Postoperative Care Coordination for Acoustic Neuroma Patients: Improving Patient Satisfaction

Background: Treating patients with acoustic neuroma (AN) requires a multidisciplinary approach that includes many subspecialties including neurosurgery, otolaryngology, physical therapy and rehab, facial rehabilitation and vestibular therapy. This care is unique to this patient population and is different than other types of brain tumors. Patients often feel misunderstood and lost in navigating their postoperative care and expectations. We work closely with the Acoustic Neuroma Association to assess patient needs and work with our patients to improve their care and outcomes. Our goal is to provide care coordination specific to acoustic neuroma patients to improve outcomes and patient satisfaction.

Objective: At the University of Cincinnati we preformed over 60 acoustic neuroma resections a last fiscal year. Our aim is to have a Nurse Navigator dedicated specifically to these patients to assist them in navigation of their unique preoperative and postoperative care. Along with providing written recommendations and guidance in the form of a booklet for preoperative and postoperative care.

Method: This presentation will explore the multidisciplinary approach to the management of AN patients. The unique pre and postoperative needs of patients with acoustic neuroma. We will propose a description of a specialized Nurse Navigator along with the role of the Nurse Navigator in the care of these patients. We will also outline the development and use of a booklet to assist with patient and caregiver education and support.

Results: We will discuss the impact this specialized care will have on the post op outcomes of these patients along with the improved patient satisfaction.

Conclusion: Specialized nurse navigation for patients with skull base tumors, specifically acoustic neuroma's, is an essential part of improving patient satisfaction and outcomes.