In a facility I used to work in we did education pre-operatively for women
prior to major gynae surgery. It was done on the ward the day before surgery
which reflectively may not have been the best time as they are very anxious.
We would take a model of the pelvis and very breifly discuss the surgery,
incisions etc., and the effect on the abdominal and pelvic floor muscles. We
taught pelvic floor and abdominal exercies and gave advise on body mechanics
and lifting. The women often had questions on how to cope at home, their sex
lives etc. We did group or individual sessions depending on the surgery
type. An information leaflet was provided to take home.
We did not routinely follow up. Only saw women post-op with respiratory or
mobility difficulties or later in out patients if they had incontinence.
I think the format was going to change to an evening class once a month with
the nurse and surgeon present also but I don't know how it worked out.
Vicky Hood
Physiotherapist
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>From: "Kemp, Angela (NHS)" <[log in to unmask]>
>To: "[log in to unmask]" <[log in to unmask]>
>Subject: GYNAE surgery
>Date: Fri, Feb 5, 1999, 5:55 PM
>
>
>Is anyone conducting education classes/groups for women prior to
>undergoing major gynaecological gurgery ?
>If so -
>1. What is the content of the class ?
>2. Are the women assessed individually to determine the state of the
>pelvic floor muscles and to teach pelvic floor exercises ?
>3. Do you try to explain how to do pelvic floor exercises in the class ?
>4. Are the women followed up routinely postop ?
>5. What is the attendence rate?
>
>
>Angela Kemp
>Physiotherapist
>Noarlunga Health Services, South Australia
>
>[log in to unmask]
>
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