controlled study, evaluated 110 cirrhotic patients with symptomatic cholelithiasis. They demonstrated a longer operative time (96.13 vs. 76.13 minutes, p<0.01) and higher postoperative morbidity in the OC group compared to LC. Ji et al.[36] performed an RCT in 80 patients with symptomatic gallbladder disease and portal hypertension from cirrhosis in a bid to compare LC vs. OC. LC demonstrated superior outcomes over OC with lower intra-operative blood loss, shorter time to resume diet, fewer post-operative
reflect on the effectiveness of my clinical and interpersonal skills in relation to my position as a nurse in a busy critical care unit. It will primarily focus on one particular patient and the care they received by myself in their immediate post operative period. In accordance with the NMC’s code of professional conduct names will not be used to protect the patient’s confidentiality. NMC (2008). Reflection is an important tool for all health care practitioners. It can improve our skills and
Name And Student Number (Bolded)Course, Semester, Year | SITI ROHAIDA BINTE RAHMAT12B057ZADVANCE DIPLOMA IN NEUROSCIENCE, 2012 | Managing Client with Cerebrovascular Disease Introduction Stroke is a part of a cardiovascular disease that occurs when the supply of blood or oxygen to the brain is disrupted by a blockage in the artery or when there is usually a trauma that causes spontaneous bleeding in the brain (Duncan, Zorowitz & Lambert, 2005). Bleeding in the brain, is referred to as a
• Introduction (Incidence, risk factors, classification, histological subtypes) Cholangiocarcinoma is a rare malignancy that originates from the epithelial lining of the biliary ductal system. It constitutes around 3% of all gastrointestinal malignancies. There is a high variability in the estimated incidence of cholangiocarcinoma across the world, with the highest age standardized incidence rate in the northeast provinces of Thailand (113 per 100,00 person-year) as compared to the western hemisphere
Careers Allied Health refers to peri-operative as surgical nurses that offer patients with care during the period prior to and after a surgery or intervention procedure. Peri-operative nursing involves different specialty nursing roles, which include the holding bay, pre-admission nurse, circulating, anesthetic, scrub or instrument nurse, and recovery room. Other duty the peri-operative nurse carries out includes the evaluation and education of the patient. Peri-operative nurses are responsible for providing
prevention of obesity does not work, as occurs for many people, treatment is indicated. The bases for outlining therapy for obesity, which can include lifestyle changes, dietary modification, increased physical activity, the use of medications, and in some cases the recommendation for surgery. The term “bariatric” surgery, derived from the Greek word baros for weight, defines surgical procedures designed to produce substantial weight loss. It has rapidly become used as a treatment option for severe obesity
procedure. Firstly, it will address important nursing factors relevant to the preadmission and perioperative stages of care. It will then address relevant nursing factors relevant to the anaesthetic stages of care, during the surgical process. The case study is based on a five-year-old Australian boy named
The rise of professional nursing as a significant discipline in its own right rests on the competence of practicing nurses to correctly address concerns of healthcare clients for which they are distinctively qualified to cater to. It demands that nurses be equipped with the necessary intellectual skills to integrate and use the vast amount of facts derived from patients to be able to discern the actual problem. It is clinical reasoning that allows nurses to do this (Simmons, 2009). Clinical reasoning
result of acquiring AC, secondary conditions can develop. Chronic pain (often severe) affects sleep patterns, avoidance of activities and movement due to pain (fear avoidance) resulting in the withdrawal from normal daily activities and social settings (Ding, Tang, Xue, Yang, Li and He, 2014). As the condition can last up to 3 years the development of mental health conditions, anxiety and/or depression is a significant risk. A clinical study investigating the correlation between AC/FS report that 28.2%
Case Study A 45 year old male was admitted to ICU following an exploratory laparotomy which showed a ruptured appendix and peritonitis. The procedure began as a laparoscopic cholecystectomy but the initial finding was pus throughout the peritoneal cavity and a normal gallbladder. An open exploratory laparotomy where a ruptured appendix was discovered which was removed and a washout was performed. The patient had a two day history of abdominal pain prior to his admission through A&E. He had no