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Coaching to selfcare and early discharge for hip surgery

From EPSA - European Public Sector Award

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Coaching to selfcare


Nobody wants to take too many painkillers. Nobody wants to stay in the hospital longer than strictly necessary even after orthopedic surgery in your hips or knees. No hospital wants patients to stay a minute longer than needed. Beds are expensive. Patients – citizens – prefer the familiarity of their home to a hospital bed and hospital food. In the course of thirty years hip replacement has gone from being a rare surgery that involved hospitalization for 6-8 weeks (and a then a long period of rehabilitation) to being pretty close to “hip today home tomorrow”. However, this advancement in “technology” puts a different responsibility and tasks on to the patients. So the challenge becomes: How can we coach patients to self-care? How can we empower and support them so they feel safe recouping and rehabilitating at home? How can we ensure that they don’t drop their medication too soon? How can we enable them to keep their health on track?


Coaching to self-care is a structured process of doing just this. Our ”Coaching to self-care” program - based on research within rehabilitation to elderly patients 65+ after hip/knee replacement and early discharge, is an ongoing developed four step systematic intervention and counselling procedure, developed, tested and validated to support patients after early discharge. The most frequent symptoms as pain, reduced walking ability, sleep disturbance and reduced ability to cope in activities of daily living were given individually specific counselling.


Step 1: Before hip/knee replacement patients attend a mulitidisciplinairy education seminar conducted by a surgeon, an anesthesiologist, a physiotherapist and a nurse. Focus is on patients’ surgical treatment, anaesthesia, possible complications and risks, pain treatment, physical exercise training and early discharge.


Step 2: After discharge patients participated in follow-up telecare intervention program three times (1,3 and 7 weeks). The programs effect is significant.


Step 3: Evaluation of ”Coaching to self-care” and improvement of the interview guide based on needs and answers and statistical significance.


Step 4: Follow-up and information to the interdisciplinary team – updating and planning how time and resources can be most efficient in meeting patients’ needs based on statistical data from the interview guide.


Award info
Award category: new solutions to complex challenges - a public sector citizen-centric, sustainable and fit for the future - regional level
Award type: diploma
Award year: 2019
Project type
Sector: Public health and social welfare/affairs
Type of activity:
Keywords: coaching to selfcare, patient involvement, Early discharge, follow-up after discahrge
Short English description: Our ”Coaching to self-care” program - based on research within rehabilitation to elderly patients 65+ after hip/knee replacement and early discharge, is an ongoing developed four step systematic intervention and counselling procedure, developed, tested and validated to support patients after early discharge.
Further information
Organisation: Orthopedic departement Holbeck Hospital Denmark
Other applicants:
Homepage:
Level of government: regional level
Size of organisation: 50-100
Number of people involved: >15
Country: Denmark
EU membership: EU member
Language code: en
Start date:
End date:


Coaching to selfcare and early discharge for hip surgery (55.711398285757525, 11.7169189453125)
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