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A standard, protocol based and vigilant follow up system can prevent undesirable events, complications as well as reduce patient discomfort and improve outcome. Our FUS includes scheduled protocol based visits to the clinic on a prescribed interval and for patients traveling overseas, web based follow up and assistance in referring to the medical centre at their geographical locations. Duration Potential Problems Parameters &Management 1st Post operative day- 1st 24 hours Nausea, Vomiting, Pain, Dizziness, fainting attacks, breathlessness, bleeding TPR,BP, General condition, Pain control Physical movement Treatment 2nd PO day Pain, Discomfort, Physical limitations, Wound drains, Plaster irritation, dressing spillage Pain control Physical movement Wound check - for irritation, allergy, blood collection, skin vascularity, sensibility 5th PO day Pain, Physical limitation, Wound problems Pain control, Physical movement Wound care 7th PO day Discomfort, Physical limitation, Allergies, swelling Suture removal, dressing advice, garment advice, traveling advice, work related advice, scar management Overseas patient Written instructions, email/telephone follow up, arrangement to see local medical centre if necessary 1 month Swelling, scar itching, tenderness Scar examination, Swelling, Assess Skin re-draping 3 months Swelling, scar, lumpiness Result assessment 6 months Optional 1 year Residual issues Result 3 years onwards Long term result
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Post op Called Attended Photos Wound/ Skin/ Tissue Result Satisfaction PO1 PO2 PO5 PO7 Days 1 Month 3 Months 6 Months 1 Year 2 Years 3 Years
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Vital parameters- TPR- Temperature, Pulse, Respiration BP- Blood pressure Assess Pain/ Discomfort Physical activity Measurements Wound/ scar assessment Local Sensitivity Overlying Skin/ Tissue Contour Overall result Patient satisfaction Photographs
