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Published on: August 1, 2019
The coach program - a "joint" approach to patient education and support
Yael Shaked1, Patricia Dickson1, Kathy Workman1
1Holland Orthopaedic and Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada M4N 3M5.
The Coach Program integrates patient support persons into care teams to reduce anxiety and improve coping during shorter hospital stays after joint replacement surgery.
Area of Science:
- Orthopaedic Surgery
- Health Care Management
- Patient Support Systems
Background:
- International decline in hospital lengths of stay for orthopaedic procedures.
- Patients experience stress, anxiety, and reduced support post-discharge after joint replacement.
- Need for innovative strategies to manage shorter hospitalizations and improve patient transition.
Purpose of the Study:
- To introduce and evaluate the Coach Program, integrating patient support persons into the healthcare team.
- To decrease patient anxiety and increase confidence during the transition from hospital to home.
- To enhance patient coping mechanisms and streamline discharge planning for orthopaedic procedures.
Main Methods:
- Formal integration of a patient-identified primary support person into the healthcare team.
- Implementation of the Coach Program focused on family-centered care and resource maximization.
- Pilot self-reported patient survey to gather initial feedback.
Main Results:
- Anecdotal feedback from patients and staff has been overwhelmingly positive.
- The program aims to decrease patient anxiety and enhance coping.
- The program facilitates a smoother discharge planning process.
Conclusions:
- The Coach Program shows promise in supporting patients undergoing orthopaedic procedures with shorter hospital stays.
- Integrating support persons enhances patient-centered care and may alleviate post-discharge anxiety.
- Further research with broader patient populations and investigation into supporting patients with limited social support are warranted.
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