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Tidskrift

Sammanfattning

The Day Surgery Clinic was founded in 1990 at Vejle Hospital and is constantly developing both when it comes to new therapeutic options and expansion of the patient clientele. As per 1 September 1996 all the functions related to day surgery are places geographically close to each other. This leads to continuity in the treatment of the patients and to a high level of commitment among the staff. Since 1996 it has also been possible to offer tonsillectomi to patients in the Day Surgery Clinic. In addition to the precautions applying for all other day surgery patients, special precautions must be taken for this patient group, such as the distance between the hospital and the home as well as the family network. In the nursing to patients undergoing a tonsillectomy in a day surgery clinic we will show that also this patient group is suitable for treatment in a day surgery clinic. In the course of treatment we focus on the following precautions: thorough information about the operation as well orally as written, information and instructions about pain and pain control, postoperative nutrition, the necessity of the family network, postoperative precautions, follow-up telephone contact by the nursing staff. From September 1996 until July 1999: 482 patients have had a tonsillectomy in the day surgery clinic. The registration of the follow-up contact to the 271 patients the day after the operation and repeated contact to 64 patients 5 days later has shown that most of the patients had no substantial postoperative inconvenience. In very few cases it has turned out that treatment within the framework of day surgery has been inappropriate. The analysis has shown that it is appropriate to offer tonsillectomi within the framework of day surgery for most patients.

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