Enhanced Recovery After Surgery Care Plan

Enhanced Recovery After Surgery Care Plan

Key Objectives

Provide a tool for the remote management of kidney transplant patients

Outcome Measures

Equip patients with the tools they need to support self-management post-operatively, as well as providing the tools they need to interact digitally rather than relying on face-to-face consultations.

Current Baselines

All activity is face-to-face, patients are travelling large distances, and their follow-ups aren’t being efficiently or effectively managed.

Workflow

The whole workflow is from pre op> transplant> post-op but the care plan is introduced in the transplant phase.

Patient Pathway

Patients register with their PKB record before surgery or on the ward post-operatively when the Enhance Recovery care plan is added to the patient's PKB record on day one by the nurse caring for the patient.

The care plan is completed by the nurse each day while the patient is in the hospital, which is normally for six days post-operatively, before being discharged home where they will complete the care plan themself. The care plan is then reviewed daily by the team over the phone with the patient.

Enhance Recovery After Surgery Care Plan Template

Days 1-2 and days 8-10

<div class="form-inline">
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.cp_frame {height: 80px; position: relative;}
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<div class="cp_whiteBox">
<p>Quick links: <a href="#cp_day1anchor">Day 1</a> / <a href="#cp_day2anchor">Day 2</a> / <a href="#cp_day3anchor">Day 3</a> / <a href="#cp_day4anchor">Day 4</a> /
<a href="#cp_day5anchor">Day 5</a> / <a href="#cp_day6anchor">Day 6</a> / <a href="#cp_day7anchor">Day 7</a> / <a href="#cp_day8anchor">Day 8</a> /
<a href="#cp_day9anchor">Day 9</a> / <a href="#cp_day10anchor">Day 10</a></p>
<h2>Introduction to our enhanced recovery programme</h2>
<p>Enhanced recovery after surgery (ERAS) helps patients to recover more quickly from their transplant. Reaching certain targets can reduce the likelihood of complications and can help improve the experience of patients as they recover.</p>
<p>We hope this journal will help you to understand what to expect and feel more involved in what happens during your transplant inpatient journey. The journal is yours to keep and complete to help you record your progress. Relatives, friends and members of the transplant team can help you to fill it in if you find this difficult. By completing this journal as you go along, it will help us to support you and ensure your recovery is as efficient as possible.</p>
<p><b>All elements of the programme may not be suitable for everyone. Do not worry if you don't meet all of your targets. Every patient is different and everyone will achieve targets at their own pace. The transplant team will make any changes where needed to make sure that you receive high quality care specific to your needs.</b></p>
<h2>On admission for your transplant</h2>
<ul>
<li style="list-style:inherit; margin-left: 15px;">The nurses will ask you some questions to help plan for your needs when you go home.</li>
<li style="list-style:inherit; margin-left: 15px;">If you have a relative or friend who can be a support person during your recovery, please arrange for them to be available in the afternoon on days 3 and 4 following your transplant. This is an important part of your recovery where the nurses will provide you with education on how to look after your transplant as well as the details of your medications.</li>
<li style="list-style:inherit; margin-left: 15px;">Please record the details of your support person below.</li>
</ul>
<div class="row" style="margin-top: 15px;">
<div class="col-sm-6">
<label class="cp_label" for="cp_namedSupportPerson">Named support person:</label>
</div>
<div class="col-sm-6" style="margin-top: 15px;">
<input type="text" name="cp_namedSupportPerson" id="cp_namedSupportPerson" class="form-control" style="width: 100%;"></input>
</div>
</div>
<div class="row" style="margin-top: 15px;">
<div class="col-sm-6">
<label class="cp_label" for="cp_supportRelationship">Relationship:</label>
</div>
<div class="col-sm-6" style="margin-top: 15px;">
<input type="text" name="cp_supportRelationship" id="cp_supportRelationship" class="form-control" style="width: 100%;"></input>
</div>
</div>
<div class="row" style="margin-top: 15px;">
<div class="col-sm-6">
<label class="cp_label" for="cp_admissionDate">Date of admission:</label>
</div>
<div class="col-sm-6" style="margin-top: 15px;">
<input type="date" name="cp_admissionDate" id="cp_admissionDate" class="form-control" placeholder="dd/mm/yyyy"></input>
</div>
</div>
<div class="row" style="margin-top: 15px;">
<div class="col-sm-6">
