Please enable JavaScript.

Coggle requires JavaScript to display documents.

Post-op Rehab - Coggle Diagram

- - - - is used to objectively describe the extent of impaired consciousness in all types of acute medical and trauma patients. The scale assesses patients according to three aspects of responsiveness: eye-opening, motor, and verbal responses.
    - - to grade and plan treatment of patients with head injury. It can also be used to monitor neurological status of critically ill patients
    - - Some drugs may affect pupillary reaction and the effects of any prescribed medication must be considered when carrying out a pupil assessment
      - Spinal reflexes may cause the arms or legs to flex briskly in response to pain and must not be interpreted as a response
      - Always record the best arm response
  - - - A test that counts the cells that make up yor blood: RBC, WBC, and platelets.
    - - To identify bleedings risks
    - - Explain that slight discomfprt may be felt when the skin is punctured
      - Encourage to avoid stress
      - Explain that fasting is not necessary.
      - Apply manual pressure and dressings over puncture site on removal.
      - Monitor the puncture site for oozing or hematoma formation.
      - Instruct to resume normal activities and diet.
  - - - To monitor the current physical state and impending complications that may develop
    - - Vital signs reflect essential body functions, including your heartbeat, breathing rate, temperature, and blood pressure. They are being monitored to measure, or monitor level of physical functioning.
    - - Assess patient’s readiness
      - Explain the procedure to the patient/relatives
      - Place patient in a comfortable position
      - Not activity like exercise, eating and drinking caffeine before taking vital signs
      - Ensure adequate lighting
      - Wash hands before and after the procedure
  - - - a painless, non-invasive diagnostic imaging procedure that produces cross-sectional images of several types of tissue not clearly seen on a traditional X-ray.
    - - to detect intracranial bleeding, space-occupying lesions, cerebral edema, infarctions, hydrocephalus, cerebral atrophy, and shift of brain structures
    - - Obtain a written consent
      - Obtain history for allergies to iodine or contrast material
      - Ensure patient safety
      - Check renal function when done with
        contrast
  - - - Is a test that uses powerful magnets, radio waves, and a computer to make detailed pictures of the inside of the body.
    - - To visualize possible dilations and ruptures in the blood vessels
    - - Secure an informed consent
      - Inform the patient that there will be loud and clicking sounds
      - Ensure patient safety by securing the patient on the tabl
      - Assess client for claustrop
- - - - for transfers and ambulation
    - - to provide data on the extent of any physical problems and to guide therapy
    - - Blockages such as throw rugs, children’s toys, and pets can further control and limit one’s ability to ambulate harmlessly.
  - - - The pt must get used to the layout of the environment to avoid accidents.
    - - To prevent the patient from accidentally falling or pulling out tubes.
    - - To prevent the patient from any unpleasant experience due to dangerous objects.
    - - This is vital to safety and recovery.
    - - Gait training in physical therapy has been proven to effectively prevent falls.
  - - - To determine if an intravascular fluid deficit exists
    - - This can help identify bleeding into tissues, organs, or body cavities
    - - Changes in these signs may be indicative of blood loss
  - - - to gain an understanding of the patient’s current situation and to aid patient with coping effectively.
    - - Verbalization of actual or perceived threats can help reduce anxiety and open doors for ongoing communication.
    - - Participation gives a feeling of control and increases self-esteem.
  - - - This conveys interest and concern
    - - To increase likelihood of being understood
    - - People with aphasia may talk more easily when they re rested and relaxed and talking to one person at a time.
    - - This reduces stress of difficult situation and promotes earlier return to more normal life pattern
- - - - Maybe caused by the vasospasm of the vessels of the brain due to previous rupture of an aneurysm
    - - Probably due to damage to the left part of the brain by a contusion causing problems in the innervation of the muscles on the patient's right side
    - - Withdrawal behavior (4)
        
        The damage to the brain from brain ischemia or increased pressure may affect the motor regulating area of the brain
      - Eyes open with pain (2)
        
        Aneurysm affects the eyes due to the pressure of the aneurysm pressing on the optic nerves
      - Difficulty conversing (2)
        
        The damage to the left part of the brain may have also affected the wernicke's and/or Brocca's area where speech is controlled
  - - - Sudden change to physical independence may affect the patient's self-esteem. They may refuse help to maintain their independence
    - - Drastic change to everyday life and activities may cause the patient to get grieve and get frustrated.
- - - - Contraindicated in patients hypersensitive to drug. I.V. form is contraindicated in patients with severe hepatic impairment or sever active liver disease.
      - Tell patient not to use for marked fever (temperature higher than 39.5 C), fever persisting longer than 3 days, or recurrent fever unless directed by prescriber.
      - Monitor for S&S of: hepatotoxicity, even with moderate acetaminophen doses, especially in individuals with poor nutrition or who have ingested alcohol over prolonged periods.