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Guidelines: Day case and short stay surgery<br />

.....................................................................................................................................<br />

language. This is particularly important in helping children understand the<br />

planned procedure and what is to follow. Information provided in writing<br />

before the day of surgery also helps.<br />

A patient about to undergo elective surgery often has contradicting<br />

feelings. On the one hand they are glad that the surgery will cure their<br />

medical problem and provide a life enhancing experience. On the other<br />

hand they are riddled with innumerable anxieties and although it might<br />

seem routine and straightforward to the doctor, the patient will inevitably<br />

view it all very differently. No patient expects surgery to be actually<br />

enjoyable, but what is most appreciated is information delivered by a<br />

respected, highly trained professional, who is empathetic and regards the<br />

patient as a person and not merely as a statistic.<br />

An information leaflet designed to help patients prepare themselves for<br />

day surgery is available on the BADS website [59].<br />

References<br />

1 Department of Health. The NHS Plan. A Plan for Investment. A Plan for Reform.<br />

London: DoH, 2000.<br />

2 NHS Institute for Innovation and Improvement. Better Care, Better Value<br />

Indicators. http://www.productivity.nhs.uk (accessed 03 ⁄ 01 ⁄ 2011).<br />

3 Department of Health NHS Modernisation Agency. 10 High Impact Changes for<br />

Service Improvement and Delivery, 2004. http://www.ogc.gov.uk/documents/<br />

Health_High_Impact_Changes.pdf (accessed 03 ⁄ 01 ⁄ 2011).<br />

4 Department of Health. Day surgery: Operational Guide. Waiting, Booking and<br />

Choice, 2002. http://www.dh.gov.uk/dr_consum_dh/groups/dh_digitalassets/<br />

@dh/@en/documents/digitalasset/dh_4060341.pdf (accessed 03 ⁄ 01 ⁄ 2011).<br />

5 NHS Institute for Innovation and Improvement. Focus On: Cholecystectomy.<br />

Coventry: NHS Institute for Innovation and Improvement, 2006.<br />

6 Association of Anaesthetists of Great Britain and Ireland. Pre-operative Assessment<br />

and Patient Preparation – The Role of the Anaesthetist 2. London: AAGBI, 2010.<br />

7 British Association of Day Surgery. Ten Dilemmas in Preoperative Assessment for<br />

Day Surgery. London: BADS, 2009.<br />

8 British Association of Day Surgery. Organisational Issues in Pre Operative Assessment<br />

for Day Surgery. London: BADS, 2010.<br />

9 British Association of Day Surgery. Ten More Dilemmas in Day Surgery. London:<br />

BADS, 2008.<br />

10 British Association of Day Surgery. Nurse Led Discharge. London: BADS, 2009.<br />

11 British Association of Day Surgery. BADS Directory of Procedures, 3rd edn.<br />

London: BADS, 2009.<br />

Ó 2011 The Authors<br />

20 Anaesthesia Ó 2011 The Association of Anaesthetists of Great Britain and Ireland

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