<label class="cp_label" for="cp_transplantDate">Date of transplant:</label>
</div>
<div class="col-sm-6" style="margin-top: 15px;">
<input type="date" name="cp_transplantDate" id="cp_transplantDate" class="form-control" placeholder="dd/mm/yyyy"></input>
</div>
</div>
<div class="row" style="margin-top: 15px;">
<div class="col-sm-6">
<label class="cp_label" for="cp_estDischargeDate">Estimated Date of discharge:</label>
</div>
<div class="col-sm-6" style="margin-top: 15px;">
<input type="date" name="cp_estDischargeDate" id="cp_estDischargeDate" class="form-control" placeholder="dd/mm/yyyy"></input>
</div>
</div>
</div>
<div class="cp_whiteBox">
<div class="row hidden-xs">
<div class="col-sm-1">
<h3></h3>
</div>
<div class="col-sm-4">
<h3>After surgery</h3>
</div>
<div class="col-sm-4">
<h3>Day 1</h3>
</div>
<div class="col-sm-3">
<h3>Day 2</h3>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_drink.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">After surgery</h3>
<p>Eat & drink as soon as you feel able. You have a drip to keep you hydrated.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 1</h3>
<p>Your drip stops today. Try to drink to your fluid target.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 2</h3>
<p>Try to drink to your fluid target. The nurses will help you to record your fluid intake.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_mobility.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">After surgery</h3>
<p>The nurses will help you to sit out in your chair.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 1</h3>
<p>Try to sit in your chair for every meal. Aim for two walks.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 2</h3>
<p>Try to sit in your chair for every meal. Aim for four walks.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_weight.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">After surgery</h3>
<p>Your weight will not routinely be measured today.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 1</h3>
<p>The nurses will help to weigh you before breakfast.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 2</h3>
<p>The nurses will help you to weigh yourself. Please record it in your journal.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_pain.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">After surgery</h3>
<p>Use your PCA button as much as you need. Your pain catheter will keep you comfortable.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 1</h3>
<p>Your PCA stops today. Your pain catheter is still there and you will be given pain relief.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 2</h3>
<p>Your pain catheter may be removed. The nurses will help you to take pain relief.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm">no title</h3>
<img src="/images/hosted/newcastle_renal_diary_catheter.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<p>The nurses will monitor your drain output.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 1</h3>
<p>The nurses will help you to record the drain output in your journal.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 2</h3>
<p>Record the drain output in your journal. If the volume is low, it may be removed.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_urineoutput.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">After surgery</h3>
<p>The nurses will monitor your urine output.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 1</h3>
<p>The nurses will help you to record your urine output.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 2</h3>
<p>The nurses will help you to record your urine output.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_medicines.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">After surgery</h3>
<p>The nurses will give you all the medicine you need.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 1</h3>
<p>You will be given your medicine card today.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 2</h3>
<p>The nurses will help you to start taking your own medicines using your card.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_records.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">After surgery</h3>
<p>Let the nurses know if anything has changed with your needs on discharge.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 1</h3>
<p>Let the nurses know if anything has changed with your needs on discharge.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 2</h3>
<p>Let the nurses know if anything has changed with your needs on discharge.</p>
</div>
</div>
</div>
<div class="cp_whiteBox">
<div class="row hidden-xs">
<div class="col-sm-1">
<h3></h3>
</div>
<div class="col-sm-4">
<h3>Day 3</h3>
</div>
<div class="col-sm-4">
<h3>Day 4</h3>
</div>
