Why is it important?
Surgery can be both physically and emotionally stressful for patients. In order to get patients back to full health as quickly as possible, IBD services should have enhanced recovery programmes in place for appropriate IBD patients.
The aim of enhanced recovery programmes is to ensure that patients are as healthy as possible and receive optimal care before, during, and after their operation, whilst minimising morbidity. Ahead of surgery, patients should be advised to keep active and to eat and drink as instructed. Appropriate patients should be provided with pre-operative supplement drinks, with instructions of how and when to drink. Patients should also be provided with clear and accessible information about their operation, such as admission, what to expect, information on their surgery, and education about postoperative care.
Following surgery, research has shown that early nutrition and moving can reduce recovery time and prevent postoperative complications. Patients should be encouraged to sit out of bed, practice deep breathing, and if possible, go on short walks as soon as they can after surgery. They should understand that eating, drinking, and moving around are an essential part of their recovery. Ward staff should be available to ensure patients have adequate pain relief to aid with any discomfort.
Follow-up protocols should be in place for after patients have been discharged, in order to assess how the patient is managing since their operation, and to ensure progress is on track. Patients should understand what normal activities can be resumed, and which should be avoided and for how long.