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Perioperative Care for for a 45-year old woman admitted for a…
Perioperative Care for for a 45-year old
woman admitted for a cholecystectomy
Establish a rapport with her so that she have a confidant to express their concerns with thus lowering her anxiety for the upcoming procedure :smiley:
Monitoring the patient's vital signs will provide a baseline assessment of the patient and also inform if they are suitable to undergo surgery and after surgery the vital signs determine if the patient is stable or experiencing a change :check:
Assess the severity, characteristics and frequency of the pain. Because pain is subjective it is important to note any pain the patient claim to determine the level of pain.
Stay with the 45 yr old patient until time of surgery. A : sense of abandonment can affect the patient negatively but building more fear.
Educate the patient about the surgery. Inform her that prior to the surgery she can not eat or drink eight hours before.Explain to her what a cholecystectomy is. Explain to her how the procedure is carried outand the effects of the surgery. Such as her experiencing pain after the surgery
Intaoperative Care
Risk for Aspiration
Assess patient's Condition. To note any abnormalities within the patient. :check:
Note duration of anesthesia. To assess the presence of the patient's gag reflex. :check:
Maintain the airway by suctioning. To avoid obstructuion of the airways.
Postoperative Care
Provide a diversion for the 45 yr old patient.This is to divert the patient's attention from the pain.
Administer medication as ordered. This will help minimize the patient's pain.
Provide the 45 yr old patient the opportunity to ask questions and answer the questions honestly and to the best of your ability. Also use the moment to assess her knowledge on the procedure :check:
We must teach her deep breathing exercises.This will help with lung expansion after the surgery. Along with pain management so that she can cope with the pain after the surgery.
She will be taught the importance of mobilization.She will understand that by being mobile she will increase her chances of recovery and reduce the chances of muscle degeneration, pressure ulcers and other effects of prolonged bed rest.
Preoperative Care
Reinform the patient about pain management and the proper care of her incision to avoid dehiscene and infection.
Teach her how to splint wound and how to self turn . By teaching her how to do these activity she lessens the chance of tearing the dehiscence (splinting ) and by learning to self turn she can accommodate herself when need be.
Teach her family about the surgery and make follow up appointments for her
Assist her in mobilization
