Term
| What is the Primary purposes of the patient interview |
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Definition
1.Obtain client health info . .
2.Determined client expectations about surgery & anesthesia . . .
3.Provide & clarify information about the surgical experience . . .
4.Assess the clients emotional state and readiness for surgery . . .
5.Ensure the consent form is signed properly . . . |
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Term
| The 5 Psychosocial assessment factors |
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Definition
Situational Changes: . . . .
Concerns with the Unknown: . . .
Concerns with Body Image: . . .
Past Experiences: . . .
Knowledge Deficit: . . . . |
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Term
| What is PreOp Situational Changes: |
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Definition
Situational Changes:
• Determine support systems, including family significant others, group and institutional structure, and religious and spiritual orientation.
• Define current degree of personal control, decision making, and independence.
• Consider the impact of surgery and hospitalization and the possible effects on lifestyle.
• Identify the presence of hope and anticipation of positive results |
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Term
| PreOp Concerns with the Unknown: |
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Definition
• Identify specific areas and depth of anxiety and fears.
• Identify expectations of surgery, changes in current health status, and effects on daily living. |
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Term
| PreOp Concerns with Body Image |
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Definition
• Identify current roles of relationships and view of self.
• Determine perceived or potential changes in role or relationships and their impact on body image |
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Term
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Definition
• Review previous surgical experiences, hospitalizations, and treatments.
• Determine responses to those experiences (positive and negative).
• Identify current perceptions of surgical procedure in relation to the above information from others (e.g., a neighbor’s view of a personal surgical experience). |
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Term
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Definition
• Identify what amount and type of preoperative information this specific patient want to know.
• Identify what this patient must know preoperatively.
• Assess understanding of the surgical procedure, including preparation, care, interventions, preoperative activities, restrictions and expected outcomes.
• Identify the accuracy of information the patient has received from others, including health care team, family friends, and the media. |
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Term
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Definition
| Anxiety-is a normal and inherent survival mechanism; however, if the anxiety level is extremely high, cognition, decision making, and coping abilities are diminished |
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Term
| What are some PreOp Common fears |
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Definition
| Common fears Fear of Death; Fear of pain and discomfort; Fear of mutilation or alteration in body image; Fear of anesthesia; Fear of disruption of life functioning or patterns. |
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Term
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Definition
previous complications from surgery-wound infections or reaction to analgesic . . .
identified of family health like history- hypertension, coronary artery disease, cardiac death, myocardial infarction, diabetes. Family history should also contain adverse reactions to anesthesia-malignant hyperthermia. |
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Term
| PreOp Allergies to be aware of |
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Definition
foods, chemicals and pollen.
Ask about latex allergies. . . . Risk factors include prolonged exposure to latex, . . . hay fever, asthma, and allergies to certain foods— * * * avocados, kiwis, bananas, chestnuts, potatoes, preaches, and apricots * * * |
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Term
Preoprative Rating of PreOp client.
I. II. III. IV. V. |
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Definition
I. Healthy patient with no systemic disease . . . .
II. Mild systemic disease w/o functional limitations . . . .
III. Severe systemic disease associated with definite functional limitations . . . .
IV. Severe systemic disease that is an ongoing threat to life . . . .
V. Patient unlikely to survive for more than 24 hr with or without surgery . . . . |
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Term
Diaphragmatic breathing
HOW:&
WHY: |
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Definition
HOW: Inhale slowly and deeply through the nose, hold breath for a few seconds, exhale slowly and completely through the mouth. Place hands over lower ribs and upper abdomen to feel rise and fall.
- - - -WHY: Facilitate gas exchange and promote return to consciousness - assist with loosening of secretions - stimulate cough - prevent atelectasis - prevent respiratory infection |
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Term
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Definition
Coughing
HOW: You know how to cough - be sure to splint abdominal incision
- - - -WHY: Loosen and mobilize secretions in the lungs - prevent respiratory infection |
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Term
| Leg, ankle and foot exercises How & Why |
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Definition
HOW: 10-12 times every 1-2 hours while awake. ESSENTIAL: Gastrocnemius (calf) pumping, Quadriceps (thigh) setting DESIRABLE: Foot circles, Hip and knee movements - - - -
WHY: Promote circulation (facilitate venous return) in lower extremities and prevent formation of thromboembolism. |
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Term
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Definition
HOW: Every 1-2 hours - encourage ambulation as soon as allowed by physician
- - - WHY: Prevent decubitus ulcers - manage pain - allow full chest expansion and increase lung perfusion |
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Term
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Definition
HOW: Every 1-2 hours - encourage ambulation as soon as allowed by physician
- - - WHY: Prevent decubitus ulcers - manage pain - allow full chest expansion and increase lung perfusion |
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Term
| VOLUNTARY and INFORMED CONSENT, Three conditions necessary for consent to be valid: |
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Definition
1) Adequate disclosure of the diagnosis; the nature and purpose of the proposed treatment; risks and consequences; probability of successful outcome; availability of alternative treatments; prognosis if treatment not instituted.
. . . .2) Pt. must demonstrate clear understanding and comprehension of information provided - must be completed before pre-operative medications given!
. . . . 3) Pt. must give consent voluntarily - must not be persuaded or coerced. |
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Term
| Pain Assessments what might we see |
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Definition
1.lack of movement .
2. Grimacing .
3. Moaning .
4. Muscle spasms .
5. Clinching fist .
6. Guarding .
7. Sweating
8. Restlessness
9.Increase pulse
10. Irritability |
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Term
| Pain Nursing Interventions |
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Definition
1.Splint area .
2.Reposition .
3.*Meds .
4.Relaxation .
5.distraction (TV) .
6.Re-warming .
7.imagery .
8.toughing (soothing) |
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Term
| What can cause Fever In a PostOp Patient |
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Definition
| Surgical stress response . Respiratory congestion . Atelectasis . Dehydration |
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Term
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Definition
| Collapse of alveoli due to absorption of air dur to a blocage of the alveoli enternce |
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Term
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Definition
Assessments
1.Decrease pulse OX
2.Decreases Breath sounds |
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Term
| Atelectasis Interventions |
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Definition
1.Deep breathing
2.Encourage fluids
3. Coughing
4.ambulation
5. Inspirameter (you suck on it you dont blow ) |
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Term
| Pulmonary Edema Assessment |
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Definition
Tachypnea
Labored shallow respiration
Restlessness
Air hunger
Crackles
Infiltrates on chest x ray
Blood-tinged or frothy sputum
Decreased O 2 sat |
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Term
| Pulmonary Edema Interventions |
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Definition
Diuretics . . .
Fluid restriction |
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Term
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Definition
| An accumulation of extravascular fluid in lung tissues and alveoli |
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Term
| What Is a Pulmonary embolism |
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Definition
| A blockage of a pulmonary artery by foreign matter. The obstruction may be fat, air, tumor tissue or a thrombus |
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Term
| Assessment Pulmonary embolism |
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Definition
Acute tachypena . .
Dyspnea . . .
Tachycardia . ..
Hypotension . . .
Decreased O2 sat |
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Term
| Pulmonary embolism Interventions |
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Definition
Interventions . . .
O 2 therapy . .. .
Cardiopulmonary support . . .
Anticoagulant therapy . . . |
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