Essay On Laparoscopic Hysterectomy

The pre-operative stage is an important phase in patient’s surgery process. This is the time where the patients is experiencing a lot of anxiety issues and have questions regarding the impending procedure. To help ensure good patient outcomes, it is imperative to provide complete preoperative instructions and discharge instructions (Allison & George, 2014). It is the nurses’ duty to safe guard and protects the patient’s welfare during the surgical experience. Effective preoperative preparation is known to enhance postoperative pain management and recovery. Health professionals need to be cognizant of the contextual factors that influence patients’ preoperative experiences and give context appropriate care (Aziato & Adejumo, 2014).

According to surveys, up to 80% of patients reported moderate to severe post-surgical pain, which can sometimes be left undertreated (Sinatra et al., 2005). Postoperative pain is generally managed with opioids, which carry numerous side effects. Side effects can be bothersome and possibly cause a delay in the postoperative healing process (Beard, Leslie, & Nemeth, 2011). IV acetaminophen can possibly decrease opioid consumption, minimize side effects, increase patient satisfaction, and decrease costs (Wininger et al., 2010). The purpose of this paper is to dive further into the research to present data on the effectiveness of IV acetaminophen in decreasing opioid usage and whether it produces an additive effect causing more effective pain management in the postop patient.

Magnetic Resonance -Guided High-Intensity Focused Ultrasound (MRgHIFU) as Alternate Treatment to Uterine Fibroids in African American Women.

Despite recent advances in information regarding perioperative care, postoperative pain continues to go undermanaged. Postoperative pain is the pain patients experience after a surgical procedure. According to Gan, 80% of all people who undergo surgeries experience postoperative pain, and 75% of them rate their pain at a moderate, severe, or extreme level (as cited by Cooney, 2016). Furthermore, inadequately managed pain can lead to patient dissatisfaction, decreased patient outcomes, and overall higher cost of care (Penprase, Brunetto, Dahmani, Forthoffer & Kapoor, 2015). In order to provide higher quality pain management,

Postoperative surgical pain can often be moderate to severe leaving the client in a state of discomfort that requires the administration of opioid analgesic medications. Morphine intravenous (IV) patient-controlled analgesia (PCA) is commonly provided through a pump to treat postoperative surgical pain, but with advances in the medication administration field, a fentanyl iontophoretic transdermal system (ITS) has become another popular method (Lindley, Pestano, & Gargiulo, 2009). Morphine and fentanyl are similar medications in that they are both opioid analgesics and are both equally effective to reduce pain, but they offer differences through their administration techniques, comfort for the client, and providing care in a timely manner by the nurse. The nurse must take into consideration these differences to choose the proper medication for their specific client.

Chronic, acute, somatic and oncologic are all types pain - each with their own symptoms, reliefs, and evaluations. As pain has been explored, we have learned more about it; however, it remains an anomaly. In the postoperative setting, nurses are the first line of pain management. Their assessments of the patient’s pain, including questions and scaling is imperative when dosing medications and evaluating the patient. Studies continue to determine that healthcare providers undertreat and mismanage pain control and assessment. According, to the American Society of Interventional Pain Physicians, “80% to 90% of physicians have had no formal training in prescribing controlled substances, and only five out of one hundred thirty-three medical schools in the U.S. have required courses on pain management” (Glowacki, p. 37). The American Nurse Credentialing Center reported that “as of 2013, only one thousand six hundred seventy two registered nurses in the U.S. were certified in pain management” (Glowacki, p. 37). According to the CDC, about 50% of postoperative patients report unrelieved pain (Centers for Disease Control and Prevention, 2013). Effective postoperative pain control is necessary for successful care and treatment. Inadequate relief of postoperative pain can contribute to postoperative complications such as atelectasis, deep vein thrombosis, and delayed wound healing (Francis &

According to Hah et al. (2017), several studies have shown that nerve blockade of the central nervous system (neuraxial anesthesia) or peripheral nerves (regional anesthesia) reduce the need for opioids in the immediate postoperative phase. There are two mechanisms through which nerve blockade reduces persistent opioid use. First, nerve blockade works by impeding the transmission of pain during the perioperative phase and thereby stopping central sensitization and chronic neuropathic pain. Second, nerve blocks are effective in treating postoperative pain and are good predictor of persistent opioid use. Similarly, studies found that intravenous local anesthetic such as lidocaine reduces perioperative opioid

The management of postoperative pain has received much interest nowadays. The intensity of postoperative pain depends on many factors such as type and duration of the surgery, type of anesthesia and analgesia used, and the patient’s mental and emotional status (11).

