News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search


MDHB involved in Enhanced Recovery after Surgery project

MDHB involved in Enhanced Recovery after Surgery (ERAS) project

30 July 2014

MidCentral District Health Board, like other DHBs, is taking part in the national Enhanced Recovery after Surgery (ERAS) programme aimed at improving patient outcomes and recovery after orthopaedic surgery.

The programme is being co-ordinated nationally by the Ministry of Health and focuses on the involvement of the patients being active participants in their own recovery. It also aims to ensure that patients always received evidence-based care at the right time.

ERAS principles of care are focused on three key areas: - preparing the patient for surgery; during surgery; and after surgery.

MidCentral District Health Board’s operations director hospital services, Lyn Horgan said: “MDHB has been running successful knee and hip joint replacement clinics for the past three years, having a 100 percent success rate with all patients attending clinics - a forerunner to the national ERAS collaborative approach. These clinics provide patients and support people with information at all three phases of the patient’s journey. Three booklets are given to patients to reinforce information given to patients at clinics, along with interactive discussions with health professionals on what patients (and their families/whanau) can expect before, during and after surgery.

“The joint clinics have been beneficial to all parties involved – the patients; staff; and the hospital. For patients they have benefited by knowing exactly what is involved – from expected pain levels and how to cope; to what they can eat; exercise, taking care of themselves before surgery; to knowing when and what to expect after surgery, and with their rehabilitation and full recovery.

“For staff they have benefited from getting to know their patient before and right through their discharge and recovery; by better understanding their patient’s requirements; by being better able to plan a patient’s journey from admission through to discharge and recovery.

“From a hospital point of view, it is better able to plan when surgery can take place knowing the reduced average length of stay the clinics have provided; able to schedule staff through surgery and with rehabilitation of patients, including physiotherapy sessions.

“The ERAS programme also includes patients admitted to hospital who have fractured their neck of femur, the focus is from St John ensuring they keep the patient warm, provide appropriate pain relieving measures and adequate hydration to the emergency department, and highlighting the arrival into the hospital to alert key staff thus ensuring the patient is fast tracked to an inpatient bed or to the operating theatre.

“The patient follows a clearly defined clinical pathway which focuses on surgery as soon as possible and mobilisation within 24 hours of the surgery. This is a multi-discipline approach with input from elder health, pharmacists, dieticians, allied health staff along with the nurses and doctors on the specialist orthopaedic ward. A patient journey fractured neck of femur booklet is in the final draft, which when printed will keep patients and their families well informed of what to expect in hospital,” she said.


© Scoop Media

Culture Headlines | Health Headlines | Education Headlines


Howard Davis: Review - 'I, Daniel Blake' - Ken Loach's Bleak Masterpiece

'I, Daniel Blake' is a bleak masterpiece, a chilling and moving story of two people striking up an unlikely friendship under extremely adverse circumstances. It is both a polemical indictment of a faceless benefits bureaucracy that strips claimants of their humanity by reducing them to mere numbers, and a celebration of the decency and compassion of ordinary people who look out for one another when the state has abandoned them. More>>

Howard Davis: Review - A Girl Named Mo

Moana Ete brought her three-piece band A Girl Named Mo to Wellington's intimate and iconic Bats Theatre last week for a five-night residency. Each show was recorded and filmed live for the release of her debut album 'Platonic/Romantic' on Loop records later this year. More>>

For The Birds: Who Will Be Crowned Bird Of The Year?

The competition involves well-known and enthusiastic New Zealanders acting as ‘campaign managers’ for their favourite birds with many going to great lengths to get New Zealanders to vote for their chosen bird... More>>


  • Greening the Red Zone - Bird of the year heats up: kōtare concedes, backs kea
  • Image Out-Link - Giselle Clarkson on Twitter

  • Gordon Campbell: On Bob Dylan's Nobel (And The Surplus)

    So Bob Dylan has just won the Nobel Prize for… Literature? Wow. I’d be just as happy if he’d won for his work on particle physics (“One Grain of Sand”, “Simple Twist of Fate”) or got the Economics prize for his work on the theory of contracting (“Don’t Think Twice Its Alright”) ... More>>


    Scoop Review Of Books: Whose Goat Was That?

    Mysterious Mysteries of Aro Valley is a sharp, satirical and sometimes downright scary romp through and around that valley in ways that made me question the realities of the places I thought I knew so well. More>>


    NZ On Air TV Funding: More Comedy Comes Out Of The Shadows

    Paranormal Event Response Unit is a series conceived by Jemaine Clement and Taika Waititi as a TV spin-off from their highly acclaimed feature film What We Do In The Shadows. More>>


    Get More From Scoop



    Search Scoop  
    Powered by Vodafone
    NZ independent news