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Surgery Programs Hasten Recovery After Colorectal Resections

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Surgery Programs Hasten Recovery After Colorectal Resections Question: Describe about collect sufficient data about the service procedure system of ERAS in order to satisfy the demand of the patients?   Answer: Introduction: This particular research provides an in-depth understanding about enhanced recovery after surgery (ERAS). It is nothing but a multimodal pathway in order to provide a proper care and guidance to the patients before, during and after the surgery. Consequently, the family members of the patient party feel very safety and secured. There are several advantages of ERAS program. With the help of this particular program, patients become highly benefited. Therefore, this particular study has focused to the experience of several patients who have gone through with this specific program. Several relevant questions have been asked to them in order to know whether this particular program is at all able to provide them a positive response. For that purpose, a qualitative research has been made in order to collect the feedback from the patients about the relevance of ERAS. Rationale: What is the issue? The issue of this particular research is to highlight the relevance of enhanced recovery after surgery program. Abraham (2011, p.3) stated that the experiences of various patients who have taken the help of ERAS have been collected. They have provided positive and negative response both. As a result, the researcher has intended to collect sufficient data in this particular topic so that the advantages and the disadvantages of ERAS can be highlighted. Furthermore, this particular research project aims at to focus on which specific areas ERAS should implement their plan and policy within the organization more effectively so that the patients can be more benefited in order to satisfy their demand. Why it is an issue: Ahmed et al. (2012, p.1040) commented that ERAS has been rendered in UK for past ten years. It tends to use multimodal approach in order to provide an effective delivery to the patients. Multimodal approach is primarily a therapy that emphasizes on behaviour therapy. It concentrates on the feeling, imagination and interaction with the patients. The patients needs to keep well and relaxed before, during and after the surgery. For that purpose, the service providers tend to use various methods in order to keep the patients relaxed. In some cases, it has been observed that patients have given a negative response to the researcher about ERAS. That is the reason for why this particular matter has become an issue in order to identify the drawbacks of this multimodal approach for why patients intend to make various complains. Why it is an issue now: David (2015, p.920) stated that it has become an issue now because many researchers have intended to conduct research about this particular topic. They have tried to evaluate what are the requirements of the patients from ERAS primarily. In this study as well, the research has concentrated on the fact that what particular strategy ERAS should follow so that they can gain the trust of the patients. In order to make an effect communication with the patients, the service providers of ERAS have to follow some relevant systems and policies that been highlighted in this particular research work. What does it shed light on? This particular research has primarily focused on the effectiveness of ERAS and its feedback on behalf of the students. It has been observed that patients have created many complains at the service process of ERAS. Gustafsson (2011, p.572) opined that Strong communication barriers have been made between the service providers and the patients. As a result, the researcher has focused how to overcome this kind of situation so that patients can interact with the service providers without any hesitation. That is the primary concern of the researcher to interact with the patients properly with the help of qualitative research work so that patients can get an effective service from the service providers.   Discussion: This particular project aims to use qualitative research method in order to conduct the work successfully. Kwaan (2011, p.600) opined that Qualitative research is a method or technique of data collection. It intends to acquire an in-depth understanding about a particular event. Different interviews have been conducted in order to collect sufficient data and information. Moreover, the researcher likes to collect data by applying observation method as well. By making an effective conversation with the participants, the researcher is able to gather many necessary data in order to accomplish the project successfully. Furthermore, qualitative research method helps the participants to express their point of view in a detailed manner so that those data can enhance the standard of research work.     The researcher has chosen qualitative research method for this particular research instead of quantitative research because of some relevant reasons. Quantitative research is primarily based on the surveys and questionnaires. Thus, data that have been collected from surveys and questionnaires are mainly concerned with statistical data. Lohsiriwat (2014, p.139) commented that statistical data is not applicable for this specific research because it is very specific. Thus, the researcher would not be able to collect necessary feedback from the patients. On the other hand, by making effective interview by applying qualitative data, the researcher is able to gather detailed data in order to execute the research systematically. Mortensen et al. (2014, p.1209) opined that an effective interaction has also been made with the ERAS professionals in order to know their process of treatment in the service. The researcher has collected information of what strategy they tend to use for dealing with the patients properly. In this project, the researcher has made a brief interview with five patients having an experience of ERAS. They have expressed their point of views whether it is positive or negative. Rems et al. (2010, p.143) stated that One of the patients has stated that the professionals of ERAS need to interact with the patients more effectively beyond going any kind of cultural or religious biasness. They do not treat every patient with equal respect and dignity. As a result, communication barriers arise in between the patient and the service providers. Consequently, patients do not become able to express their problems clearly because of communication barrier. Some of the relevant data have also been collected from the family members of one particular patient. Slim (2015, p.95) commented that one of the members has expressed their views that ERAS professionals sometimes tend to avoid providing immediate response so about the patients. This major drawbacks needs to be changed on behalf of the professionals in order to provide a good service to the patients. Conclusion: This particular study has focused to collect sufficient data about the service procedure system of ERAS in order to satisfy the demand of the patients. For that purpose, interviews have been made in order to acquire knowledge and information about the experience of the patients regarding ERAS. In order to gather data about this particular topic, qualitative research method have been used in this study instead of quantitative method. In addition, the researcher has conducted an effective interaction with three ERAS professionals for collecting sufficient data about the systems, strategies and policies of providing effective service to the patients.   Reference List: Abraham, N. (2011). “Enhanced recovery after surgery programs hasten recovery after colorectal resections”, WJGS, 3(1), pp.1-5. Ahmed, J., Khan, S., Lim, M., Chandrasekaran, T. and MacFie, J. (2012). “Enhanced recovery after surgery protocols – compliance and variations in practice during routine colorectal surgery”, Colorectal Disease, 14(9), pp.1045-1051. David, T. (2015). “Enhanced recovery after surgery programs in patients undergoing hepatectomy: A meta-analysis”, World Journal of Gastroenterology, 21(30), p.920-1000. Gustafsson, U. (2011). “Adherence to the Enhanced Recovery after Surgery Protocol and Outcomes After Colorectal Cancer Surgery”, Arch Surgery, 146(5), pp.571-580. Kwaan, M. (2011). “Enhanced Recovery Programs: Major Benefits Demonstrated Again”, Arch Surg, 146(5), pp.577-600. Lohsiriwat, V. (2014). “Enhanced recovery after surgery vs conventional care in emergency colorectal surgery”, World Journal of Gastroenterology, 20(38), pp.139-150. Mortensen, K., Nilsson, M., Slim, M., Mariette, C., Braga, M., Carli, F., Demartines, N., Griffin, S. and Lassen, K. (2014). “Consensus guidelines for enhanced recovery after gastrectomy”, British Journal of Surgery, 101(10), pp.1209-1229. Rems, M., Jurekovic, V. and Studen Pauletic, P. (2010). “Enhanced Recovery Surgery Guideline”, Principles of enhanced recovery after surgery are not easy to implement, 7(23), pp. 140-145. Slim, K. (2015). “Re: Enhanced Recovery after Surgery and laparoscopic colorectal surgery: where to now”, ANZ J Surgery, 85(12), pp.95-100.

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