This assessment will cover the following questions:
- Identify and explain nursing priorities, pathophysiology and the nursing interventions for the patient post-surgical issues.
- What are the clinical issues and challenges in post-surgical situation.
- State the key responsibility of the nursing department is post-surgical care.
In the health care system after the laparotomy, care of a surgical patient is considering as the post-surgical care. Which involves the evidence based interventions in context to the post-surgical nursing issues, as nursing priorities (Nascimento & Jesus, (2020)). Patient after the hemicolectomy for a poorly differentiated adenocarcinoma, face huge health issues and complications, such as the acute patient, berating issues, frequent urination etc. In this report identification of the potential clinical issues is done in context to the post-surgical situation, which should be relevant for the nursing care. Identification of the nursing priorities, pathophysiology and the nursing interventions for the patient post-surgical issues is done, along with evidence of intervention rationales.
Part A: Analyse the case to identify potential clinical issues and relevant nursing care;
Patient is 64-year-old female with the medical history of hypertension, and hypercholesterolemia, Myocardial infarction, Obstructive sleep apnoea (OSA), hypertension and asthma. Due to the three-month history of the abdominal pain and diarrhoea she had diagnosed with the CT scan and revealed the tumour in the ascending colon. In context to that analysed chronic issues, she re-saintly retuned from the open right hemicolectomy. ;registered nurse key priorities in context to this patient is analysed for which the selected interventions are planned. Below is the explanation of three nursing priorities (Holle & Lopez, (2019)).
One of the most common issues which is faced by the patient after the surgery and have to manage by the nurse is acute pain. This pain is related to the surgical incision and reflex muscle spasm. These complaints are proved by the registered or documented complains of restlessness, irritability, moaning, guarded body posture. So the registered nurse key priority is can be management of the acute pain with relevant intervention (Campbell & Scott, (2021)).Want Dissertation help? Take help of our experts!
Ineffective breathing pattern
Another nursing priority related to the patient health issue is ineffective breathing pattern. This is basically involving the respiratory irritation, airway obstruction, increased secretions. This nursing issue is evidences by dyspnoea, crowing, low oxygen saturation. As the patient is having the history of asthma this become more important to manage the berating pattern of the patient with educate interventions.
Patient is having the history of myocardial infarction, hypertension and after the surgery, this increases the chances of hemorrhage due to the ineffective vascular closure or alterations in coagulation. This is another key priority of the nursing care practices during the post-surgical care (Rohatinsky, & Hellsten (2020)).
Patient primary condition was associated to her medical history Hypercholesterolemia, as it has been identified that increase serum cholesterol level have been reported positively associated with the risk of the colon, rectal, prostatic cancer (Ehrenfeld & Gonzalo, (2019)). Hypercholesterolemia is further associated with the risk of asthma, as the patient of given case study has already faced in her medical history.High blood pressure and high cholesterol is also linked, because due to the high cholesterol plaque and calcium arteries become hardened and narrowed, due to which hart strain much harder to pump blood, as result of which blood pressure become high.Obstructive sleep apnoea is phased by the patient due her excessive weight.risk of premature atherosclerotic disease is associated with the hypercholesterolemia, as identified in the patient case. The current medication of the patient, such as Simvastatin 40mg nocte is associated with the health risk like headache, nausea, stomach pain, constipation and muscles damage. Aspirin 100 mg mane was the medication which is possibly the causative of the patient adenocarcinoma. Because this is proved that Aspirin cause gastrointestinal ulcerations and abdominal pain, which lead to the adenocarcinoma (Akuji & Thomas, (2019)). Ventolin prn medication is associated with the risk of chest pain, fast heart beat seizure etc.laparotomy is further associated with some clinical issues like post-operative pain, Ineffective breathing pattern, haemorrhage as this has been identified from the current observation 0800, that patient Pulse is 110, which is the dedicator of irregular breathing.Pain score 6 on a scale of 0-10 and estimated blood loss (EBL) in OT 600ml. The key assessment data sources which is used to collect the information for the development of effective care plain, are pre-operative clinical data and post-operative clinical data (Ladwig & Makic, (2019)).Need Essay help! Take Experts help!
Nursing interventions are the action which takes place by the nursing departments to implement patient care plan, this is involving the treatments, patient education, patient support and comfort. Below is some selective evidence based interventions in context to the identified nursing priorities, along with the R