Author/Editor		Lavtižar, Jana; Torkar, Alenka; Rems, Miran
Title		Timski pristop pri pripravi pacienta na operativni poseg resekcija raka na debelem črevesu, po programu pospešenega okrevanja - fast track
Translated title		Team approach for colon cancer surgery on enhanced recovery programme
Type		članek
Source		245392384
Publication year		2009
Volume		str. 332F [5 str.]
Language		slv
Abstract		V Splošni Bolnišnici Jesenice (SBJ) so začeli z uvajanjem kirurgije s pospešenim okrevanjem leta 2005. Poudarjena je dobra priprava pacienta, ki poteka, v obliki razgovora, teden dni pred sprejemom v bolnišnico. Pomembno vlogo pri pripravi pacienta ima medicinska sestra (MS) koordinator zdravstvene nege, ki usmerja in vodi pacienta. Program pospešenega okrevanja obsega usklajene, številne zaporedno urejene multidisciplinarne postopke, kjer sodelujejo kirurg operater, anesteziolog, MS koordinator zdravstvene nege, MS na oddelku, MS za obvladovanje bolečine, dietetik in fizioterapevt. Skozi program vodi klinična pot (KP). V KP je poudarek na celostni, individualni in kontinuirani obravnavi pacienta. KP združuje delo celotnega zdravstvenega tima. Poudarjeno je dobro sodelovanje zdravstvenega tima. Teden dni pred operacijo pacient opravi razgovor z MS na oddelku, MS za obvladovanje bolečine, dietetikom in fizioterapevtko. Na prvem razgovoru je seznanjen z oddelkom, celotnim potekom okrevanja, aktivnostmi zdravstvene nege in morebitnimi težavami, ki se lahko pojavijo. Program pospešenega okrevanja potrjuje, da je pomembno združevati znanje celotnega zdravstvenega tima in da je razgovor teden dni pred OP za pacienta zelo pomemben del celostne in individualne obravnave ter celotnega programa obravnave po klinični poti.In general hospital Jesenice begin with principles of enhanced recovery surgery in colon cancer in year 2005. Important is good preparation of patient with visit of department and discussion one week before the admission. The role of nurse and case manager in this part is crucial. Program of enhanced recovery surgery is composed of many harmonized and consecutive multiprofessional procedures. In these process surgeon, anaesthesiologist, case manager, nurses, dietician and physiotherapist take their part. The guide through the process is the clinical pathway. Integrity, individual and continuous care is assured. Clinical pathway is central part of team approach and good cooperating of team is mandatory. One week before admission for surgery patient has consultation with nurse in the ward. In discussion with nurse specialised for pain treatment, dietician and physiotherapist the patient became familiar with the nurses, the ward, with nursing procedures and whole procedure of clinical pathway. Possible complications are also discussed.
Keywords		zdravstvena nega klinična pot MS koordinator zdravstvene nege nursing clinical pathway case manager