Miss Potts Case Study

Abdomen: The lipases appeared unremarkable. The liver, spleen, gallbladder adrenals, kidneys, pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seemed consistent with acute appendicitis. All the structures of the abdomen appeared unremarkable. No free air was seen.

Best practice guidelines are evidence-based recommendations that assist practitioners with assessment and management of appropriate healthcare (Taylor, 2012). One area that utilizes best practice to ensure excellent patient outcomes is ostomy care. The patient may have an ostomy for a number of reasons. They can be either temporary or permanent and are for patients who have bowel or bladder cancer, inflammatory bowel or diverticular disease, trauma, or perforation of the bowel. For ostomy care, it is important to focus on the areas of pre-operative, post-operative and discharge care (Taylor, 2012).

The patient will require surgery to repair the hole in the intestines, and subsequently will have a drainage tube, NG tube, and feeding tube. All drains will need to monitored for placement/movement, and drainage. Input and output will be closely monitored and recorded. The patient will remain on NPO, or nothing by mouth, to rest the bowels along with frequent assessments to monitor for infection and bleeding. The nurse will need to monitor for bowel sounds, vital sign changes, temperature changes, pain, abdomen girth, and wound/incision inspections. The following labs will require monitoring: CBC, H&H, albumin, BUN & creatinine, glucose, and ABG’s and lactic acid if sepsis is suspected. Careful and frequent monitoring of labs will alert the nurse if the patient develops sepsis, or hypovolemia due to excessive bleeding (Belinhof, et al., 2012). In addition to vital signs and labs, the nurse will also include patient assessment into consideration before drawing conclusions by means of critical thinking. After the full assessment has been made, the nurse will report any findings to the health care provider that require further investigation or

As a first part of the holistic assessment process the nurse collected the subjective data, which are the data from Anne’s point of view during the interview (delaune).the nurse gathered information regarding present medical history, past medical history and activities of daily living. Anne mentioned that she was diagnosed with oesophageal cancer one year before. She also added that she was suffering from pain and swallowing difficulty for few days and that was the main reason for her admission in the hospital. On observation the nurse noticed that Anne is very anxious and fragile. The pain assessment carried out and Anne was scoring six on the pain chart .marmo Liza suggest that pain is an unfavourable experience and each persons perception

It is essential to identify if John Taylor has pain at the time of the initial interview. If so, it is necessary to promote interventions to provide relief. The initial assessment will serve as a guide to develop the plan of treatment of pain. In the initial approach it is also essential to ask to John Taylor about past painful experiences. Knowledge and use of scales to assess pain intensity, are a great value in support of the clinic.

: In a similar research on cancer patients, Cohen, Ellis, Ownby, Rude, & Bailey (2003) performed a retrospective study to determine whether application of JCAHO standards has been followed while caring for the patients with pain or not. The study was performed in 5 hospital in a large city in Southwest, USA. A total of 150 patients were selected both from inpatient and outpatient department. All patients were from diverse population with a mean age of 57 years. The sample consisted total of 117 charts, 80 from inpatient and 37 from out patients. Data was collected between August and November 2000. Review of charts were done to check for followed documentation criteria for assessment, management and reassessment of pain in patients with cancer. This

The proposed pain assessment system consists of two main stages: 1) face detection and preprocessing and 2) pain expression recognition. We describe each stage in detail below.

Rationale: The first step to assessing pain is to determine if the patient can report their pain. The patient was asked to rate their pain intensity or select descriptors of pain intensity using a valid and reliable self-report pain tool (McCaffery, Herr, & Pasero, 2011).

Spending the day in the operating room (OR) can be an exhilarating experience, throughout this paper I will discuss the different aspects of surgery as you follow my journey. I will discuss pre- operative care and testing preformed; operative care, anesthesia, and possible complication; and post-operative care and recovery.

The first steps of the procedure include identifying the presence, nature, location, and severity of the trauma.

The aged old open appendectomy has been the main form of corrective surgery for patients who was diagnose with acute appendicitis. However, in the modern era, the laparoscopic approach has become more common and many have questioned its effectiveness and superiority over the appendectomy (Biondi, et al 2016). The laparoscopic approach has been identified for shorter recovery time post operatory, thus resulting in shorter hospital stay, less postoperative pain, faster return to daily activities. These observations influenced, Biondi, et al (2016), to conduct a retrospective observational study at the department of Emergency Surgery, Garibaldi Hospital-Catania during the period of January 2004 and July 2011 with the purpose of identifying the

Finding out what is wrong with a person, will be influenced by whether the victim is suffering from an injury or illness, whether the victim is unreponsive or repsonsive and whether life threating condtions exists. However, the key point is to perform a primary check first and to care for any problems you uncover before going on with the full assessment. The victim assessment cover five steps, which are: Scence up, Primary check, Secondary check, Sample history, and perform a reassement. Although, not every victim requires all of the five steps. Such as, if a person cuts their finger off while cutting something, they will not need the whole assessment. However, if

In adequate post-operative pain management and assessment postpones patient discharge and delays recovery affecting 24% of patients. As a result there are increased readmissions and prolonged length of stays in hospital, and also poor clinical outcomes for the patient.

I watched an appendectomy at Twin Cities Hospital. Appendectomies are the most common emergent abdominal surgery performed in the United States and are most often used to treat acute appendicitis, the most common cause of right lower quadrant pain. When foreign body, fecalith, or infection cause the appendix to become blocked, it swells and signals an immunological response. If left untreated, life threatening complications such as perforation of the large intestines may occur. Since the appendix is a vestigial structure, its removal has little to no adverse physiological effects on the patient. While the abdomen was being prepared, the anesthesiologist evacuated the stomach with a nasogastric tube (NGT) to allow Dr. Hruby more room in

The BPI is a cost-effective assessment tool which does not require any special materials. It is easy for healthcare practitioners to administer to the patient and is also easily understood by the patient as is consists of simple questions, a clear diagram, and easy to use numeric rating scales with straightforward scoring systems (e.g. a score from 0–10 for pain intensity) (Tittle et al. 2003). The patient may need to have the different items within the BPI explained to