<div class="col-sm-3">
<h3>Day 5</h3>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_drink.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 3</h3>
<p>Try to drink to your fluid target and record your fluid intake. The nurses will help you.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 4</h3>
<p>Try to drink to your fluid target. Please record your fluid intake.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 5</h3>
<p>Try to drink to your fluid target. Please record your fluid intake.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_mobility.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 3</h3>
<p>Try to sit in your chair for every meal. Aim for four walks.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 4</h3>
<p>Try to sit in your chair for every meal. Aim for four walks.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 5</h3>
<p>Try to sit in your chair for every meal. Aim for four walks.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_weight.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 3</h3>
<p>Please weigh yourself and record it in your journal.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 4</h3>
<p>Please weigh yourself and record it in your journal.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 5</h3>
<p>Please weigh yourself and record it in your journal.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_pain.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 3</h3>
<p>Continue to take pain relief as needed to keep you comfortable and mobile.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 4</h3>
<p>Continue to take pain relief as needed to keep you comfortable and mobile.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 5</h3>
<p>Continue to take pain relief as needed to keep you comfortable and mobile.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_catheter.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 3</h3>
<p>If you still have a drain, record the output in your journal. It may be removed today.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 4</h3>
<p>If you still have a drain, record the output in your journal. It may be removed today.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 5</h3>
<p>You may go home with the drain. The nurses will show you how to look after it.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_urineoutput.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 3</h3>
<p>Your catheter may be removed today. The nurses will help to record your output.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 4</h3>
<p>Please continue to record your urine output.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 5</h3>
<p>Please continue to record your urine output.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_medicines.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 3</h3>
<p>Use your card to identify your medicines. The nurses will check them.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 4</h3>
<p>Use your card to identify your medicines. The nurses will check them.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 5</h3>
<p>Use your card to identify your medicines. The nurses will check them.</p>
</div>
</div>
<div class="row">
<div class="col-sm-1">
<h3 class="hidden-lg hidden-md hidden-sm"></h3>
<img src="/images/hosted/newcastle_renal_diary_records.png" alt="" style=" max-width: 50px; height: auto;"></img>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 3</h3>
<p>The nurses will teach you and your support person about caring for your transplant.</p>
</div>
<div class="col-sm-4">
<h3 class="hidden-lg hidden-md hidden-sm">Day 4</h3>
<p>You will have a second education session today. We are preparing for you going home. Let us know if you don't feel ready.</p>
</div>
<div class="col-sm-3">
<h3 class="hidden-lg hidden-md hidden-sm">Day 5</h3>
<p>You may be discharged home today if you are ready.</p>
</div>
</div>
</div>
<div class="cp_whiteBox">
<h2>After Surgery</h2>
<div class="cp_whiteBox" style="background-color: #ccdde2">
<div class="row">
<div class="col-sm-1 cp_frame">
<img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_drink.png" alt=""></img>
</div>
<div class="col-sm-11">
<h3>Drinking</h3>
<p>You can start to eat and drink as you feel able. If you are struggling, let the nurses know.</p>
</div>
</div>
</div>
<div class="cp_whiteBox" style="background-color: #ccdde2">
<div class="row">
<div class="col-sm-1 cp_frame">
<img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_mobility.png" alt=""></img>
</div>
<div class="col-sm-11">
<h3>Mobility</h3>
<p>The nurses will help you to sit out in your chair if possible. Tomorrow, the physiotherapist will provide you with breathing exercises and a mobility programme to help you recover.</p>
