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  • About CPOC
    About CPOC
    • What is Perioperative Care?
      What is Perioperative Care?
      • The Case for Perioperative Care
    • CPOC Partners
      CPOC Partners
      • CPOC Board
      • CPOC Director
      • CPOC Advisory Group
    • Strategy and vision
      Strategy and vision
      • Current Workstreams
    • CPOC Policy
      CPOC Policy
      • CPOC Manifesto: a blueprint for NHS efficiency
      • Proving the Case for Perioperative Care
      • Multidisciplinary Working in Perioperative Care
      • Perceptions of perioperative care in the UK
  • News
    News
    • News
      News
      • Launching the CPOC workforce position paper – November 2024
    • CPOC Newsletter
    • Follow us on X
  • For Patients
    For Patients
    • What is Perioperative Care?
    • Your Perioperative Journey
    • Shared Decision Making
    • Fitter, Better, Sooner Toolkit
    • Patient Information Leaflets
  • Guidelines & Resources
    Guidelines & Resources
    • Guidelines
      Guidelines
      • Anaemia in the Perioperative Pathway
      • Perioperative Management of Obstructive Sleep Apnoea in Adults
      • Perioperative Care of People Living with Frailty
      • The National Safety Standards for Invasive Procedures (NatSSIPs)
      • Perioperative Care of People with Diabetes
      • Day Surgery
      • Enhanced Perioperative Care
      • CPOC Endorsed Guidelines, Publications & Projects
      • Prepared for Surgery, Ready for Recovery: Supporting Patients from Pre-op to Discharge
    • Resources
      Resources
      • SipTilSend
      • Assessment Tools
      • National Safety Standards for Invasive Procedures Webinar
      • Patient Information Leaflets
      • Shared Decision Making for Clinicians
      • The Key to reducing waiting lists
      • Useful Links
      • Virtual Consultations
    • Health Services Safety Investigation Body (HSSIB) Reports
    • Perioperative optimisation: Top seven interventions
      Perioperative optimisation: Top seven interventions
      • Alcohol moderation
      • Assessment, optimisation, shared decision making
      • Exercise
      • Mental wellbeing
      • Nutrition
      • Practical preparation
      • Smoking cessation
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The UK’s first ever perioperative care ‘Green Paper'

We’re delighted to announce today that the Centre for Perioperative Care (CPOC) has started work on the UK’s first ever Green Paper on perioperative care.

Fitter For Surgery, Fitter For Life - From Concept to Reality

A blog by Dr Barker a Consultant Anaesthetist at Sherwood Forest Hospitals on the impact prehabilitation can have on surgical outcomes

My Improvement Journey

A blog from June Davis Lead Allied Health Professional and Nursing Advisor, Macmillan Cancer Support and Director, Allied Health Solutions on the importance of improvement projects

Help us understand what patients think about turning ‘waiting lists’ into ‘preparation lists’

We want your help to understand what patients think about turning ‘waiting lists’ into ‘preparation lists’

Before you run a marathon, have you asked the correct questions? Why patients can benefit from a preparation list

Before you run a marathon, have you asked the correct questions? Why patients can benefit from a preparation list, is the second blog in this three part series from CPOC patient representative Lawrence Mudford

Prehabilitation in perioperative care special interest group

Macmillan's blog on the joint Special Interest Group on Prehabilitation

Medical Conditions

Many medical conditions can affect recovery from surgery. It is important to make sure any known conditions are controlled as well as possible ahead of your surgery.

You can also book in for a general health check at your GP surgery if you are between 40 and 74 years old.

Diabetes

Good control of your blood sugar is really important to reduce your risk of infections after surgery. Think about your diet and weight. Talk to your diabetes nurse or team early to see if they need to make any changes to your treatment.

Blood pressure

Blood pressure should be controlled to safe levels to reduce your risk of stroke. Sometimes operations may be delayed if it is too high.

Have your blood pressure checked at your surgery well ahead of your operation – some GP surgeries have automated machines so you can pop in any time. If it is high, your GP can check your medications and make any changes needed ahead of the operation.

Anaemia (low blood count)

If you have been bleeding or have a chronic medical condition, a blood test can check whether you are anaemic. If you are, you should talk to your GP about treatment to improve your blood count before surgery.

Treating your anaemia before surgery reduces the chance of you needing a blood transfusion. It will also help your recovery and make you feel less tired after your surgery.

Heart, lung and other medical problems

If you have any other long-term medical problems, consider asking your GP or nurse for a review of your medications, especially if you think your health is not as good as it could be.

Anxiety and mental health

Most people feel some anxiety about having surgery. If the thought of going into hospital is making you very anxious or upset, it may be helpful to talk about your concerns with your GP. In some areas GPs can refer you for specific support.

Many techniques including mindfulness, relaxation and breathing exercises or yoga could help you relax before and after your surgery.

If you are taking medication for mental health problems it is important to let the nurse at the hospital know about your medication. They will usually not want you to stop this. They can help organise any particular support you need for your time in hospital or return home.

Dental health

If you have loose teeth or crowns, a visit to the dentist may reduce the risk of damage to your teeth during an operation.

 

Practical preparation for your operation

We know that coming into hospital for surgery can be a worrying time. Talk to your family and friends about going into hospital and tell them how they can help you. Don’t underestimate how tired you may be afterwards.

Give the below checklist some thought well in advance of the operation.

  • How will I pass the time? Have some headphones and music, books, tablet computer or puzzles.  Don’t forget chargers.

  • What can I do to relax? Learn some breathing techniques, try yoga or listen to relaxing music. Read about mindfulness.

  • What do I need to prepare at home? You may find it difficult to move around when you return from hospital – consider sleeping on the ground floor and getting mobility aids.

  • Who can look after my elderly relatives? If friends and family cannot help, contact your local council and your local carer service.

  • How will I get to and from the hospital? Can someone drive you? If you are eligible for hospital transport, the hospital may be  able to organise transport for you.

  • Do I have enough easy-to-cook meals and healthy snacks for when I get home?  Think who might be able to help prepare meals or help with your shopping afterwards.

  • Who can look after my children or pets? Don’t underestimate how tired you might feel after the operation. Ask friends and family to help or to be on standby. To help you with childcare, they may need to arrange time off work too. If you have significant difficulties looking after your children following an operation, talk to your local council or your health visitor.

  • Do I have enough medication and batteries for my hearing aid to last me in hospital and when I get home? Remember to take your usual medication into hospital with you.

  • Do I have some over-the-counter painkillers at home? You may need to take some during your recovery as instructed by the hospital.

  • What do I need to pack? If you are staying in hospital overnight you should think about toiletries, nightwear and comfortable clothes and footwear. It is important to get out of bed, get dressed and start to move as soon as your operation allows – those who do this get home sooner and recover quicker. Temperatures in hospital can vary so some layers of clothing can be useful. See NHS Choices for further information.

  • What else would be helpful to do? Get your house and garden in order. Get up to date with your general affairs and finances. This will mean you do not have to worry about these whilst you recover. 

  • Whom should I let know I am going into hospital? Friends and family can usually give you practical support. It is also good to have people to talk with whilst you are at home recovering. Many people will want to help your recovery, so let them know how they can help in plenty of time. 

  • Make sure I have a shower/bath before going to hospital to minimise the risk of infection.

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