Result card
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Authors: Lotte Groth Jensen, Claus Loevschall, Anne Lee
Internal reviewers: Felix Gurtner, Allessandra Lo Scalzo
Resources are needed for information throughout the programme and for support by healthcare staff after operation {2}.
As AAA poses a risk of rupture, the detection of an AAA through screening necessitates some decisions to be made. If the outcome of AAA screening is the detection of an AAA for which future follow-up is recommended, the patient and eventually significant others need to be informed and involved in decisions related to the follow-up. A person detected with an AAA recommended for operation might have to make decisions in relation to this and if an operation is accepted they might have to decide on the type of operation (OAR versus EVAR). Because an operation for AAA involves a risk of death and of complications (see result card RC-SAF1 for further details) appropriate counselling and information in relation to AAA screening is necessary but is also difficult.
It seems important to pay close attention to the group of patients diagnosed with a small AAA and participating in a control set up because studies indicate that these patients might constitute a particularly vulnerable group (see result card RC-SOC4 for more information).
More information on this topic can be found in the result card RC-LEG6 where it is stated that appropriate counselling and information is legally regulated and that the provider is to secure informed consent and appropriate care including recommended follow-up. In result card RC-SOC7 the issue of patient information is further described.
How patients are influenced in terms of QoL by AAA screening is described in result card RC-SOC4 and how they act and react in result card RC-SOC5.
2. Letterstal A, Eldh AC, Olofsson P, Forsberg C. Patients experience of open repair of abdominal aortic aneurysm--Preoperative information, hospital care and recovery. Journal of Clinical Nursing. 2010;19(21-22):3112-22.