Extensive surgery or surgery with uncertain outcomes also generates more anxiety than any surgery with a predictable course of events. Ambiguity about the outcome and unpredictability about the course, although depend on the type of the surgery and the indication for which it is done. Therefore the nursing staff that is usually in contact with such patients in the immediate preoperative period in the preoperative area has a chance to intervene provided they can assess these patients in a systematic manner for the experienced perioperative stress leading to elevated anxiety scores of these patients. Perioperative nurses are specially trained to do so, and they must find out time to intervene in these patients even in the preoperative area to deal with these patients' emotional distress. If the positive outcome of the care is the goal of care delivery, these interventions can change the emotional status of these patients in such a manner that the relationship between preoperative psychological status and postoperative recovery of these patients is positively influenced (Stirling, 2006).
The most common nursing diagnoses that require intervention from the nurses in this period are anxiety that may be partly related to knowledge deficit, but also partly contributed by the context and the environment. ...Show more