Post Operative Nursing - 3821 Words

A surgical nurse is responsible for monitoring and ensuring quality healthcare for a patient following surgery. Assessment, diagnosis, planning, intervention, and outcome evaluation are inherent in the post operative nurse’s role with the aim of a successful recovery for the patient. The appropriate provision of care is integral for prevention of complications that can arise from the anaesthesia or the surgical procedure. Whilst complications are common at least half of all complications are preventable (Haynes et al., 2009). The foundations of Mrs Hilton’s nursing plan are to ensure that any post surgery complications are circumvented. My role as Mrs Hilton’s surgical nurse will involve coupling my knowledge and the professional†¦show more content†¦Is Mrs Hilton breathing too fast or too slow, does her skin colour show signs of insufficient oxygen circulation, is she confused and showing signs of distress, is there any blood or signs of infection in he r sputum? A systematic review undertaken by Smetana (2009) identifies postoperative respiratory failure as an example of cascade iatrogenesis i.e. serial development of multiple medical complications that can be set in motion by a seemingly innocuous first event. In this case, Mrs Hilton’s open cholecystectomy is that first event. Smetana (2009) points out that: when an older patient with postoperative pain is over-sedated, a decline in respiratory function occurs, that if not recognized, can result in respiratory failure that requires mechanical ventilation, that again, if not managed properly can culminate in ventilator-associated pneumonia and even sepsis and death (p.1529). After her upper abdominal surgery Mrs Hilton may have difficulty with deep breathing and coughing due to pain however both are essential interventions for prevention and treatment of respiratory infections and complications. Brown et al. (2008) recommend that when Mrs Hilton is awake, turning, coughing and d eep breathing should be encouraged every one to two hours as this aids in the removal of secretions and prevents mucous plugs. They also encourage mobility when possible to increase respiratory excursion. Moreover, as Mrs HiltonShow MoreRelatedDiagnosis Of Post Operative Nursing Interventions1507 Words   |  7 Pagesintra-capsular fracture of the hip at the femoral neck. She has a history of severe rheumatoid arthritis, had an upper GI bleed in 1993 and had coronary artery disease bypass graft 9 months ago. In this essay I will discuss the entire continuum of post-operative nursing interventions in the first 24 hours with more emphasis on pain management for Ms Sue following Total Hip Replacement (THR) Pathology There is a high prevalence of degenerative joint conditions such as osteoarthritis among the older adultsRead MoreNursing Assessment And Comprehensive Post Operative Planning For An Elderly Patient Undergoing A Total Hip Arthroplasty2119 Words   |  9 Pagesall health care professionals. It is the role of the registered nurse within the orthopaedic ward to provide holistic assessment and comprehensive post-operative planning to facilitate client centred care for an elderly patient undergoing a total hip arthroplasty (Walker, 2012). The purpose of this essay is to identify and prioritise appropriate nursing assessments and care provided for an elderly man (Mr. Simons) transferred to the Orthopaedic ward from the Emergency Department via operating theatresRead MoreEnhanced Recovery After Surgery (Eras) Are A Relatively1681 Words   |  7 Pagesincluding pre, intra and post-operative phases. I will analysis two research papers which highlight the use of ERAS protocols and define a variety of protocols and focus on four ERAS protocols which are commonly used in surgical nursing. Literature search For preparation of this paper I explored the University of the Fraser Valleys library databases to find relevant articles pertaining to ERAS protocols. I first began my research by searching for key word such as surgical nursing interventions, ERASRead MoreIdentifying a Researchable Problem695 Words   |  3 Pagesa topic of interest. The problem is then researched to solve it. In nursing practice research problems is the basis for evidence-based practice (EBP). â€Å"Evidence obtained from the study should have potential to contribute meaningfully to nursing practice† (Politamp; Beck, 2012, p77). The purpose of this paper is to summarize an area of interest, identify a problem, and explain the significance of this problem for nursing practice. Area of Interest andRead MoreThe Recovery Room1612 Words   |  7 Pagesunit (PACU) of the 21th century, the look and function of this unit have been in a constant state of evolution. Throughout the six past decades, surgical procedures have become more extensive and complicated and thus require more specially prepared nursing staff and equipment for the care of the patient (Odom-Forren, 2013). The PACU of today is an intensive care specialty that provides care to wide range surgical patients. Many of these patients have more than one chronic condition, such as chronicRead MoreHip Arthroplasty765 Words   |  4 Pagesand is one of the most common reconstructive operations (Huo et al 2008). Hip arthroplasty may be performed when irreversible damage has occurred to the joint; this damage often causes pain, dysfunction and reduced quality of life. The pre-operative nursing considerations begin with patient education. This should begin at the time the decision is made to have the surgical procedure performed. It is important that the patient understand the preoperative requirements, the surgical procedure, postoperativeRead MoreMusic and Well-Being Essay1667 Words   |  7 Pagessituation for a patient undergoing surgery. Moreover, Pellino, et al (2005) sustained that â€Å"pain is a multidimensional experience, consisting of not only physical stimuli but also psychological interpretations of pain† (p. 182). Alleviating peri-operative pain is traditionally achieved with the use of pharmacological interventions. analgesia can incur undesirable side-effects like drowsiness, nausea and vomiting. Controlling the pain by complimenting analgesics with the use of non-pharmacologicalRead MoreManagement of Pain Analysis1195 Words   |  5 PagesThroughout my life, I have undergone many dental operations, giving me first hand e xperience on post-operative pain and it’s management. After being exposed to long term care settings for clinical, I would like to take this opportunity to increase my knowledge on a topic that, besides my own personal experiences, I have not been heavily exposed to in a learning environment. Pain, defined in Kozier et al. (2014) as â€Å"an unpleasant sensory and emotional experience associated with actual or potentialRead MoreRotator Cuff Surgery: Case Study Questions1706 Words   |  7 Pagesremoved from work. A more effective strategy of referral to social work and public assistance resources may have been employed to preemptively improve the mental state of the patient as he entered into his procedure. Q2. Whilst the patient is in the Post-Anaesthetic Care Unit (PACU), identify and provide rationale for airway management as related to the case study There is a pressing need for effective airway management during arthroscopic shoulder surgery based on the unique supine position requiredRead MoreProfessional Roles and Values Essay1577 Words   |  7 PagesConnecticut Board of Nursing, and a Professional Nursing Organization, such as ASPAN? The former is the state regulatory agency that a person who after meeting all the requirements, can apply for a nursing license. The latter is a specific organization that focuses on a specific type or filed of nursing. A Professional Nursing Organization can offer continuing education programs, course specific seminars and certification in that specialty. The State Board of Examiners for Nursing have positions appointed