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Craniotomy

Mater Private Hospital Brisbane

The largest of Mater Health Services’ private facilities, Mater Private Hospital Brisbane has a total of 323 patient beds, 10 operating theatres (two of which are state-of-theart digital theatres), 24-hour private emergency service, CardioVascular Unit, Intensive Care and Coronary Care Units, Breast Care Unit, Endoscopy Unit and Day Procedure Unit.

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

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

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

It is however, only a guide, as each person may require different treatments. If you have any questions about your treatment please ask your doctor or nurse.

Our pastoral care team offers a caring support network to all patients. The dedicated members of this team will visit you during your stay and are available at your request to discuss any anxieties or problems that you may have.

Craniotomy

Expected length of hospital stay:

Five to six days

 

Date of admission:

   

Planned discharge date:

  Time: 10 am

Actual discharge date:

   

Surgeon:

   

Anaesthetist:

   

Physiotherapist:

   

Discharge coordinator:

   

Our expectations

Our expectations for you are that, prior to discharge:

  • you will be able to mobilise independently or at a level required for your discharge
    destination
  • your wound will be healing without complications
  • you will be tolerating your usual diet
  • your pain will be controlled with oral analgesia (pain relief).

Your expectations and goals

What are your expectations of the hospital stay and recovery?

 

 

 

Admitting nurse to complete and sign (including printed name):

Name:

Date: ___ / ___ / ______

Day of admission to hospital/operation

Date: ___ / ___ / ______

Admission

On arrival to the ward you will be escorted to your room, a medical and nursing assessment form will be completed and your vital signs recorded.

Any medications you have brought into hospital will be collected and stored in a locker by your bed. These will be administered to you by our nursing staff during your stay in hospital and returned to you on discharge.

Following your operation it is likely that you will spend the first night in the intensive care unit; however, your doctor will discuss this with you.

Discharge planning

You can expect to stay in hospital for five to six days, or until you have met the expected outcomes for your procedure. To prepare for your discharge, any support and potential needs you may have at home will be discussed with you.

Teaching and emotional support

Please ask your nurse, surgeon, physician or anaesthetist if you have any questions regarding your care or surgery. If you would like to be visited by a member of our pastoral care team, the nursing staff will be happy to arrange this for you.

Tests and procedures

Your doctor may request that you have blood tests, an electrocardiogram (ECG) or x-rays performed.

Consults

Your surgeon and anaesthetist will aim to visit you on the ward before your operation. If this is not possible they will speak with you on your arrival to theatre.

Mobility / transfers / positioning

Before the operation you are free to move around the ward; however, please inform a member of staff if you leave the ward.

After the operation you will be resting in bed. The head of your bed will be raised on your return to the ward. Your posture in bed will determine your comfort levels—one pillow is recommended. Deep breathing and leg exercises will be encouraged to assist with circulation.

Hygiene

You will be required to shower and wash your hair with antiseptic soap prior to surgery. After the operation you will be assisted with your hygiene needs.

Nutrition

Ensure you have had nothing to eat or drink as per the instructions given to you by your doctor. After surgery you will only be able to have ice and sips of water as instructed by your doctor.

Continence

After the surgery you will be assisted with your toileting needs. If you experience difficulty passing urine you may need to have a catheter inserted into your bladder.

Observations

Your temperature, pulse, blood pressure and the condition of your dressing will be recorded regularly, and your neurological status will also be assessed. You may have a drain coming from your wound that the nursing staff will observe closely.

Medication

The nursing staff will give you your usual medications today, unless otherwise indicated. The anaesthetist may discuss with you the possible need for a pre-med before the operation.

Anti-coagulant injections may be prescribed and given to you during your hospital stay. After the operation you will have an intravenous (IV) drip in your arm.

Relief for pain, nausea and vomiting will be given as ordered by your doctor. Please inform the nursing staff when you have pain or nausea so that medication can be provided. Antibiotics may also be given to you via your IV line.

Treatment

Your legs will be measured for therapeutic stockings that you will need to wear during your hospital stay.

Phase one—post-op

Date: ___ / ___ / ______

Discharge planning

Your discharge needs will be reviewed.

Teaching and emotional support

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

Tests and procedures

You may have a blood test if ordered by your doctor.

Consults

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

Mobility / positioning / transfers

You will sit out of bed with assistance if advised to by your doctor. The ward staff and/ or physiotherapist will assist you to mobilise a short distance if requested by your doctor.

Your safety transferring and moving will be assessed. The nurse will remind you to do your exercises regularly while resting in bed. The top end of the bed needs to be up to minimise swelling however having the head of the bed up may increase the risk of headache. The whole bed may be tilted slightly by a staff member.

Hygiene

You will be sponge bathed in bed.

Nutrition

You will be able to progress to a light diet as tolerated.

Continence state

You will be assisted with your toileting needs as required. If you have a catheter in your bladder this may be removed and your urine will be measured.

Observations

Nurses will continue to record your temperature, pulse, blood pressure, neurological status and condition of your dressing regularly.

Medication

You will be given your regular medications, plus any required for pain relief. Please advise nursing staff if you experience any pain. The drip in your arm may be removed if you are tolerating fluids and diet.

Treatment

The drain coming from your wound may be removed and your wound will be checked regularly. You will continue to wear therapeutic stockings if ordered.

Phase two—post-op

Date: ___ / ___ / ______

Discharge planning

Your discharge needs will be reviewed.

Teaching and emotional support

Your nurse will discuss this patient information booklet with you and answer any questions you have. A member of the pastoral care team may visit.

Consults

Your surgeon will visit you, as will your physiotherapist (if applicable, who will continue to see you to progress your mobility). You may require functional retraining if your balance or movement is impaired to optimise independence before discharge.

