Preoperative Anxiety Theory

When first attempting anything, there is always going to be some sort of pressure to perform well. Dr. William Nolen, in his short story, “The First Appendectomy”, clearly expresses the stress he endures while performing his first surgery to the reader by his descriptions of the surgery. When he begins the surgery, he shows his first sign of stress, saying “I was ready to begin. Suddenly my entire attitude changed. A split second earlier I had been supremely confident; now, with the knife finally in my hand, I stared down at Mr. Polansky’s abdomen and for the life of me could not decide where to make the incision” (Nolen 147). Though Nolen was confident he could handle the surgery with ease, he ends up uncertain of what he is doing. He is straining

As a clinical requirement for my Adult 1: Medical-Surgical course, I had the opportunity to observe a patient in the Operating Room and in the Post Anesthesia Unit of Advocate Good Samaritan Hospital. The procedure that I observed was a left total knee replacement. The patient needed this surgery because she was experiencing osteoarthritis, and this surgery could alleviate her pain and discomfort. I was with the patient from the end of her stay in the pre-operative holding area to the Operating Room, and then to the Post Anesthesia Care Unit. This paper will include background inquiry, preoperative and operative

Being told that something is wrong with you can be scary. Getting surgery performed on you can be terrifying. Patients that must be undergo anesthesia could become apprehensive about the whole procedure. But what helps is knowing that there is an anesthetist with you along the way. The anesthetist informs the patient of the surgery and attempts to calm their nerves before surgery. The anesthetist monitors and ensures the patient is stable during the surgery and informs the patient of the result of the surgery after the surgery. Essentially, the sole person that is concerned about the body as a whole during the surgery is the anesthetist. Two years ago, I had no idea what an anesthesiologist assistant was or that this highly skilled profession

Anesthesiologists give patients anesthetics in a variety of ways, such as “orally, intravenously, by gas or direct injection to render patients insensible to pain Anesthesiologists typically maintain the same daily schedule a surgeon follows, participating in both scheduled and unscheduled operations. Anesthesiologists are responsible for determining the proper anesthetic and dosage level for each patient. They monitor the patients progress prior to, during, and after surgery.”(“Anesthesiologist” 31)

The role of the nurse anesthetist gradually developed as the demand increased for individuals who were highly and meticulously trained in anesthesia administration in an era where knowledge of germs, antisepsis and surgical interventions was emerging. During the 1800s, medical students were often responsible in the administration of anesthesia under the direct supervision of surgeons but the increased mortality rates in intraoperative patients suggested the need to reevaluate who would provide anesthesia. As a result of negative patient outcomes, surgeons turned to nurses, who served to be an adequate and reliable replacement. This trend proved to be catalytic in the movement of the nurse anesthetist.

This clinical rotation I was assigned to observe at the operating room, where they conduct various surgical procedures. The night prior to the clinical, I have to admit, was every bit unnerving. Especially, the fear of not knowing what to expect was daunting. There must have been a thousand scenario of what to expect or what might possibly go wrong playing through my head that night. However, after being introduced to the nurse I would be following, and meeting the surgeon and the rest of the team; my nerves settled down. The surgery scheduled was for a ventral hernia, which seemed routine, but complicated by a previous bowel realignment previously. The whole operation, from beginning to end, lasted a little over four hours. Although, the procedure lasted that long, it did not bother me even bit. In spite of standing for the whole duration of the observation, I never felt tired nor gotten bored. Notably, watching the surgical team working cohesively is like watching an artists who have

This Anaesthetic case study would describes and discussed the scenario of a patient through the anaesthetic role of their surgical procedure. It will include and discuss the anaesthetic safety procedures equipment and drug interventions used to ensure this particular patients maximum safety and comfort before and during the procedure. The case study will include pre and peri-operative assessment in order to describe the involvement contribution of various specialties in the holistic care of the critical care patient. This assignment will focus only on the anaesthetics side of the procedure but will also highlight the importance of the triad of anaesthesia and discuss the administration, maintenance and reversal of

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).

The issue of anxiety was chosen as a topic because anxiety has become a significant subject in health care. According to Social anxiety association (SAA) anxiety disorder become the third largest mental problem in health care, which affects about 7% of the population. In social health in particular clinical care, hospitalization and surgery are a critical negative life occasions that chief to the experience of significant anxiety in patients (Karanci and Dirik 2003). This project will be focussing on preoperative anxiety in children, because, children are more defenceless against the anxiety of surgery because of their cognitive impediment, reliance on others, absence of self-control, and also restricted individual life background and information of the medicinal health care service (Li

The effect of music on postoperative pain and anxiety was studied on an orthopedic unit in a central Florida hospital (Allred, Byers, & Sole, 2010). The authors clearly identified the problem many total knee arthroplasty patients experience after surgery is moderate to severe postoperative pain and increased anxiety. Throughout the introduction of the study, it was stressed the importance and need for this research to be conducted. The authors discussed the effects of inadequately treated pain and how health care professionals, including nursing, should make it a priority in a patient’s treatment plan (Allred et al., 2010). Several references were provided supporting the issue

• Since 1991, anesthetic and surgical techniques have improved, resulting in lower surgical risk for many patients. Concurrent with these changes, the VHA has implemented a rigorous program of surgical attending oversight of the process of care by resident operators, particularly in surgical suites.

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).

Operative procedures which have pain-generating capacity provoke high levels of anxiety compared to non-operative procedures. Highest anxiety in a dental setting is common on procedures such as injection, tooth extraction, and drilling. (Bhola and Malhotra, 2014) According to some patients especially for children and adolescents, the following contributes to their anxiety in seeking dental treatment: personal experience such as influence of parents or peers, bad manner of lack of clinical skills, and improper work ethic of the dentists and dental auxiliaries, dental clinic settings such as the arrangement of the dental chair and other equipment, and also the overall ambiance and sounds inside the dental clinic.

Anxiety and stress have a negative impact on patients in multiple settings. Although this study is focusing on patients in the perioperative setting, patients experience stress and anxiety in various situations. This study can easily be implemented to reflect other health care settings. For example, working in the intensive care unit, numerous patients experience stress related to inability to cope with feelings of helplessness. Sampling ten practitioners limits the generalizability of this study and should be considered for further studies. Implementing supportive measures to reduce anxiety is imperative for optimal healing. The goal of the study determined the practitioners displayed knowledge and experience with vulnerable perioperative

Apart from being one of most interesting settings in the nursing field, day surgery unwraps the full experience for nursing students to learn and also develop repetitive knowledge on what to expect before, during , and after each surgery, as well as the roles of each nurse within those parameters. Being inside the surgery room was an amazing experience because you get to see different operations performed by different health care professionals. Every surgeon does the sugary differently, meaning that same procedure is performed but adding or subtracting essential steps that makes each surgeon unique. Nurses also play an essential role in each surgery but their imperative duty is less than surgeons, but as equal