Firstly, pre-admission observations, procedure, and discharge plans were prepared and an informed consent obtained from the patient. As the patient was unable to read clearly, a signed consent was obtained from his son.
Glimartin and Wright’s (2007) review asserts the significance of nurses in day surgery activities related to pre-admission assessment, providing information and managing anxiety; communication, pain management, wound infection, nausea and other nursing care (cited by Timmins and McCabe, 2009). Pre-assessment began with assessment of hypertension, eyes, vital signs and general fitness of the patient a week prior to surgery. As per the hospital policy, the patient was given instructions regarding admission time and fasting time on the previous day through phone call. As per doctor’s advice, the patient was asked to continue with his BP medication.
At pre-admission, the eyes were tested in a dilated stage to rule out possibilities of other eye severities such as retinitis. As this procedure required small incision, anesthetist spoke to the patient regarding general anesthesia meant for the procedure considering his age and hypertension. Before that, patient’s vital signs including blood pressure and blood sugar were tested, which were found to be in the normal range. Also, a full blood count, chest X-ray and ECG were normal, and previous medical reports were thoroughly checked and verified with current findings. Considering his age, other commonly found medical problems such as diabetes, heart diseases, etc were ruled out.
Every clinical procedure should be of high quality and highly effective, which should be practiced in a patient-centered way in partnership with both patient and family (Timmins & McCabe, 2009; p.40). Considering history of hypertension and the patient’s age, the entire procedure was conducted with constant monitoring of the pulse, BP,