To improve knowledge about how to do the ideal nursing intervention for clients with Strangulated Hernia. To do the necessary nursing intervention in hospital for client with Strangulated Hernia. To observe and understand the behavior of client having Strangulated Hernia. To develop our nursing responsibilities. To give the proper care and build a genuine nurse-patient relationship conducive to good health Etiology * congenital weakening of the abdominal wall, * traumatic injury, * aging, * weakened abdominal muscles because of pregnancy, or * increased intra-abdominal pressure (due to heavy lifting, exertion, obesity, excessive coughing, or straining with defecation).
Report changes to the provider. Hyperkalemia can result in EKG changes that include tall peaked T waves, prolonged PR interval, and widened QRS interval” (Ackley & Ladwig, 2011, pg. 343) The nurse monitoring an acute renal failure patient should implement safety precautions such as falls prevention protocol
According to Meleis (2007) knowing includes knowledge based on observation, research findings (evidenced based), clinical manifestations and scientific approach. As a stroke nurse empirical knowing it’s very important in taking care of stroke patients. I determine patient’s neurological status by performing neuro checks frequently every 1-2 hrs as the patient’s condition might deteriorate the first 24hrs and perform swallow test to determine if the patient can swallow medications. Patient’s plan of care is based on assessment findings(vital signs, Glasgow coma score).If a patient is confused and very weak fall precaution is observed by activating the bed alarms, request for a PT/OT consult, if the patient does not pass the swallow test, a speech therapist is consulted. Sometimes patient’s neurological deficits get resolved after a few hours or days and that calls for change of treatment plan.
Although, some patients have a bad case of a site infection and may need another surgery just for the infection (SHEA). There are many ways to prevent surgical site infections. The doctors, nurses, and other healthcare providers should clean their hands and arms up to their elbows with an antiseptic agent just before the surgery, clean their hands with soap and water or an alcohol-based hand rub before and after caring for each patient, they wear special hair covers, masks, gowns, and gloves during surgery to keep the surgery area clean, they give antibiotics to the patient before the surgery starts, and they also clean the skin at the site of the
So what are the causes of these infections and how can the nurse prevent them from occurring? Current Practice The current practice for the licensed practical nurse in incision care is doing what they are told. The doctor or surgeon who performed the procedure chooses whether the care should be sterile or clean technique. Usually they are clean technique. This means they wear clean gloves and use supplies that are already open and usually in a mass container.
Instead, nurses use hanging sponge holders, similar to that of over the door shoe holders, as well as a white board to count what kind and how many surgical sponges are removed as the surgery comes to an end. Lastly, surgeons can carefully conduct a wound exam in each procedure
Increasing patient safety can be best used as a form of intervention by leaders with teamwork and the modification of behavior instead of using a particular process combined with technology. (Weaver, March 2013) Decreasing hazards associated to healthcare is a national priority. That same commitment to prevention must be applied in outpatient settings such as dialysis clinics. Dialysis is a treatment that functions as a kidney when the body is unable to filter the blood and make urine. Hemodialysis process to take place when an access has to be created which is an artificial vein on either arm that transports blood from the body to a dialyzer.
Although semi-conscious, her condition is improving. A portable scan has revealed a ruptured spleen. CT scan has excluded spinal injury. Amanda needs transfer to theatre for emergency splenectomy. It is your role as staff nurse to coordinate this transfer.
ANAESTHETICS Preoperative assessment 1. Aims • The preoperative evaluation consists of gathering information on the patient and formulating an anesthetic plan • The overall objective is reduction of perioperative morbidity and mortality • Ideally, the preoperative evaluation is done by the person who will administer the anesthesia. The anesthetist should review the surgical diagnosis, organ systems involved, and planned procedure • Through interview, physical exam and review of pertinent current and past medical records, the patient’s physical and mental status are determined • All recent medications are recorded and a thorough drug allergy history is taken • The patient should be questioned about the use of cigarettes, alcohol and illicit drugs • The patient’s prior anesthetic experience is of particular interest – specifically, if there has been a history of anesthetic complications, problems with intubation, delayed emergence, malignant hyperthermia, prolonged neuromuscular blockade, or postoperative nausea and vomiting • Informed consent is the communication of the anaesthetic plan, in terms the patient understands, and covers everything from premedication, preoperative procedures, and intraoperative management, through the recovery room and postoperative pain control • The alternatives, potential complications, and risks versus benefits are discussed, and the patient’s questions are answered • In summary, pre-operative care aims to ensure that patients: o Get the right surgery o Are happy and pain free o Are as fit as possible o Have individual decisions on type of anaesthesia/analgesia taking into account risks, benefits and wishes 2. Pre-operative History • Have the symptoms, signs or patient’s wishes changed? • Assess cardiovascular and respiratory systems, exercise tolerance, existing illnesses, drug therapy and allergies • Assess
Hippocrates studied deeply the human body's effects from it. He began documenting the effect of injuries to the left and the right sides of the head and the side effects of each. With fractures, Hippocrates would debride the area of the fracture first, which is removing all dead tissue and debri before casting the area, eliminating the risk of further infection. (Pikoulis, 2004.) This practice is done to this day in emergency