INTRODUCTION
Introduction of Enhanced Recovery Procedure (ERP) has dramatically impacted NHS. The length of stay, recovery, cost and the wellbeing of patient have all been improved and streamlined in delivering efficient and cost-effective service in elective orthopedic departments.
In this essay I will critically reflect how was the ERP introduced and implemented on our particular ward through a case study of a female patient in her sixties who has undergone a successful hip replacement surgery and was able to be discharged on the second day. This case is a textbook example that wonderfully demonstrates how, if managed and organized properly; ERP can rapidly affect the outcome and speed up recovery …show more content…
It is designed in such a way so that patient becomes an active participant in the entire process that begins before patient reaches the ward and then continues during the pre-operational and post-operational phase. The ERP, as stated in NHS Institute for Innovation and improvement, (2014), also benefits the staff as it streamlines and improves the processes and it increases the number of patients being …show more content…
Pre-admission stage in which great emphasis is given to education of the both patient, families and careers. Patient is empowered through information given and is encouraged to contribute in the assessment process. This is also a time where patient’s current physical and social needs are assessed and where patient is prepared either through Physiotherapy exercise classes or any other preparation treatment required Dwyer (2012, p.464)
2. Pre-operative phase involves reducing the psychological anxiety and reducing of physical stress of the operation.
3. Post-operative phase (and during peri-operative, NHS Institute, (2014) is about management of pain and postoperative oral nutrition.
4. Mobilisation that should take place as early as possible.
Evidence suggests that, if ERP organized and managed properly, there is overall significant reduction of hospital stay; “5.3 against average 8.3 days” (Dwyer 2012, p.464), so there is no wonder why the ERP is of such a significance and why it is championed in the UK NHS