Hip Review Clinic
Hip Revision Surgery
What is accelerated discharge?
Application of the research findings and principles to joint replacement [An orthopaedic enhanced recovery pathway Tom Wainwright, Robert Middleton Current Anaesthesia & Critical Care (2010) 1–7 http://www.enhancedrecoveryblog.com/wp-content/uploads/2009/10/An-Orthopaedic-Enhanced-Recovery-Pathway-In-Press-corrected-proof.pdf] is focused at key points in the process:
Promotion of a ‘‘wellness’’ model of post-operative care
How can I enrol for accelerated discharge?
Can I opt out of accelerated discharge?Accelerated discharge is not for everybody, and is not always successful. If your personality does not respond well to persistent encouragements to "hurry along", however well meaning, then accelerated discharge may not be for you.
As long as every patient approaches recovery with the intent to do their best, then we must accept that some will progress faster than others. Publicly exclaimed dissatisfaction [Ludden Problems after gynaecological ERAS http://www.nhs.uk/Pages/comments.aspx?contentId=36788&AreaId=2] with accelerated discharge arises when patients feel the enouragement has crossed the line to bullying - just say no!
With any surgical procedue there is a small risk of complications, it is very important that these are identified before discharge if possible. If the planned accelerated discharge does not seem to be progressing this is a warning to check for problems.