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Anterior/posterior repair

Mater Private Hospital Brisbane

The largest of Mater Health Services' private facilities, Mater Private Hospital Brisbane is a flagship for the level of care and facilities our organisation strives to provide.

The tertiary, acute facility is built on a foundation of clinical excellence and a commitment to safe, compassionate care, that is:

  • quality focussed
  • technologically advanced
  • customised to patients' needs and lifestyle.

Mater Private Hospital Brisbane is an outstanding health care provider with a total of 323 patient beds, 10 operating theatres, a 24-hour private emergency service, preadmission clinic CardioVascular Unit, Intensive Care and Coronary Care Units, Breast Cancer Centre and Day Procedure Unit.

All rooms and facilities are designed to offer comfort and privacy, complete with a range of modern, air-conditioned accommodation.

While in hospital, patients also have access to allied health (dietitians, physiotherapists, etc.), pharmacy, hairdressing and chaplaincy services.

For more information about Mater Private Hospital Brisbane, please call 07 3163 1111.

Visiting hours: 8 am to 8 pm (patient rest period 1.30 pm to 3.30 pm)

Our Mission

In the spirit of the Sisters of Mercy, Mater Health Services offers compassionate service to the sick and needy, promotes an holistic approach to health care in response to changing community needs and fosters high standards in healthrelated education and research.

Following the example of Christ the healer, we commit ourselves to offering these services to all without discrimination.

Our Values

  • Mercy—the spirit of responding to one another
  • Dignity—the spirit of humanity, respecting the worth of each person
  • Care—the spirit of compassion
  • Commitment—the spirit of integrity
  • Quality—the spirit of professionalism

Welcome

At Mater Private Hospital Brisbane, we acknowledge that having an operation can be a very stressful experience. This booklet aims to alleviate some of your concerns, in keeping with our Mission to offer compassionate, quality care that promotes dignity while responding to patients' needs. It explains the general day-to-day events that may occur during your visit and the things to expect when you are discharged from the hospital.

It is, however, only a guideline as each person may require differing treatments.

If you have any questions about your treatment please ask your doctor or nurse.

Our pastoral care team also offers a caring support network to all patients regardless of religion. The dedicated members of this team are available at your request.

Our expectations

Prior to discharge:

  1. You will be independently mobile, attending to your daily needs.
  2. You will be able to pass urine normally OR you will be managing self catheterisation.
  3. Your pain will be controlled with oral analgesia.
  4. You will return to and tolerate your usual diet.
  5. Should you require community services, these will be organised for you.

Expected Date of Discharge

___ / ___ / ______

Your expectations and goals

What are your expectations of your hospital stay and recovery?

 

 

 

Admitting nurse name and signature

 

 

Pre-admission clinic

Mater Private Hospital Brisbane provides a preadmission service. You will have received this service in any of the following ways:

  • from the specialty clinic to the preadmission clinic
  • at the pre-admission clinic
  • via a phone call.

The pre-admission service gathers information, initiates investigations to prepare you for your surgery, provides information regarding your specific operation and identifies discharge needs.

Day of admission and surgery

Admission

  • On arrival to the hospital proceed to the reception desk where you will be directed to the Day of Surgery Admission Unit (DOSA).
  • The assessment form completed at the preadmission clinic will be reviewed so that we can best plan for your individualised care while in hospital and any support you may require after discharge. The nurse will also check that you have signed a consent form.
  • You will have an armband applied which will stay on for the duration of your stay for identification and safety reasons. If you have known allergies you will be wearing a red armband.
  • From the DOSA unit you will be transferred to theatre and your personal belongings will be taken to your postoperative room.
  • A safe is provided in the cupboard of your postoperative room to store any valuables you have brought to hospital. It is highly recommended that you leave your valuables at home for safety and security purposes.

Discharge planning

You can expect to stay in hospital for four to five days or until you have met the expected outcomes for your procedure. Your nurse will discuss with you any needs that you may have following your discharge home and if required will arrange for our discharge coordinator to visit you.

Discharge time is 10 am on your day of discharge

Test and procedures

Any blood tests, X-rays, ECG or other procedures that your surgeon may have ordered for you will be taken care of before you come to hospital or soon after your admission.

Consults

  • Your surgeon may visit and discuss your surgical procedure.
  • Your anaesthetist may also visit. They will also discuss your anaesthetic and pain relief following surgery. It is important that you raise any concerns with them.
  • A pharmacist may visit you to check your medications. You may ask them any questions about your medications.
  • A physiotherapist may also visit as requested by your surgeon and go through some exercises with you.
  • If you have a family member who would like to speak with the surgeon after the operation, this will be noted and they can wait in your room or in the waiting area.

