Preparing for Neurosurgery – A Timeline
Two to four weeks before your brain surgery
You have time to prepare and plan for some practical coping strategies. This will enable you to focus on healing post operatively rather than worrying about daily responsibilities and making choices will help you adjust to the uncertainty, which lies before you. Don’t be afraid to ask for support, but it helps people if you can make specific requests such as ‘Could you take me to my appointment on Thursday?’ or ‘Would you mind taking this to the post office for me?’
Here’s some more tips:
- Cook and freeze some meals and ask friends and family to provide you with nutritional food during your recovery. They will be only too pleased to be able to help and will be wondering what they can do to support you.
- If you are feeling well, catch up with some of the household chores so you won’t be looking at them when you come home. You certainly won’t feel like doing them after surgery.
- Buy any cards and presents that are needed for birthdays etc so that you can send them whilst you are recuperating.
- Get a stack of DVDs and books to read during your recuperation, or at least make a list of those that you want to read/see. It may take a few weeks for your vision to settle down, if your sight is affected. But you will be able to read and watch for short periods.
- Plan for any childcare that you may require, or if you are looking after an elderly person.
- If you are working, you have time to make arrangements for any cover that you might need. You can delegate tasks and handover your workload so that you do not have to worry about this. This will speed up your recovery.
- It is tempting to avoid this subject, but it is a good idea during this period to review any personal documentation such as advance directives or Living Wills. This is a legal document which specifies which treatments you would like to have (or not) if you are unable to communicate your wishes with others. Or you might decide to designate a person who has power of attorney for health care, if you are unable to make medical decisions for yourself. This means that you have an assurance that your personal wishes will be respected in the event you cannot communicate.
One week before brain surgery
As the date approaches you will be anxious. Make a list of any questions or concerns that you still have. You will probably have to attend an appointment during this week where any preoperative tests will be done, such as an MRI, ECG, blood tests etc. You will probably have an interview with the anaesthesiology staff, and your medical history will be taken. Don’t forget to ask about taking any medication with you. Make notes; it may help if you can take someone with you for this appointment. You will also need to reassure those around you. This may seem an odd thing to say, but they will be as worried as you are. Keep talking about what is ahead of you and also what you plan to do to celebrate when you come home. Allow time during this week to spend time with friends and family. Do some enjoyable things to alleviate the anxiety, which you will all be feeling.
Clarify with the hospital how family will be kept informed during the actual surgery. And ask someone in your family to take the responsibility of keeping friends and family informed.
You will be provided with a list of things to bring in with you, so make sure that you have a small bag. You will need to bring:
- Any insurance documentation (if appropriate)
- Any prescription medication
- Glasses, hearing aids, dentures (if appropriate)
- Lightweight robe, slippers, nightdress or pyjamas. As your head will be bandaged, make sure that any tops are front closing so that you don’t have to pull them over your head. Choose clothing with short or wide sleeves (it is hot in hospitals) because of IV drips. Include one pair of socks. You may also need those sexy stockings which prevent DVT.
- Personal toiletries.
- A small notebook and pen. Useful for key contact numbers, noting milestones in your recovery, questions that bug you at 3am.
- An inexpensive watch – this is important. Your routine is about to be turned upside down, starting with a very long, blissful sleep (if you are not having an awake craniotomy) and you will find it comforting to know what the time is so that you can have some structure to your day.
- You might want to take some pictures of your family and friends to look at and some light reading.
- Small change will be invaluable.
And finally – the ban on mobile phones in hospitals in the UK has been lifted. You may be able to have your phone with you, but you will still not be able to use it in critical areas. Don’t forget your charger!
The surgery day
You may be admitted the day before or early on the day itself. It will be long day for everyone involved and sooner you get on with the it the sooner it will be over. You won’t know much about it! You will not have been able to have eaten anything since the previous midnight, but you will able to rinse your mouth with water without drinking.
You will change out of your clothes and be asked to put on a surgical gown. Ask for help if this defeats you! Don’t wear jewelry (although wedding rings can be taped on), contact lenses, dentures and remove make up and nail polish – the doctor needs to see your toes and fingers to make sure they aren’t blue.
You may be given a premed which is great – it relaxes you and takes the stress out of the situation. An IV line may be inserted before you go to theatre, but the bulk of the invasive work is done after you have been sedated, so you won’t know anything about it.
Each hospital has its own procedures about updating family and friends; remember that their prime concern is with you.
After your surgery you will be taken to recovery or directly to an intensive care unit (ICU). When your pulse, blood pressure, temperature and other vital signs are stable you will be moved to another area where you can be monitored closely for 24 hours.
One to three days after brain surgery
Most patients go home on day one. Let’s hope that you are one of them, but don’t worry if it is decided to keep you in. It will be in your best interests and there will be many changes during this period. You will become increasingly independent as you are weaned off drips and other equipment. This will have a greater impact than you think, physically and psychologically. To be able to move without navigating your way round your IV is liberating, as is being able to walk to the bathroom without having your urinary catheter in tow.
You will be encouraged to move out of bed, even if it is just to sit in a chair. Don’t be afraid to ask for assistance – listen to your body and take the healing process at your own pace. It is not a competition and it will be very much a case of two steps forward one back. Day 2 will be worse than day 1 – the anaesthetic is wearing off, you should be at home and you are looking at the long road of recovery ahead of you. But it will happen – you will get there, just take your time.
brainstrust has become the go-to for my mum, and for me because I don’t always know what to do when she is ill. The charity provides the most up-to-date info, guidance and help with every aspect of diagnosis, right through to potential treatment and how to manage living with a brain tumour. Without brainstrust, we would not have known what to do, and certainly wouldn’t be as optimistic as we are now.
Kirstie, 2011, Coventry