Methods:

  • A qualitative research approach was employed.
  • 32 patients undergoing scheduled orthopaedic or cardiac surgery participated.
  • Each participant completed two in-depth interviews about their waiting experiences.

Main Results:

  • Patient experiences of surgical wait times were diverse, irrespective of the actual duration of the wait.
  • Commonly reported experiences included feelings of restriction, uncertainty, resignation, coping mechanisms, and perceived opportunities.
  • A complex relationship exists between symptom severity and a patient's tolerance for waiting, with greater severity linked to less tolerance.

Conclusions:

  • Patient experiences of waiting for surgery are multifaceted and influenced by factors beyond mere time duration.
  • Healthcare interventions should prioritize mitigating the negative psychological and practical impacts of waiting on patients.
  • Focusing resources on supportive care for patients experiencing distress during the waiting period may be more effective than solely aiming to reduce wait times.