Pre-surgical medical assessment
The process starts with a full investigation of all factors that may affect the outcome of the surgery in an appropriate level of detail. This includes immediate and active management of all risks when identified, including referral to appropriate specialists for obesity-related disease stabilisation. These include a
- Respiratory physician
Pre-surgical evaluation and counselling
The informed consent for surgery reflects that:
- The patient fully understands the potential benefits, risks and long term consequences associated with the procedure
- The choice of surgical intervention was made jointly by the patient and the health care professionals responsible for the treatment
- The patient is motivated to make the necessary dietary and lifestyle changes
- The patient commits to long term follow up after surgery.
There must be a comprehensive evaluation of psychosocial or other factors that may affect compliance with postoperative care requirements.
All patients receive individualised preparation, education and counselling to optimise their weight management before surgery from a dietician and exercise physiologist.
We have strict written protocols and a standardised approach for:
- Preoperative care (includes ward admission)
- Perioperative/ surgical procedure
- Post operative care
All patients receive individualised patient management plans to ensure optimal management of known risks during the patient’s inpatient stay. Access is available to high dependency, with a full range of medical specialists available to provide support to manage the postoperative patient and any complications that may occur.
Post-surgical follow up
Each patient has strict written protocol and a care pathway for the post-surgical follow up. This includes written patient information outlining the post-surgical care.
In addition, we liase with general practitioners and other community providers that are involved with the patient’s care.
Ongoing care and follow up is provided for the lifetime of the patient, with access to postoperative counselling and mental health support if required. Certain patients will also require assistance with and planning for reconstructive surgery post-operation.
Optimisation of nutrition and physical activity
Patients receive individualised education and counselling to optimise their weight management after surgery from a dietician. Patients can access a exercise physiologist to undertake a graded exercise program. All discussions with the patient about weight management, agreed goals and actions are documented. Patients are provided with a copy of their agreed goals, weight management plan and actions.