Mobility

  • You will be measured for anti-embolic stockings (TEDS) and will need to have these put on prior to going to theatre.
  • A sequenced pressure device may also be applied to both your legs (SCDS) before surgery. This helps circulate the blood from your legs back to the heart while you are immobile, reducing the risk of clot formation.
  • You will be resting in bed postoperatively.
  • It is important that you begin your breathing and leg exercises. These help prevent complications such as chest infections and blood clots in your legs and should be carried out every hour that you are awake and while on bedrest.

Breathing exercises

Take five long and slow deep breaths. Each breath should be deeper than the previous breath. Think about getting the air to the very bottom of your lungs.

Circulation exercises

Firmly move your ankles up and down to stretch and contract your calf muscles.

Hygiene

  • About four hours after you return to the ward your nurse will assist you to have a wash and change into your own bedclothes

Nutrition

  • Ensure you have had nothing to eat or drink as per the instructions given to you by your doctor.
  • Following surgery you may have small sips of water or ice to suck on increasing to clear to free fluids as tolerated

Elimination

  • You may require a small enema if your bowels have not opened.
  • After surgery you will have a catheter in place to drain urine from your bladder.

Observations

  • On admission your nurse will take your observations (e.g. temperature, pulse, BP and weight).
  • After surgery the nurse will take frequent observations of your vital signs and wound dressings for several hours. These observations will become less frequent as you stabilise postoperatively.
  • You will be observed for any vaginal discharge.

Medications

  • Following surgery you will have an intravenous (IV) drip to maintain your fluid intake and pain relief during your postoperative period.
  • Relief for pain, nausea and vomiting will be given as ordered by your doctor.
  • Please inform the nursing staff when you have any pain or nausea so that medication can be provided
  • Antibiotics may also be given via your I.V. drip.
  • Anticoagulant injections may also be prescribed and given daily.

Treatments

  • Before your surgery you will be asked to dress in theatre attire. A preoperative checklist will be completed with you by your nurse. This checklist will be repeated in the operating reception area. Other than your wedding band, no jewellery or metal is to be worn to theatre.
  • Following surgery you may have oxygen in place via a mask or nasal prongs.
  • On return from surgery you may have a vaginal pack in place which applies pressure to the wound site to prevent bleeding.
  • If you are also having the trans vaginal tape procedure postoperatively you will have several wound sites—these sites will be observed by the nurse.

Teaching and emotional support

  • Your nurse will discuss this booklet with you and answer any questions that you may have regarding your surgery and recovery.
  • If you would like pastoral care to visit you, let the staff know and this can be arranged.

Phase one postoperation

Discharge planning

  • Your discharge needs will be reviewed.

Teaching and emotional support

  • A member of our pastoral care team may visit
  • A nurse will discuss this booklet with you to ensure you understand the information provided and answer any questions you may have.

Consults

  • Your surgeon and physiotherapist (if applicable) will visit you.

Mobility

  • You will be assisted to sit out of bed and have short walks.
  • You will be encouraged to continue your deep breathing, coughing & leg exercises when in bed.

Hygiene

  • You will be assisted with your hygiene needs.

Nutrition

  • You may have free fluids progressing to a light diet as tolerated.

Elimination

  • The catheter will remain in place and your urine will be measured.
  • A medication may be ordered to help you move your bowels.

Observations

  • Your temperature, pulse, respirations and blood pressure will continue to be monitored regularly.
  • Your vaginal discharge will be noted.

Medications

  • The IV drip may be removed.
  • You will be given your regular medications plus any required for pain relief or nausea. Please advise nursing staff if you have any pain or nausea.
  • Antibiotics may continue via your drip or orally as ordered.

Treatments

  • You will continue to wear your support stockings as ordered.
  • The SCDS (if applicable) will be removed when you are able to walk around.
  • If applicable the vaginal pack will be removed. This procedure is similar to the removal of a tampon. You may experience some mild discomfort and there may be some small blood loss after removal. It is important to inform your nurse if the bleeding becomes bright and heavy.
  • If you have had the trans vaginal tape procedure your wounds will be observed for healing

Phase two postoperation

Discharge planning

  • Your discharge needs will be reviewed.