</div>
</div>
</div>
<div class="cp_whiteBox" style="background-color: #ccdde2">
<div class="row">
<div class="col-sm-1 cp_frame">
<img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_weight.png" alt=""></img>
</div>
<div class="col-sm-11">
<h3>Weight</h3>
<p>The nurses will help you to weigh yourself before breakfast. Please record your weight below.</p>
</div>
</div>
</div>
<div class="cp_whiteBox" style="background-color: #ccdde2">
<div class="row">
<div class="col-sm-1 cp_frame">
<img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_pain.png" alt=""></img>
</div>
<div class="col-sm-11">
<h3>Pain management</h3>
<p>Your PCA and pain catheter will help to keep you comfortable. Talk to the nurses if you have pain.</p>
</div>
</div>
</div>
<div class="cp_whiteBox" style="background-color: #ccdde2">
<div class="row">
<div class="col-sm-1 cp_frame">
<img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_catheter.png" alt=""></img>
</div>
<div class="col-sm-11">
<h3>Drain</h3>
<p>The nurses will monitor and record your drain output.</p>
</div>
</div>
</div>
<div class="cp_whiteBox" style="background-color: #ccdde2">
<div class="row">
<div class="col-sm-1 cp_frame">
<img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_urineoutput.png" alt=""></img>
</div>
<div class="col-sm-11">
<h3>Catheter</h3>
<p>The nurses will monitor and record your urine output.</p>
</div>
</div>
</div>
<div class="cp_whiteBox" style="background-color: #ccdde2">
<div class="row">
<div class="col-sm-1 cp_frame">
<img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_medicines.png" alt=""></img>
</div>
<div class="col-sm-11">
<h3>Medicines</h3>
<p>The nurses will give you all your medications.</p>
</div>
</div>
</div>
<div class="cp_whiteBox" style="background-color: #ccdde2">
<div class="row">
<div class="col-sm-1 cp_frame">
<img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_records.png" alt=""></img>
</div>
<div class="col-sm-11">
<h3>Care planning</h3>
<p>Let the nurses know if anything has changed with your home circumstances or other needs for when you go home. Do you have someone to take you home and bring you to clinic appointments?</p>
</div>
</div>
</div>
</div>
<div class="cp_whiteBox">
<h2 id="cp_day1anchor">Day 1 after surgery</h2>
<div class="cp_whiteBox" style="background-color: #ccdde2">
<div class="row">
<div class="col-sm-1 cp_frame">
<img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_drink.png" alt=""></img>
</div>
<div class="col-sm-11">
<h3>Drinking</h3> <p>If the team is happy with your fluids, your drip will stop today. You will be asked to drink and the team will give you a target to aim for. If you are struggling, let the nurses know. Record your fluid target and how much you drink below.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_mobility.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Mobility</h3> <p>The physiotherapist will show you some breathing exercises and give you a mobility programme (A, B or C). This will include two walks today. Try to follow this as much as possible. Aim to sit in your chair for every meal. Record your progress below.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_weight.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Weight</h3> <p>The nurses will help you to weigh yourself before breakfast. Please record your weight below.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_pain.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Pain management</h3> <p>Your pain catheter may be removed today. The nurses will help you to take your oral painkillers. Heat packs are also available to help. Talk to the nurses if you have pain.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_catheter.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Drain</h3> <p>The nurses will help you to monitor your drain output. Please record this below. Your drain may be removed today if the volume is less than 100ml.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_urineoutput.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Catheter</h3> <p>The nurses will help you to monitor your urine output. Please record this below.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_medicines.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Medicines</h3> <p>We will explain your medications to you today. We will help you to use your card to identify your medications.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_records.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Care plan</h3> <p>Let the nurses know if anything has changed with your home circumstances or other needs for when you go home. Do you have someone to take you home and bring you to clinic appointments?