Orthopaedic pre-admission assessment clinics: part 2

An exploratory study of Maltese patients’ perceptions of their preparation for total joint replacement at the pre-admission clinic

“…The 'need to know' has been found to be a pervasive influence throughout the patients' experiences from long before they come to hospital for surgery (Edwards, 2003). In response to this situation, there is now a growing trend to initiate patient education before the patient is admitted to hospital (Edwards, 2003;Gammon and Mulholland, 1996;Davis, 1996;Dobrée, 1990) and the past two decades has seen a flourishing of Pre-Admission Assessment Clinics (Asimakopoulos et al, 1998;Fellows et al, 1999;Bond, 1994;Sutcliffe and Potter, 2002). In the orthopaedic setting, patient satisfaction surveys have indicated that patients find pre-admission clinics useful in reducing anxiety and in preparing them better for hospitalisation (Caplan et al, 1998;Smith, 1996;Newton, 1996;Sutcliffe and Potter, 2002).…”

The emergence of specialist orthopaedic nurses and nurse-led pre-operative assessment in the 1990s

“…The Royal College of Nursing (RCN) Society of Orthopaedic Nursing developed guidelines for the development of POA clinics which were published in the Journal of Orthopaedic Nursing and provide an indication of the understanding of nursing roles during this period (Fellows et al, 1998(Fellows et al, , 1999. They indicate that the nursing role within a POA clinic was multifaceted.…”

“…They indicate that the nursing role within a POA clinic was multifaceted. Nursing assessment and patient education were identified as key components of the role (Fellows et al, 1999). The former could encompass a full holistic patient assessment or concentrate on those issues which may delay discharge such as social circumstances.…”

Patient Experience of Joint Replacement Education: a Joint Venture

“…Processes within pre admission clinics have been studied by several authors and these have tended to be descriptive in method (Fellows et al, 1998(Fellows et al, & 1999Lichtenstein, Semaan, & Marmar, 1993;Roach et al, 1995;Thomas, Burton, Withrow & Adkisson, 2004). Pre admission clinics were designed as health care costs began to escalate.…”