Nobody downloaded yet

Post Surgical Elderly - Essay Example

Comments (0) Cite this document
Summary
The case presented here, is about a female elderly patient admitted to this hospital for Left Hip Hemiarthroplasty, intra-operatively patient manifested complications that include pulmonary oedema, acute myocardial infarction and hypocalemia. She is recently transferred to an orthopaedic ward for further nursing treatment…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER95.3% of users find it useful
Post Surgical Elderly
Read TextPreview

Extract of sample
"Post Surgical Elderly"

Download file to see previous pages The primary aim shall be focused on the critical health issues affecting the ABC's (airway, breathing and circulation) of life, where wellness shall be promoted, discomfort be alleviated and complications be prevented with in the duration of her stay inside the hospital. As part of a nurse's care, an effective well comprehended discharge plan shall be discussed both to the patient's daughter as well as the patient herself for home treatment. One of the most important tasks that a nurse assumes in the medical industry is to make sure that the patient shows optimum if not maximum health conditions prior to discharge. It also her duty to provide health education unto the patient and the patients significant others for a thorough out patient care, one that is understood by both in terms of semantics, relevance and importance so as to be religiously followed.
Admitted to my ward 3 days post surgery, 77 years old Patient Tee is currently in 2 litres oxygen therapy with 99% saturation via nasal prong. Chest x-ray indicates that the lower lobe of the lung has collapsed with a sputum microscopy that revealed a few gram positive Vancomycin resistant enterococcus. The patient also suffers from dysphagia characterized by post swallowing cough as well as dysphonia. Physical mobility is likewise restricted possibly due to fatigue and or fear of pain. While patients pre-hospitalization history already reveals poor nutrition, as verified by her daughter's statement that the patient refuses to eat her meals, this is much heightened with the presence of dysphagia (Medline and Mayo clinic home page. 2006). The patient's micro culture and sensitivity results tested positive on Enterococcus species, although there is no sign of elevated temperature as of the moment.
The initial focused assessment that shall be made by interviewing patient Tee's of her present condition in order to gather information related to how and what she is feeling, taking into consideration dysphagia, pain (if any), breathing and communication ability, her appetite, urine and bowel movement, and the reasons for inability and her description of the intensity of pain/discomfort, as part of my acquisition of subjective data. As a nurse the observation that will take into account my own objective assessment will include, her breathing pattern, willingness to move about, range of movement, coherence and affect; her response to touch as well as the psychological manifestation of how she feels about her recent conditions and finally verifying this observations with laboratory results