</p> </div> </div> </div> </div> <div class="cp_whiteBox"> <h2>Progress day 1</h2> <div class="cp_whiteBox" style="background-color: #ccdde2"> <p><b><u>Before the morning ward round</u></b></p> <p>Please record yesterday's fluid measurements up to this morning</p> <div class="row" style="margin-top: 15px;"> <div class="col-sm-6"> <label class="cp_label" for="cp_qtyDrink">How much did you drink?</label> </div> <div class="col-sm-6" style="margin-top: 15px;"> <input type="text" name="cp_qtyDrink" id="cp_qtyDrink" class="form-control"></input> ml </div> </div> <div class="row" style="margin-top: 15px;"> <div class="col-sm-6"> <label class="cp_label" for="cp_qtyUrine">How much urine did you pass?</label> </div> <div class="col-sm-6" style="margin-top: 15px;"> <input type="text" name="cp_qtyUrine" id="cp_qtyUrine" class="form-control"></input> ml </div> </div> <div class="row" style="margin-top: 15px;"> <div class="col-sm-6"> <label class="cp_label" for="cp_qtyDrain">What was the drain output?</label> </div> <div class="col-sm-6" style="margin-top: 15px;"> <input type="text" name="cp_qtyDrain" id="cp_qtyDrain" class="form-control"></input> ml </div> </div> <p>Please record your weight this morning <a href="#bottom">here</a></p> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <p><b><u>During the morning ward round</u></b></p> <div class="row" style="margin-top: 15px;"> <div class="col-sm-6"> <label class="cp_label" for="cp_day1FluidTarget">Today's fluid target is:</label> </div> <div class="col-sm-6" style="margin-top: 15px;"> <input type="text" name="cp_day1FluidTarget" id="cp_day1FluidTarget" class="form-control"></input> ml </div> </div> <p><b><u>Physiotherapy assessment</u></b></p> <div class="row" style="margin-top: 15px;"> <div class="col-sm-6"> <label class="cp_label" for="cp_day1MobilityProgramme">Your mobility programme is: (please select)</label> </div> <div class="col-sm-6" style="margin-top: 15px;"> <div> <div class="form-check"> <input class="form-check-input" type="radio" name="cp_day1MobilityProgramme" id="cp_day1MobilityProgrammeA" value="A"> A</input> </div> <div class="form-check"> <input class="form-check-input" type="radio" name="cp_day1MobilityProgramme" id="cp_day1MobilityProgrammeB" value="B"> B</input> </div> <div class="form-check"> <input class="form-check-input" type="radio" name="cp_day1MobilityProgramme" id="cp_day1MobilityProgrammeC" value="C"> C</input> </div> </div> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <p><b><u>After the evening ward round</u></b></p> <div class="row" style="margin-top: 15px;"> <div class="col-sm-6"> <label class="cp_label" for="cp_Day1targetComplete">Please tick the targets as you manage them</label> </div> <div class="col-sm-6" style="margin-top: 15px;"> <div class="form-check"> <input class="form-check-input form-control" type="checkbox" name="cp_Day1targetCompletea" id="cp_Day1targetCompletea" value="I reached my fluid target?"> I reached my fluid target?</input> </div> <div class="form-check"> <input class="form-check-input form-control" type="checkbox" name="cp_Day1targetCompleteb" id="cp_Day1targetCompleteb" value="I managed to weigh myself?"> I managed to weigh myself?</input> </div> <div class="form-check"> <input class="form-check-input form-control" type="checkbox" name="cp_Day1targetCompletec" id="cp_Day1targetCompletec" value="I recorded my measurements?"> I recorded my measurements?</input> </div> </div> </div> <div class="row" style="margin-top: 15px;"> <div class="col-sm-6"> <label class="cp_label" for="cp_day1WalksManaged">How many walks did you manage?</label> </div> <div class="col-sm-6" style="margin-top: 15px;"> <input type="text" name="cp_day1WalksManaged" id="cp_day1WalksManaged" class="form-control" style="width: 100%;"></input> </div> </div> <div class="row" style="margin-top: 15px;"> <div class="col-sm-6"> <label class="cp_label" for="cp_day1TimesSat">How many times did you manage to sit in your chair?</label> </div> <div class="col-sm-6" style="margin-top: 15px;"> <input type="text" name="cp_day1TimesSat" id="cp_day1TimesSat" class="form-control" style="width: 100%;"></input> </div> </div> </div> <p>If you had difficulty reaching your daily targets, don't worry. Tell us what you are finding difficult (e.g. pain, sickness, too tired).</p> <div class="row" style="margin-top: 15px;"> <div class="col-sm-12"> <label class="cp_label" for="cp_day1Questions">If you have questions for the transplant team, you might find it useful to write them here:</label> <textarea class="form-control" name="cp_day1Questions" id="cp_day1Questions" rows="3" style="width: 100%;"></textarea> </div> </div> </div> <div class="cp_whiteBox"> <h2 id="cp_day2anchor">Day 2 after surgery</h2> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_drink.