Teaching and emotional support

  • A member of our pastoral care team may visit
  • Your nurse will discuss this booklet with you and answer any questions you have

Consults

  • Your surgeon and physiotherapist (if applicable) will visit you.

Mobilisation

  • You will be encouraged to sit out of bed and increase your mobilisation today.
  • You will be encouraged to continue your deep breathing, coughing & leg exercises when in bed.

Hygiene

  • You are free to shower independently— assistance will be given if needed.

Nutrition

  • You may progress to a normal diet.

Elimination

  • The catheter will be removed. Following removal it is important to notify your nurse each time you have passed urine. The amount of urine passed will be measured and a scan of your bladder performed. This is called "trial of void" and is done to ensure your bladder is emptying sufficiently.
  • A medication may be ordered to help you move your bowels.

Observations

  • Your temperature, pulse, respirations and blood pressure will continue to be monitored regularly.
  • Your vaginal discharge will be noted.

Medications

  • You will be given your regular medications plus any required for pain relief. Please advise nursing staff if you have any pain.
  • Your IV drip will be removed if still in place.

Treatments

  • You will continue to wear your support stockings as ordered.
  • If you have had the trans vaginal tape procedure your wounds will be observed for healing

Ongoing phase

Discharge planning

  • Your discharge plan will be checked to determine whether you are ready for discharge or require ongoing hospital care.

Teaching and emotional support

  • A member of our pastoral care team may visit
  • Your nurse will discuss this booklet with you and answer any questions you have

Consults

  • Your surgeon and physiotherapist (if applicable) will visit you.

Mobility

  • You should be able to mobilise independently. Assistance will be given if needed.
  • You will be encouraged to continue your deep breathing, coughing & leg exercises when in bed.

Hygiene

  • You are free to shower independently— assistance will be given if needed.

Nutrition

  • You will be able to continue your normal diet

Elimination

  • It is expected that you will be passing urine normally today.
  • A medication may be ordered to help you move your bowels.

Observations

  • Your temperature, pulse, respirations and blood pressure will continue to be monitored
  • Your vaginal discharge will be noted.

Medications

  • You will be given your regular medications plus any required for pain relief or nausea. Please advise nursing staff if you have any pain or nausea.

Treatments

You will continue to wear your support stockings as ordered.

If you have had the trans vaginal tape procedure your wounds will be observed for healing

Day of discharge

Consults

  • Your surgeon will visit you.

Mobility

  • You should be mobilising independently

Hygiene

  • You should be attending to your hygiene needs independently.

Nutrition

  • You may eat food and fluids as desired

Observations

  • Your temperature, pulse, respirations and blood pressure will be monitored prior to discharge
  • You will be asked if you have any vaginal discharge.

Medication

  • You will continue to take your regular medications. Medication is available to you if you experience any pain.

Treatments

  • You will need to wear your stockings— especially overnight—for one–two weeks.
  • If you have had the trans vaginal tape procedure the condition of your wounds will be noted.

Discharge Planning

  • Your nurse will give you a discharge summary form and discuss it with you. This will include any follow up appointments you may require. Discharge time is 10 am.

Discharge advice

  • You may have a watery, blood stained vaginal discharge for the first couple of weeks. As healing takes place you may experience some dark spotting as the internal sutures dissolve.
  • You may feel fatigued.
  • You may need to take some simple analgesia (eg. Panadol) for pain or discomfort—especially on waking and settling at night.
  • Avoid strenuous activity, heavy lifting and housework such as vacuuming and mopping for six–eight weeks and driving for one–two weeks or as advised by your doctor.
  • You should mobilise around the house and yard initially then go for short walks. Aim to gradually increase your activity everyday.
  • Avoid sexual intercourse or inserting anything into the vagina (eg. tampons) for six–eight weeks to allow time for healing to take place.
  • Avoid straining when opening your bowels. To prevent constipation ensure you eat a diet high in fibre and drink two–three litres of fluid a day.

Report to your doctor if you experience:

  • an increase in or foul smelling vaginal discharge
  • fever (temperature above 38ºC)
  • persistent or increasing pain
  • wound redness, swelling or discharge
  • urinary symptoms such as difficulty voiding, urinary frequency or urgency, burning or pain when voiding, blood in the urine or foul smelling urine
  • constipation not resolved with stool softeners.

For more information

Contact Mater Private Hospital Brisbane Reception: 07 3163 2590

© 2010 Mater Misericordiae Ltd. ACN 096 708 922

Mater acknowledges consumer consultation in the development of this patient information.
Last modified 12/11/2015.
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