Diagnosis of a gynecological cancer can be very scary and disruptive for women and their families. Performing cancer surgeries through a minimally invasive approach helps in making cancer treatment as gentle and as least disruptive as possible .It also enables these patients to get back to their lives and routine activities more quickly without a significant interruption in their quality of life. Today, women affected by most gynecologic malignancies can benefit from minimally invasive surgical advances. Rather than operating through a large abdominal incision, 3 to 5 small incisions can be used for laparoscopy or robotic surgery. The main advantages of this scarless or minimally invasive technique

During my rotation in the operating room at Community medical center, I observed the preoperative, intraoperative, and postoperative care for a patient who underwent a laparoscopic hysterectomy. I believe that an appropriate preoperative plan of care for this patient would have included a full physical exam and an interview for patient history, a pelvic exam to look over and understand the nature of the patient’s complications, blood testing including a CBC and WBC to note any signs of infection or contraindications for the procedure, and a urine test to rule out any urinary tract infections or pregnancy. It would be important to interview the patient and ask questions to determine how the patient is feeling about their procedure and to better assist with any anxiety or pain they may be dealing with preoperatively. It is important to consult with the patient well before the procedure to ensure that she knows to refrain from smoking for at least 8 weeks before the procedure because this reduces the risks of complications such as infections, issues with blood pressure, heart rate, blood flow, and respirations when under anesthesia, and promoting overall health and risks associated with smoking after the procedure. (ASAHQ) It is also important to educate the patient to consume no food or drinks after midnight the night before the scheduled procedure. (Health Communities) During my rotation I observed that the patient did indeed have labs drawn and a urine test run. Her lab

Some major components of postoperative pain investigations are often asked and recognizing that most patients, who suffer from postoperative pain, relieve it by verbal grievances or nonverbal behaviors after surgery. IV Ketorolac (Toradol) and IV Acetaminophen (Tylenol) are two non-opioid medications, whose administration combined with analgesics addresses multimodal therapy. By understanding what their pharmacologic profiles are, analgesic potentials, combinations with opioids, their limitations and the considerations such as the ease of administrations postoperative pain relief outcomes can be effective and controlled.

Response: Patient reported some complete relief to the shoulder pain; abd pain decreased to a score of 7 and was acceptable in the morning. Patient voided after the foley was d/c and called out appropriately. Patient demonstrated how to use the incentive spirometer. Patient’s

In addition, the available data is conflicting regarding female gender as a predictive factor of postoperative pain. On one hand, studies have observed that female patients experience more pain than males (Seymour et al 1985; Colorado-Bonnin et al., 2006, Benediktsdottir et al. 2004; El-khateeb and Alnahar, 2008). On the other hand, one study noted, however, that men reported feeling more intense pain than women (Capuzzi et al. 1994). Finally, previous work from other laboratories (Fisher et al., 1988; Grossi et al., 2007; Baqain et al., 2008; Mobilio et al., 2011; Osunde et al., 2013; Deschaumes et al., 2015) indicated that gender was not related to postoperative pain. Similarly, a recent systematic review failed to recognize gender as a significant predictor of acute postoperative pain (Ip et al.,

future career, that is to be an obstetrician, also known as an OB/GYN. Some of the topics that will be discussed in my paper are those pertaining to exactly what an obstetrician is and the requirements that are needed in order to become an obstetrition. These requirements will include the pyhsical and phsyschological personality traits of a potential obstetrician. The type of schooling that is nessecary, including the preperation that is available at Middlesex County College, and the average number of years that it takes in order to become an obstetrician. The demand for obstetricians will also be researched, along with the different promotional ranks that

A laparoscopic approach appears to be associated with a reduction in surgical trauma and blood loss. In addition, it is presumable that some of the benefits of minimally invasive surgery such as reduced analgesic requirements, a shorter recovery period and reduced hospital stay (Kuhry, 2005). It has become a forerunner in the quest of improving surgical results by dropping postoperative pain and lessening recovery time. Yet, the use of laparoscopic instruments can be awkward and cumbersome, thus escalating operative time and dropping dexterity, which can