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Recovery to Discharge Patient Management: Hystroscopy Dilatation and Curettage - Case Study Example

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The author examines the case of A 42-year-old female who was admitted for Hysteroscopy dilatation and curettage. The patient stated that her menstruation always came regularly every month, however, some blood always presented approximately one week after her menstruation. …
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Recovery to Discharge Patient Management: Hystroscopy Dilatation and Curettage
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Download file to see previous pages The patient was transferred to the stage 2 PACU after she met the safety criteria score. The hand over was given by the recovery nurse to the stage 2 PACU nurse which included the patient’s identity and condition of the conscious stage, procedure, vital signs during the recovery, IV fluid and drug during OT.  The endorsement also included follow up instruction. Rudkin (n.d.) explains that the second stage of recovery is the stage where the patient is safe to discharge from day surgery facility based on his stable condition, minimal nausea and vomiting, and his pain which can be managed in the home environment. The patient was alert and orientated when she arrived in the unit. She was observed on arrival hourly for two hours; then the discharge score was applied. During two hours postoperative, the patient was given a sip test, followed by food and drink.  This test ensured that the patient has minimal complications of nausea and vomiting. However, Awad and Chung (as cited in Lemos, Jarrett and Philip, 2006) dispute that limited drinking can help reduce vomiting during the recovery period.  Fewer bouts of vomiting can help reduce vomiting and prevent prolonged hospital stay (Awad and Chung, as cited in Lemos, Jarrett & Philip, 2006). The patient was also monitored for pain. The patient expressed that she felt lower abdominal pain and on a scale of 1-10 with 10 being the most painful, she rated the pain at 7 out of 10.  The nurse administered Panadine forte  (as prescribed) to the patient.  Maunsell (2006)  emphasized that applying the best practices in pain management for ambulatory surgery patients would largely benefit the patient.  Failing to manage pain can increase time spent in the PACU, increase stage 2 unit stay, delay discharge, lead to the unplanned overnight hospital stay, delay return to activities of daily living, and cause delays in patient satisfaction (Maunsell, 2006).  ...Download file to see next pages Read More
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