DeLamar, L.(2007) ‘ Anaesthesia’ in Rothrock J (ed) Alexander’s care of the patient in surgery. 13th edn. Missouri: Mosby. Pp.120 – 122.…
References: Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L., & Camera, I. M. (2011). Medical-Surgical Nursing: Assessment and Management of Clinical Problems (Eighth Edition). St. Louis, MO: Elsevier Mosby.…
* Assisting with preparatory procedures, such as pulmonary artery catheterization, electroencephalographic spectral analysis, echocardiography and evoked potentials.…
peri-operative care, which is divide on three important phases- anaesthetic phase, surgical phase and recovery phase.…
Perioperative use: control of nausea and vomiting as adjunct to analgesia pre-op and post-op, to allow decreased opioid dosage. (pg 466)…
The acute pain treatment is essential to facilitate recovery from surgery or trauma by enabling early recruitment and avoiding complications, including the bed-bound risks of venous thromboembolism, pulmonary embolus, pressure sores and pneumonia because severe untreated acute pain may also leads to the development of chronic pain. In treating acute pain opioids are very effective and are used in combination with paracetamol, non-steroidal anti-inflammatory drugs and local anaesthetics where suitable as superlative part of a multimodal analgesic manner. However, the initiating opioids require a prescriber to ensure that the opioids are not continued beyond the expected period of tissue healing in the acute…
References: AORN (2011). Perioperative Standards and Recommended Practices. For Inpatient and Ambulatory Settings. (2011 ed.). Denver: AORN.…
Physicians and pharmacists need to be willing to accept an APS as part of the care team. Currently, the primary team must request involvement of the APS and that request must be documented in order for the service to be covered by insurers. To get surgeons on board, include them in developing protocols for all analgesic techniques and educate them on the benefits of having multi modal involvement to improve patient’s satisfaction of their overall hospital experience.…
The chosen model of care is Essentials of Care (EOC). The EOC model is a framework that focuses on the essential components of patient centred care and seeks to support the development and ongoing evaluation of nursing and midwifery practice. The main purpose of the EOC model is to improve patient safety and outcomes by enabling nurses and midwives to emphasis on developing clinical environments that enhance patient care, teamwork and individual work satisfaction (NSW department of health 2009). The transformation of this model requires all patients, families and healthcare staff to have the opportunity to participate in the decision making process regarding the holistic approach of their healthcare. The EOC is done through evaluating the quality of healthcare delivery, recognizing prospects for the development of practice, initiating locally established plans to improve practice and engaging clinicians in transformational practice development (NSW department of health 2009). The assessment and monitoring of patients post operatively is a crucial stage to ensure that the appropriate intervention of care is provided sufficiently for the patients. Providing effective pain control is an essential process for the well being of all post operative patients. Pain management in the post operative period is given in accordance to the surgery performed, age, sex and status of the individual patient. Post operative pain control not only relieves the patient from unnecessary pain, it also reduces anxiety and assists in the recovery from surgery. Anxiety has been associated with physiological effects which influence the levels of pain experienced by the patient (Vaughn et al 2007). Research has shown that anxiety in patients cause delay in the healing process and can lower their immunity (Kiecolt-Glaser et al 1995). The advantages of effective pain management include patient comfort and satisfaction enabling a faster recovery and reduced cost of care.…
Pain management is a major concern for nursing care. Not only does controlling pain help the patient rest and heal, it also improves patient satisfaction. Pain management involves more than providing the patient with pain medication, it is an entire nursing process that starts at the time of admission. “A thorough pain history and shared goal setting are critical components of effective pain management that leads to beneficial outcomes” (Glowacki, 2015). Pain history includes past experiences of pain, current and past pain methods that have managed pain effectively, a tolerable level of pain, triggers of pain, and so on. Obtaining this history is imperative for the nurse in order to meet the patient’s pain management goals. This may just be…
When Mr X woke up he was in acute pain, this is something that needed to be addressed in order to make him comfortable. It was important to factor in how much pain he was in prior to surgery, it was found in his notes he was in little to no pain on rest. So when I asked him how much pain he was in on a scale of 1-10 and he said 6, even with a regional block I knew he was very uncomfortable. I could also see this through his facial expression, and the fact he was tachycardic and was becoming hypertensive (Dillon, 2007). It was also found that he was quiet anxious prior to the surgery due to this being his first surgical intervention, which meant that the way he was perceiving this surgical pain could be adding to his discomfort (Hilton, 2005). It was important to address his pain as soon as possible, as in a surgical setting pain has no value, and not treating this pain can lead to negative effects both physiological and psychological. The anaesthetist had prescribed Mr X fentanyl, tramadol, brufen and paracetamol. It was important to look through his theatre notes to see what he was given in theatre to make sure we weren’t giving him too big of a dose if he had already had some. We first administered fentanyl as it is a short acting opioid (Drain, 2003) then did another pain assessment. It was found he was down to a 4, which he said he still…
Smeltzer, Suzzane C., Brenda G. Bare, Janice L. Hinkle, Kerry H. Cheever. Textbook of Medical-Surgical Nursing, ed.12. Lippincott William & Wilkins. 2010…
-He used both local and oral anaesthesia to reduce the pain patients experienced during surgery which now has become very common in many surgeries carried out globally.…
Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & et at. (2011). Medical Surgical Nursing Assessment and Management of Clinical Problems (8th ed.) St Louis, Missouri. Elsevier Mosby…
How does Shouldice offer a superior value proposition relative to its customers, remain successful, and balance low cost with high quality?…