StudentShare solutions
Triangle menu

Post Surgical Elderly - Essay Example

Not dowloaded yet

Extract of sample
Post Surgical Elderly

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 ...Show more

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…
Author : pmurphy
Post Surgical Elderly essay example
Read Text Preview
Save Your Time for More Important Things
Let us write or edit the essay on your topic
"Post Surgical Elderly"
with a personal 20% discount.
Grab the best paper

Related Essays

Surgical Environment Patient Care
It will also discuss the importance of maintaining a secure, safe, and hygienic environment in the operating theatre, and local/national policies used to maintain them. This paper wishes to explain the principles of maintaining the sterility and controlling infection in the theatre and the potential hazards to the patient if these are not maintained.
12 pages (3000 words) Essay
Acetabular Fractures in the Elderly
Acetabular Fractures in the Elderly In this era the aim of medical science is not limited to treating an illness but to attain a health revolution and prolong the disease free survival. With the advent of latest diagnostic modalities and ever increasing conservative and noninvasive interventions, survival rate has increased and led to an increase in the elderly population.
16 pages (4000 words) Essay
Assessment of Pain in Post Surgical Patients
The research provides evidence whether there is a significant component of neuropathic pain in post-surgical patients and provides the nurses with treatment guidelines whether they should contact the physician in charge so that he can adequately prescribe intervention measures with the correct drug to improve the quality of life in these patients.
3 pages (750 words) Essay
Surgical Safety
However, most patients are admitted the day before surgery according to prearranged plans made by the surgeon. Often much of the testing necessary on admission to the hospitals is completed prior to admission. The patient's physical condition should be assessed and a complete orientation to the unit should be given.
12 pages (3000 words) Essay
The prevention of perioperative infection in elderly patients
Unsurprisingly, incidence of surgical infection differs greatly by the health practises of a given country. But despite the standardisation of Western medical practices, surgical infection occurs at comparably high rates. Italian hospitals report a post-surgery infection rate at 3-10% (de Werra, 2005, p.
8 pages (2000 words) Essay
Post-surgical pain
Post-operative pain makes the patient more susceptible to post-surgical complications, raises the cost of medical care, and most importantly, interferes with recovery and return to normal activities of daily living. Therefore, management of post-surgical pain becomes a basic patient right.
7 pages (1750 words) Essay
Case Study - 2nd Year undergraduate student nurse - Topic: Mrs Tee
Our primary aim in this paper is to establish an effective care plan to be implemented to address identified health issues and promote wellness to this patient. The implementation of this care plan is an important role of a nurse
8 pages (2000 words) Essay
Post-surgical pain
The author states that patients handle post-operative pain in high individualized ways. It has been theorized that patients with stronger support systems and better attitudes actually perceive less pain than others. Some health care professionals have even speculated that extreme pain was not real in many cases, but was a way to seek attention.
7 pages (1750 words) Essay
Acetabular fractures in the elderly
At present, elderly (above 65 years of age) account for 13% of current US population (1, 2). This figure has been estimated to rise to 20% by year 2030 and double by the year 2050 (2). As is true for majority of other
19 pages (4750 words) Essay
Discussion post
From the perspective of medical management, the patient is enlightened that the condition is controllable. The peptic ulcer is treated with antibiotics to eliminate H. pylori. The antibiotics
1 pages (250 words) Essay
Get a custom paper written
by a pro under your requirements!
Win a special DISCOUNT!
Put in your e-mail and click the button with your lucky finger
Your email
YOUR PRIZE:
Apply my DISCOUNT
Comments (0)
Rate this paper:
Thank you! Your comment has been sent and will be posted after moderation