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Tonsillectomy

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 focused
  • 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, ten 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 (e.g. dietitians, physiotherapists), pharmacy, hairdressing and chaplaincy services.

For further 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 health-related 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

At Mater Private Hospital Brisbane, we acknowledge that having an operation can be a very stressful experience. In keeping with our Mission to offer compassionate, quality care that promotes dignity whilst 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 guideline as each person may require differing treatments.

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

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

Our expectations

We expect that you will stay in hospital overnight or until you have achieved the following:

  • your pain will be controlled with oral analgesia
  • your temperature, pulse, and blood pressure are to be within normal limits
  • you will be tolerating your normal fluids and diet
  • you will be independently mobile, attending to your daily needs
  • you will not have any unexpected bleeding or swelling or excessive swallowing

Preadmission clinic

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

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

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

Day of admission/surgery

Before coming to hospital please ensure that you have:

  • had nothing to eat or drink as per the instructions given to you by the preadmission clinic or your doctor
  • showered and dressed in clean clothes. No skin products are to be used following your shower (e.g. deodorant, perfume, body lotion, powder, make up)
  • left your valuables at home. You may wear your wedding band only
  • brought the following with you:
    • your x-rays
    • your operation consent form
    • your medications in their labelled containers or packets.

On your arrival to the hospital please report to the reception desk on level 6, Mater Private Hospital Brisbane where you will be directed to the Welcome Lounge/Day Procedure Unit. Only one relative/visitor is permitted within the clinical areas of the Welcome Lounge.

Our Welcome Lounge staff will:

  • apply an identification band
  • complete your nursing assessment form
  • take your temperature, pulse, blood pressure and weight
  • ask you to change into a theatre gown and paper pants
  • apply anti-embolic stockings. These assist with blood flow through your legs and decrease the risk of blood clot formation while you have decreased mobility
  • take details of any family member who would like to speak to the surgeon after the operation (preferably a mobile phone number)
  • complete your preoperative checklist.

You may walk around as much as you like, but please do not leave the Welcome Lounge. Your surgeon may visit with you prior to your surgery, either in the Welcome Lounge/Day Unit or in the preoperative holding area.

You will be transferred to the operating theatre on a wheelchair or on your bed if you have received a premedication. Your luggage will be delivered to the ward where it will be stored in a locked room until after you have returned from theatre.

After your surgery

  • Immediately following your surgery you will be transferred to the recovery room where you will be observed closely until you are more awake.
  • It is common to need oxygen which will be given via a face mask.
  • When you have recovered sufficiently from the anaesthetic you will be returned to your room in the postoperative ward. The nurses will take vital signs—your pulse, respiration rate, temperature, blood pressure and observe for bleeding or excessive swallowing.
  • Your doctor will order pain relief and anti-nausea medications for you. Please tell your nurse if you have any pain or nausea, so these symptoms can be managed.
  • Immediately following your surgery, you will be resting in bed with your head elevated. When you feel well enough you will be assisted to get out of bed.
  • Following your operation you will be offered ice to suck or water to sip. After a few hours you can begin to drink fluids as you are able, then progress to normal diet as tolerated. Intravenous fluids (a drip) will be administered until you are able to eat and drink.
  • When you are feeling more awake your nurse will assist you to have a wash and change into your own bed clothes.
  • 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 bed rest.

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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.

Day of discharge

  • Discharge time is 10 am.
  • A discharge summary form will be discussed and provided.
  • Your own medications will be returned to you and any new ones supplied.
  • Your x-rays will be returned to you. Please remember to ask for them.
  • Your postoperative appointment will be discussed—this should be four to six weeks after your surgery.

What to expect after you go home

Wound management

Blood stained mucous in the mouth and throat is normal for the first two or three days. It is not uncommon to actually vomit some blood which has been swallowed. Delayed haemorrhage may occur up to two weeks after surgery so make sure you report any excess bleeding to your doctor.

Nutrition

Drink between six and eight glasses of fluids per day—at least half of this should be water. This assists in healing and promotes good bladder and bowel function. Eat a normal nutritious diet. Do not consume any hot liquids or spicy foods for two weeks after surgery. Swallowing food and fluid normally allows the tonsil bed to heal and prevents bleeding. Chewing gum may help to produce saliva and alleviate an uncomfortable dry mouth or throat. Clean your teeth after each meal and gently rinse your mouth frequently.

Pain management

You may require some mild pain relief for wound discomfort as ordered by your surgeon. Having adequate pain relief makes it easier to swallow. The danger period for bleeding is one week after surgery. Patients usually find it painful to swallow immediately post-surgery so they avoid eating. The tonsil bed then forms crusts. After a week the pain eases up and it is less painful to swallow so patients start eating again. This allows the crusts to peel off and leads to bleeding.

Activity

You will be independent or at the same level as prior to admission with showering and walking.

Please avoid:

  • Over exertion
  • Harsh coughing or clearing your throat
  • Vigorous nose blowing (breathe through your nose)
  • Hard, crunchy food (they will increase the risk of bleeding)

Report the following complications to your surgeon, GP or emergency department:

  • fevers
  • pain that is not relieved by analgesia
  • bleeding/coughing up blood
  • vomiting large amounts of blood
  • other unexplained symptoms or you have questions that cannot wait until your post-operative visit.

If you live remotely, it is important to stay close to Mater Private Hospital Brisbane for at least one week following your surgery, due to the risk of bleeding.

© 2013 Mater Misericordiae Ltd. ACN 096 708 922

Mater acknowledges consumer consultation in the development of this patient information.
Mater Doc Num: PI-CLN-450036
Last modified 09/8/2017.
Consumers were consulted in the development of this patient information.
Last consumer engagement date: 14/4/2015
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