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60 year-old-female with Fracture distal radius left, Discharge plan, 2…

- - - - 1.Assessed the knowledge of patient about disease and treatment
      - Assessed the readiness of operation
      - 3.Described and advised about practice before and after operation
      - 4.Educated about cause symptoms and treatment of disease correctly
      - 3.1pre-operation
        -Build a good relationship between doctors with patient and relatives.
        -Assessed general physical condition, level of consciousness, taking history of past to present illnesses, congenital diseases, regular use of medications and drug allergies
        -Administer Cefazolin 2g to prevent infection after surgery
        -Explain the correct behavior and the necessity of abstaining from all kinds of water and food by mouth to cooperate in nursing including receiving medication before surgery to help reduce anxiety
        -Encourage the patient to get adequate rest and may also help prevent nausea from anesthesia
        -Skin preparation in the surgical area, the area should be wider and longer than the surrounding surgery area.
        -Remove dentures before surgery
        -Psychological, emotional, social and economic preparation before surgery, patients often have anxiety and fear of surgery so explain the treatment plan, allow patient and relatives to ask and express their concerns, provide accurate information to the patient about the cause and necessity of surgery.
        -Describes the patient and relatives about the pathology of the disease, surgery, the use of anesthesia, physical condition after surgery including recommending relatives to encourage and comfort the patient to reduce anxiety
        -Provide inform consent for anesthesia and surgery
      - 3.2 post-operation
        -Assessment of vital signs every 15 minutes, 4 times, every 30 minutes 4 times,
        every 1 hour, 4 times, then every 4 hours after stable vital sign
        -Observation for signs and symptoms of hemorrhage, shock such as change in consciousness, restlessness, weak pulse, rapid breathing, blood pressure drops. If found, let the patient lie down to increase blood flow back to the heart
        -Assessed surgical wound to see blood loss from surgical wound from drain and record blood loss
        -Assessed 5P: pain, pallor, paresthesia, pulselessness, paralysis, swelling caused by tight bandage
        -Assessed and prevent surgical wound infection by observe characteristics andsecretions of wound the symptoms of infection such as pain, swelling, redness, hotness around the surgical wound
        -Recommended to patients keep dry wound, Be careful to do not to get wound wet, do not scratch the wound
        -Give 0.9% NSS 1000 ml according to treatment plan
        -Give antibiotic Cefazolin 1g to prevent infection
        -Advised patients to eat healthy food to promote wound healing