Nursing Diagnosis with rationale:
Ineffective breathing pattern and impaired gas exchange secondary to collapse of the left lower lobe of the lung as evidenced by the decrease in oxygen saturation in the blood whenever oxygen pattern is removed (Orem, 1980. p.11). Activity intolerance related to shortness of breath as well as fatigue related to impaired oxygen exchange system. Anxiety related to feeling of suffocation and possible fear related to disabling respiratory deficiency. Impaired verbal communication secondary to dependence of prong/masked O2 inhalation and lastly chronic or situational low self esteem related to loss of normal ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Post Surgical Elderly Essay Example | Topics and Well Written Essays - 2000 words”, n.d.)
Post Surgical Elderly Essay Example | Topics and Well Written Essays - 2000 words. Retrieved from https://studentshare.org/miscellaneous/1508825-post-surgical-elderly
(Post Surgical Elderly Essay Example | Topics and Well Written Essays - 2000 Words)
Post Surgical Elderly Essay Example | Topics and Well Written Essays - 2000 Words. https://studentshare.org/miscellaneous/1508825-post-surgical-elderly.
“Post Surgical Elderly Essay Example | Topics and Well Written Essays - 2000 Words”, n.d. https://studentshare.org/miscellaneous/1508825-post-surgical-elderly.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document
CHECK THESE SAMPLES - THEY ALSO FIT YOUR TOPIC
Foundations in surgical care
...? Foundations in Surgical Care Introduction Surgical care is an important aspect of health care. Statistics reveal that over 235 million operations are conducted annually on a global scale. Surgery is performed in various parts of the world and in various settings; rural or urban and for the rich and poor. Surgery is an important aspect in health care as it prolongs longevity in life by correcting various conditions and disabilities. Regardless of this fact, surgery is associated with various complications and death. Therefore, surgical care and its potential complications require noteworthy attention from all stakeholders in the health care sector (NPSA, 2008). The term...
9 Pages(2250 words)Essay
Surgical Site Infection in Post-Op Patients
...? SURGICAL SITE INFECTION IN POST OP PATIENTS Susan Avila-Brown Section A & B February 20, Introduction Surgical Site Infection refers to infections that occur after surgery on the body part where the surgery was done. These infections may at times be superficial infection that involves the skin only (Griffin, 2005). Other surgical site infections are exceedingly grave and may involve body tissues found under the skin, the organs or the implanted substance. It is therefore without doubt that surgical site infections represent a considerable portion of infections associated with health care. Its impact on mortality, morbidity, and cost of health care has...
6 Pages(1500 words)Research Paper
Assessment of Pain in Post Surgical Patients
...?A IVE AND OBJECTIVE ASSESMENT OF PAIN IN POST SURGICAL PATIENTS OF CARDIOTHORACIC SURGERY Background Pain management includes the various types of pain experiences throughout an individual’s life cycle and alleviating the same through interventional measures. Pain experiences may include acute and chronic in nature. Pain has physiological, spiritual, emotional and psychosocial dimensions and it is for this reason managing pain through multidimensional observations and assessments are extremely important. Due to the various advances in the field of pain management ( including assessment tools, newer guidelines on pharmacological and non pharmacological interventions), nurses may land up into incomplete or...
3 Pages(750 words)Essay
Surgical Safety and the Highly Reliable Surgical Team
...Partial fulfillment of the requirements for the degree of Bachelor of Arts Surgical Safety and the Highly Reliable Surgical Team by Randall Rentschler 36617 Blanca Ave Madera, Ca. 93636 Tom Schindler Dr.Breck Harris Organizational Leadership 32 May 27, 2009 Abstract Patient safety is more than a local hospital, state government, and national political mandate. It can also be viewed as a worldwide concern. In late 1999 the Institute of Medicine released its report "To Err Is Human: Building a Safer Health System". According to estimates from the Agency for Healthcare Research and Quality, the cost (gleamed from research in 2001-2002) of preventable medical errors that occur during...
10 Pages(2500 words)Essay
Surgical Nursinging
...This paper discusses advance ments that are filled in by patients and the surgical nurse's role during this process. The paper examines advance statements and then discusses how surgical nurses play a role. Advance Statements and The Surgical Nurse's Role Undergoing surgery or any kind of treatment in hospital is not a pleasant experience. On one hand one is away from home and family and on the other hand hospitals tend to give most people the jitters. Hence it is not surprising that once admitted into the hospital patients feel depressed and lonely. It is the duty of the hospital staff to make sure that patients stay mentally strong and happy. Although every member of the hospital staff is important in their own way... ). Admission...
4 Pages(1000 words)Essay
Advanced Medical-surgical Nursing
...___________ ____________ ____November 2006 Advanced medical-surgical nursing Introduction Health care is a high risk environment issue. Several elements drawn from the health environs impinge upon the final design of a health care system. A lot many finer concepts at the level of nursing care have to be understood theoretically and applied to health care systems in order to ensure meeting of the final objective of such systems viz.complete patient care and discharge. Any health care system is characterized by the presence of elements which are highly technical & hazardous. These elements generally relate to having adequate and comprehensive procedures and equipment, coping with incomplete and rapidly changing medical...
11 Pages(2750 words)Assignment
Post-surgical pain
...encountered in caring for the elderly include misconceptions, inadequate assessment, patients with cognitive impairment, dementia, aphasia and lack of education. Frail, debilitated patients and cognitively impaired patients benefit from frequent assessments. Co-operation and help of a family member in order to try and "understand" the patient is indicated many a time. It may be helpful to note the patients posture (rigid, not moving), facial expressions, verbal cues such as moaning. In a confused patient (who is previously not confused) rule out hypoxia, drug interaction, night time confusion, and pain. A history of alcohol abuse warrants preventive measures against withdrawal (May L Chin, 1996)....
7 Pages(1750 words)Essay
Surgical Patient Flow
...Surgical Patient Flow Operation theatre is an expensive resource and a major determinant of hospital costs. Case delays or cancellations especially on the day of surgery cause serious losses for the operation theatre’s time and resources. When the surgical patient flow management works in a set fashion, the delays and cancellations can be decreased proportionately. This study aims to describe and analyze the flow of surgical patients into the operation theatre at King Faisal Specialist Hospital & Research Centre in Riyadh, Saudi Arabia, and to understand how successful these processes are, on the whole, as well as determine the underlying problems that might cause delays or cancellations for surgical cases. In this descriptive... and...
6 Pages(1500 words)Essay
First assist surgical study
...Task First assist surgical study Section Surgical Specialty: First assist surgical study of procedure: Laproscopic assisted vaginal hysterectomy with bilateral salpingo- oophorectomy. Laparoscopically-assisted Vaginal Hysterectomy and Bilateral Salpingo-oophorectomy (LAVH-BSO) in Patients with Gynaecologic Conditions requiring Hysterectomy and Bilateral Oophorectomy is a health technological surgery that helps women diagnosed with LAVH-BSO get back to their normal lives. In other words, the function of this type of surgery is to treat LAVH-BSO, which is a dangerous diagnosis especially when it is not treated. Thus, the objective of this procedure is to apply a vantage point surgery...
5 Pages(1250 words)Case Study
Meditech Surgical
...Meditech surgical Meditech surgical Meditech had a number of new product introduction problems. These problems were in terms of deficiencies or scarcities associated with the introduction of new products. According to Kaminsky (2008), "Forecasting had definitely been a problem, but determining its extent was difficult" (p. 22). In other words, predicting the success of a new product was an intricate process as it required manual entry of data linked with previous monthly preparations into a computer for analysis. This took a lot of time. This meant that Meditech failed to store appropriate preceding data in relation to planning hence the difficulty in calculating or predicting the outcome of a new product...
1 Pages(250 words)Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Let us find you another Essay on topic Post Surgical Elderly for FREE!
Contact Us