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Drinking</h3> <p>Try to drink to your fluid target. The nurses will help you to record your fluid target and fluid intake below.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_mobility.pngg" alt=""></img> </div> <div class="col-sm-11"> <h3>Mobility</h3> <p>Aim to sit in your chair for every meal. Try to follow your mobility programme, which will include four walks today. Ask the nurses to help you with this. Please record your progress below.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_weight.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Weight</h3> <p>The nurses will help you to weigh yourself before breakfast. Please record your weight below.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_pain.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Pain management</h3> <p>Your pain catheter may be removed today. The nurses will help you to take your oral painkillers. Heat packs are also available to help. Talk to the nurses if you have pain.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_catheter.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Drain</h3> <p>The nurses will help you to monitor your drain output. Please record this below. Your drain may be removed today if the volume is less than 100ml.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_urineoutput.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Catheter</h3> <p>The nurses will help you to monitor your urine output. Please record this below.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_medicines.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Medicines</h3> <p>We will explain your medications to you today. We will help you to use your card to identify your medications.</p> </div> </div> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <div class="row"> <div class="col-sm-1 cp_frame"> <img class="cp_imgCentre" src="/images/hosted/newcastle_renal_diary_records.png" alt=""></img> </div> <div class="col-sm-11"> <h3>Care plan</h3> <p>Let the nurses know if anything has changed with your home circumstances or other needs for when you go home. Do you have someone to take you home and bring you to clinic appointments?</p> </div> </div> </div> </div> <div class="cp_whiteBox"> <h2>Progress day 2</h2> <div class="cp_whiteBox" style="background-color: #ccdde2"> <p><b><u>Before the morning ward round</u></b></p> <p>Please record yesterday's fluid measurements up to this morning</p> <div class="row" style="margin-top: 15px;"> <div class="col-sm-6"> <label class="cp_label" for="cp_qtyDrink_day2">How much did you drink?</label> </div> <div class="col-sm-6" style="margin-top: 15px;"> <input type="text" name="cp_qtyDrink_day2" id="cp_qtyDrink_day2" class="form-control"></input> ml </div> </div> <div class="row" style="margin-top: 15px;"> <div class="col-sm-6"> <label class="cp_label" for="cp_qtyUrine_day2">How much urine did you pass?</label> </div> <div class="col-sm-6" style="margin-top: 15px;"> <input type="text" name="cp_qtyUrine_day2" id="cp_qtyUrine_day2" class="form-control"></input> ml </div> </div> <div class="row" style="margin-top: 15px;"> <div class="col-sm-6"> <label class="cp_label" for="cp_qtyDrain_day2">What was the drain output?</label> </div> <div class="col-sm-6" style="margin-top: 15px;"> <input type="text" name="cp_qtyDrain_day2" id="cp_qtyDrain_day2" class="form-control"></input> ml </div> </div> <p>Please record your weight this morning <a href="#bottom">here</a></p> </div> <div class="cp_whiteBox" style="background-color: #ccdde2"> <p><b><u>During the morning ward round</u></b></p> <div class="row" style="margin-top: 15px;"> <div class="col-sm-6"> <label class="cp_label" for="cp_FluidTarget_day2">Today's fluid target is:</label> </div> <div class="col-sm-6" style="margin-top: 15px;"> <input type="text" name="cp_FluidTarget_day2" id="cp_FluidTarget_day2" class="form-control"></input> ml </div> </div> <p><b><u>Physiotherapy assessment</u></b></p> <div class="row" style="margin-top: 15px;"> <div class="col-sm-6"> <label class="cp_label" for="cp_MobilityProgramme_day2">Your mobility programme is: (please select)</label> </div> <div class="col-sm-6" style="margin-top: 15px;"> <div> <div class="form-check"> <input class="form-check-input" type="radio" name="cp_MobilityProgramme_day2" id="cp_MobilityProgramme_day2A" value="A"> A</input> </div> <div class="form-check"> <input class="form-check-input" type="radio" name="cp_MobilityProgramme_day2" id="cp_MobilityProgramme_day2B" value="B"> B</input> </div> <div class="form-check"> <input class="form-check-input" type="radio" name="cp_MobilityProgramme_day2" id="cp_MobilityProgramme_day2C" value="C"> C</input> </div> </div> </div> </div> </div>

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