What is the role of aftercare
centers for the ambula-tory surgery patient?
Following some surgical procedures, patients
may expe-rience significant postoperative pain that cannot be readily
controlled with oral opioids. Additionally, although they may require some
skilled nursing observation or specialized care, these may be accomplished
outside the setting of an acute care hospital both at lower cost and with
greater com-fort for the patient and family. With this in mind, the con-cept of
a recovery care facility was born, thus creating a new category of inpatient
postsurgical care. This healthcare model integrates ambulatory surgery with
overnight or extended care outside of a hospital. Examples of procedures
included in the present trial include hysterectomy, cholecyst-ectomy via
laparotomy, shoulder repairs, and mastectomies. If this type of facility is
unavailable, appropriate use of home care services including newer modalities
of pain control may still allow a patient to avoid inpatient postoperative
care.
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