Learnings from implementing an ERAS protocol with a head and neck surgery patient cohort: A speech pathology perspective.

Tracks
Concurrent session T2
Acute care – adult
Adult
Cancer
Change management
Collaboration
Head and neck
Innovative practice
Multidisciplinary practice
Oncology
Quality improvement
Service delivery
Speech
Swallowing
Tracheostomy
Wellbeing
Tuesday, May 28, 2024
11:10 AM - 11:25 AM
Meeting Room 01

Overview

Lauren Davies


Details

⏫ In-practice
📚 Assumed knowledge of attendees: Foundational (new/casual familiarity with the topic e.g. treated a single case)


Presenter

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Ms Lauren Davies
Senior Speech Pathologist
The Royal Melbourne Hospital

Learnings from implementing an ERAS protocol with a head and neck surgery patient cohort: A speech pathology perspective.

11:10 AM - 11:25 AM

Presentation summary

Enhanced Recovery After Surgery (ERAS) protocols aim to develop perioperative care and improve recovery following elective surgery through research, audit, education and implementation of evidence-based practice. In 2017, the International ERAS Society published a guideline with specific recommendations for major head and neck cancer surgery with free flap reconstruction.

In this presentation, Lauren introduces the ERAS protocol and how it is being trialled at The Royal Melbourne Hospital (RMH) within a multidisciplinary team (MDT) for patients undergoing head and neck surgery with free flap reconstruction, primarily for cancer management.

Lauren will report on how the RMH Speech Pathology team has contributed to the MDT’s progress towards reducing length of acute admissions, reducing post-surgical complication rates, and improving patient-reported outcomes. Her presentation will explore how the implementation of ERAS has created opportunities to critique current speech pathology practice, and identify potential gaps in speech pathology service across the continuum of care.

Lauren will not only discuss the broad challenges of implementing ERAS as an MDT, but also the more specific obstacles faced by the RMH Speech Pathology team. This includes adapting an already established outpatient and inpatient speech pathology service to meet ERAS recommendations and demonstrate measurable outcomes. She will also address the challenge of meeting the demands of a variety of different stakeholders. Lauren will conclude the presentation by sharing the learnings gained in the process of overcoming these hurdles.

Key messages

1. How an ERAS protocol can be implemented for major head and neck cancer surgery with free flap reconstruction.
2. How implementation of an ERAS protocol created opportunities for RMH Speech Pathology team's to review our practices in providing care for this patient cohort.
3. What challenges the implementation of an ERAS protocol can present for an already established speech pathology head and neck service, and lessons learnt in trying to overcome these.

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Lauren is a senior Speech Pathologist who works with the head and neck oral and reconstructive surgery caseload at The Royal Melbourne Hospital (RMH). Having completed her Masters of Cancer Sciences at The University of Melbourne in 2021, she is passionate about optimising communication and swallowing outcomes following head/neck cancer treatment. Lauren is currently involved in the development and pilot of the Enhanced Recovery After Surgery protocol with patients undergoing free flap reconstruction after head and neck surgery at RMH.

Session chair

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Trish Johnson
Manager Ethics And Professional Issues
Speech Pathology Australia


Student volunteer(s)

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Alice Emmerton
Curtin University

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Michelle Lenihan
Edith Cowan University

The information contained in this program is current at of the time of publishing but is subject to changes made without notice.

Disclaimer: © (2024) The Speech Pathology Association of Australia Limited. All rights reserved.
Important Notice, please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited ("the Association"). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this presentation. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this presentation including in any of the materials referred to or otherwise incorporated into this presentation.

 

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