Setting up a nurse-led patient forum to inform choice clinical nursing times electricity generation in india


The foot and ankle team at the RNOH felt that many of the difficulties patients faced when making decisions about surgery stemmed from inadequate information about the procedure and its outcomes. We therefore proposed to set up a ‘fusion forum’ – an informal nurse-led discussion group to facilitate patients’ understanding and perception of fusion procedures. The aims were gas ninjas to:

The forum was set up in the RNOH, a specialist tertiary orthopaedic referral centre, which sees t gasthuys approximately 1,300 new patients a year, about half of whom present with hindfoot or ankle problems. The foot and ankle team consists of two orthopaedic surgeons, a fellow and two registrar surgeons and a clinical nurse specialist, as well as orthotists, physiotherapists and link nurses from various hospital departments.

Now, they are referred to the clinical nurse specialist (CNS electricity in salt water experiment), who arranges for them to attend a foot and ankle fusion forum, which takes place at around six-weekly intervals. The forum is run by the CNS but adopts a multidisciplinary team approach with involvement of ward foot and ankle link nurses, theatre staff, plaster technicians, pre-admission staff and outpatient staff, along with a physiotherapist and orthotist.

The informal group session consists of a multi-media presentation (PowerPoint presentation, videos, sawbone models) on the process of ankle/foot fusion, which is reinforced with verbal and written information. A guest with an arthrodesis attends the seminar and patients can observe them walking and the effect the procedure has had on their gait. Patients are also encouraged to question guests electricity in human body wiki and the multidisciplinary team and discuss any concerns. The session lasts an hour and prospective patients have the chance to see and try out equipment they may need post-operatively, such as crutches or a K9 walker (a device used to offload patients’ body weight). They also have the facility to view gas efficient suv 2008 radiographs showing the position of fused joints and orthopaedic hardware.

‘Thought it was an excellent session. If anything, [it] could have been a little longer and a video showing more of possible activity post-operation would be good.’ This was a particularly valued comment. A video has been produced and introduced into the ankle fusion forum session electricity generation in california. A main benefit of this is that it depicts a patient who has undergone triple fusion, so it also addresses another comment from the questionnaires.

Most research agrees that the provision of good-quality information before elective surgery facilitates patient involvement and may reduce post-operative complications (Walker, 2007 gas jet). Communication is the key to enhancing the patient journey/pathway and often this proves to be problematic (Lack et al, 2003). Pre-admission, patient-focused education sessions in other fields of surgery – for example, for patients undergoing hip and knee arthroplasty in Finland – have been described (Johansson et al, 2007).

The forums were set up to run on a rolling basis every six weeks. Feedback gained from patient evaluation questionnaires (immediately following the forum) and patient satisfaction surveys (carried out post-forum) have so far indicated that the forums have been successful and patients’ perception of fusion surgery has been positively influenced.

Indications so far (from database audit and hospital auditor facility) have shown gas 66 that the majority who attend fusion forums have gone on to have surgery and have been satisfied with the outcome and post-operative m power electricity care and support received. Indeed, many patients have themselves gone on to act as guests for subsequent patient fusion forums.

The evaluation forms have demonstrated that there is an extremely high level of satisfaction with the foot and ankle fusion forum. Comments suggest that patients find speaking to others who have undergone surgery particularly useful. Suggestions for improvements included making the presentation easier to hear and see, as well as having smaller groups – see patient comments in the Results section. These suggestions are invaluable in continuing to provide a quality patient-focused seminar and will be explored.

Patient information sheets on surgery and preparing for foot and ankle surgery are handed out at the types of electricity consumers fusion forum as standard procedure. Patients also have the opportunity to meet the multidisciplinary team (plaster technicians and foot and ankle link nurses). This has been very successful as patients recognise team members when attending 3 gases that cause acid rain for surgery and are more relaxed as a result.

It is useful to demonstrate and give patients product advice and literature, for example, protective cast covers to enable them to shower post-operatively without damaging the plaster. Demonstrations of how people cope immediately post-operatively with non-weight-bearing have also helped gsa 2016 new orleans allay patients’ fears. They are shown crutches, zimmer frames and the K9 walker and this has proved to be an enormous practical benefit of these forums – patients do not usually have the advantage of this facility in most hospital settings. This allows the length of patient stay in hospital to be remarkably reduced, which has a positive psychological effect on their well-being electricity estimated bills and also reduces the risk of post-operative hospital-acquired infections.

PowerPoint presentations on the process of generic fusion, along with video clips and radiographic images depicting the position of metalwork, have helped patients’ understanding of the procedure. This information package on generic fusion surgery has been of tremendous value. Patients have responded well to this method of imparting information and have responded positively to these patient-focused fusion forums.

The forum not only offers patients the opportunity to make an informed choice about surgery but it also gives healthcare professionals the chance to dispel myths and fears surrounding midfoot/ankle/hindfoot fusion. It is useful in gaining patients’ informed consent, and in improving satisfaction and the patient journey. We recommend that other units adopt this practice to enhance and electricity office improve the whole patient experience.