An examination of the experience of pain and the expectations of pts
Research type
Research Study
Full title
An examination of the experience of pain and the expectations of patients discharged home from Day Surgery following Shoulder surgery.
IRAS ID
134134
Contact name
Isa Makama Muazu
Contact email
Research summary
The definition of day surgery in the Uk and Ireland is clear, the patient must be admitted and discharged on the same day, with day surgery as the intended management(DOH 2000). Although, can still be counted as in-patient( Excerpt in the US) 23 hours and short stay surgery apply but principles of care remains the same (DOH 2000). This has improved the quality of patient care whilst reducing the length of stay. However, since the previous guideline was published in 2005 the complexity of procedures has increased with a wide range of patients now considered suitable for day surgery. In spite of these advances, the overall rates of day surgery remains variable across UK, for example, NHS Plan(2000) recommends that target of 75% elective surgery to be performed as day cases. Recent advances in anaesthetic and surgical techniques, along with escalating healthcare costs, have resulted in an over-increasing number of surgical procedures being performed on a day surgery basis world-wide(Jarret 2001). Recent surgical advances include the use of endoscopic approaches for procedures such as shoulder reconstruction, sub acromial decompressions, rotator cuff repairs and shoulder stabilisation. And major advances in anaesthetic techniques includes the use of regional anaesthetic techniques interscalene block alone, or with general anaesthesia or sedation, supraclavicular or interscalene block for upper arm surgery and axillary block using local anaesthetic drugs.This contradicts the past assumptions that most day surgery procedures are associated with relatively minor surgical trauma and discharge of the patients depends on recovery from anaesthesia . Top priorities for successful outpatient discharge of patients are based on four 'A' , ambulation, alertness, analgesia and alimentation(Rawal 2001). The purpose of this study is to describe the experience of pain and expectation of patients discharged home from DSU following shoulder surgery.This study will use mixed methods design.
REC name
South Central - Oxford C Research Ethics Committee
REC reference
14/SC/1121
Date of REC Opinion
22 Jul 2014
REC opinion
Further Information Favourable Opinion