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Patient engagement to enhance recovery for children undergoing surgery
1Division of Pediatric Surgery, Department of Surgery, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA, USA.
Insights
Enhanced recovery protocols (ERPs) improve surgical outcomes by engaging patients as partners. This approach optimizes preparation, minimizes trauma, and clarifies expectations for better patient satisfaction and value.
Area of Science:
- Surgical protocols and patient care
Background:
- Enhanced recovery protocols (ERPs) have been utilized for over two decades to mitigate surgical stress and inflammation.
- ERPs are founded on evidence-based principles encompassing patient preparation, minimally invasive techniques, and outcome auditing.
Purpose of the Study:
- To highlight the critical role of patient engagement within ERPs.
- To emphasize how comprehensive counseling and education empower patients and families as active stakeholders in the recovery process.
Main Methods:
- Optimizing pre-operative patient preparation.
- Employing minimally invasive anesthetic and surgical techniques to reduce trauma.
- Providing patients and families with written and visual educational resources detailing daily goals, pain management, nutrition, and discharge criteria.
Main Results:
- Patient and family engagement fosters effective healthcare team function and patient flow oversight.
- Clear communication of expectations and the rationale behind interventions empowers patients.
- Patients actively participating as partners in their care report improved satisfaction.
Conclusions:
- Enhanced recovery protocols (ERPs) significantly improve patient satisfaction, surgical outcomes, and healthcare value.
- Active patient and family involvement is a key component of successful ERP implementation.
- ERPs facilitate a collaborative approach, creating a shared vision between patients and healthcare teams for an optimal surgical experience.
Abstract:
For over 20 years enhanced recovery protocols (ERPs) have been used to decrease the physiologic stress and inflammation of surgery using evidence-based principles. ERPs include optimizing patient preparation, creating less trauma using minimally invasive anesthetic and surgical techniques, and regular audit of outcomes. A critical aspect of ERPs is patient engagement in all phases of care, which facilitates effective team function and focused oversight of patient flow through the system. Counseling extends beyond traditional review of surgical risks and benefits, by creating clear daily patient goals, establishing pain management plans, optimizing nutrition, and defining criteria for discharge. The patient and family are provided written and visual media resources to review. This counseling and education clearly outlines the bidirectional expectations, ensures preparedness, and empowers the patient and family by explaining the logic surrounding many of the ERP interventions. The patient and family are, in turn, activated as key stakeholders in the process and have a shared vision with the healthcare team. Most patients enjoy being considered partners and agents in their own healthcare. ERPs facilitate an optimal surgical experience that can improve patient satisfaction, outcomes, and value.
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