Mobility / transfers / positioning

You will be encouraged to sit out of bed for meals and to take two short walks with the assistance of your nurse or physiotherapist if required. You may like to restrict your mobility to around your room initially and increase as comfort and safety allows. You may be guided by physiotherapists or the nursing staff.

The physiotherapists may retrain balance and teach functional retraining if function is impaired. Continue to monitor your posture in bed and while sitting for optimal comfort.

Hygiene

Your nurse will assist you with your shower if required. You will be able to have an antiseptic hair wash if ordered by your doctor.

Nutrition

You may return to your normal diet.

Continence state

The nurse will help you with your toileting needs as required.

Observations

Nurses will continue to record your temperature, pulse, blood pressure, neurological status and condition of your dressing regularly.

Medications

You will be given your regular medications plus any required for pain relief. Please let your nurse know if you experience any pain. If your IV hasn’t been removed already, it will be today.

Treatments

Your dressing will be checked. If you still have a drain in your wound this will be removed. You will also continue to wear therapeutic stockings on your legs.

Phase three—post-op

Date: ___ / ___ / ______

Discharge planning

Your discharge needs will be reviewed by nursing staff and your physiotherapist. You may require assistance with stairs and organisation of walking aids for home.

Teaching and emotional support

Your nurse will discuss this patient information booklet with you and answer any questions you have.

Consults

Your surgeon will visit you; as will your physiotherapist (if applicable, to continue to guide you through your exercises and retraining).

Mobility

You may be able to mobilise independently or with assistance as required. When you are in bed your nurse will remind you to do your breathing and leg exercises regularly.

Hygiene

Your nurse will assist or supervise you with showering as required.

Nutrition

You will be able to continue your normal diet.

Continence state

You should be going to the toilet normally, with your usual bowel patterns returning. Please notify your nurse if you are having any difficulties as a laxative may need to be given.

Observations

Nurses will continue to record your temperature, pulse, blood pressure, neurological status and the condition of your dressing regularly.

Medications

You will be given your regular medications plus any required for pain relief. Please let the nurses know if you experience any pain.

Treatments

Your dressing will be checked and changed if necessary.

Ongoing

Discharge planning

Your discharge plan will be checked and it will be determined whether you are ready for discharge home or require ongoing hospital care.

If discharged home your discharge summary will be faxed to your GP (if provided) so they are aware of what care you received in hospital.

Teaching and emotional support

Your nurse will discuss this patient information booklet with you and answer any questions.

Consults

Your surgeon will visit you, as will your physiotherapist (if applicable, to continue to guide you through your exercises and any function training). If you require ongoing physiotherapy after discharge, this can be organised by your physiotherapist.

Mobility

You may be able to mobilise independently or with assistance as required. Your nurse will remind you to do your breathing and leg exercises regularly when you are in bed.

Hygiene

Your nurse will assist or supervise you with your shower as required.

Nutrition

You will be able to continue your normal diet.

Continence state

You should be going to the toilet normally, with your usual bowel patterns returning. Please notify the nurse if you are having any difficulties as a laxative may need to be given.

Observations

Nurses will continue to record your temperature, pulse, blood pressure, neurological status and the condition of your dressing regularly.

Medications

You will be given your regular medications plus any required for pain relief. Please let the nurses know if you experience any pain.

Treatments

Your dressing will be checked and changed if necessary.

Day of discharge

Consults

Your surgeon will either visit you before you are discharged or will have made arrangements prior.

Mobility and activities of daily living

You should be mobilising and attending to your hygiene needs at the required level for discharge. At home, mobilise around the house initially then progress to the yard and steps, and go for a number of short walks each day. Aim to gradually increase your activity daily.

You may require ongoing physiotherapy if your mobility is impaired. Your bowel and bladder functions should continue to return to normal.

Nutrition

You may have foods and fluids as desired.

Observations

Your temperature, pulse, respirations and blood pressure will be monitored prior to discharge. The condition of your wound or dressing will also be noted.

Medications

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

Treatments

If your dressing is removed, you may leave your wound exposed. If your dressing is intact instructions will be given to you as to when you can remove your dressing.

If wound sutures remain in place arrangements will be made for them to be removed. You will need to continue to wear your stockings, especially overnight, for one to two weeks.

Discharge planning

Your nurse will give you a discharge advice form and discuss it with you. Discharge time is 10 am.

Discharge advice

An anti-epileptic medication may have been prescribed and provided for you to take home. You will need to continue taking this medication until otherwise advised by your doctor.

You should be able to exercise regularly as your abilities permit. If your dressing is removed, you may leave your wound exposed. If your dressing is intact, follow the instructions given to you as to when you can remove it.

You will be able to wash your hair with your usual shampoo. Do not drive for at least one month or as indicated by your doctor.

Report to your doctor if you experience:

  • redness, swelling or drainage from your wound
  • fever (temperature above 38°)
  • pain that is not relieved by simple analgesia or if you develop a new or different
    headache
  • a seizure (you must report to the nearest emergency department immediately)
  • visual changes
  • difficulty with speech or swallowing
  • new numbness or weakness
  • change in manner of walking
  • prolonged nausea or vomiting.

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 health-related education and research.

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

Values

  • Mercy—responding generously to human need.
  • Dignity—respecting the worth and wishes of each individual.
  • Care—attending to all needs with intelligence and compassion.
  • Commitment—accepting and honouring responsibility.
  • Quality—striving for excellence, distinction and opportunity.

© 2010 Mater Misericordiae Ltd. ACN 096 708 922

Mater acknowledges consumer consultation in the development of this patient information.
Last modified 19/11/2015.
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Mercy. Dignity. Care. Commitment. Quality

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