Rotator Cuff Surgery: Case Study Questions

One of the reasons the doctors were not ethical is they didn't tell him all of the risks and he didn't really understand what was going to happen after the operation. ''Miss Kinnian says maybe they can make me smart.''(Flowers for Algernon progress report 1 March 5 1965) ''Has the patient been informed of benefits and risks, understood

Your rotator cuff consists of four muscles in your shoulder that allows you to move your arm away from your body. These muscles have tendons, which connect them to the head of your upper arm bone or humerus. When a tear occurs in these muscles, you will experience extreme pain on motion. A rotator cuff tear is also extremely painful at night. If left untreated, it may result in arm weakness.

The appropriate assessment of patients prior to surgery to identify coexisting medical problems and to plan peri-operative care is of increasing importance. The goals of peri-operative assessment are to identify important medical issues in order to optimise their treatment, inform the patient of the risks associated with surgery, and ensure care is provided in an appropriate environment secondly to identify important social issues which may have a bearing on the planned procedure and the recovery period and to familiarise the patient with the planned procedure and the hospital processes.(American Society of Anaesthesiologists)

First pain is an everyday experiences that is expressed through the use of language and is then legitimized (Waddie, 1996). If a patient as a history of depression or chronic pain they have pain every day and the concept is used to help explain their pain. As nurse we use the concept of pain to find a base line of the pain and to assess new pain. In surgical patients they may have multiple types of pain from the incision, emotional, and history. The concept educates the nurse of the different form that pain can present itself. Pain can also guide how we treat the patient. Emotional pain would not be treated with the “so know pain pills”, but with talking or listening to patient. Concept of pain also address the different form of patient and how the nurse and patient response to it. If a patient is having somatic pain from an incision the nurse could react by applying heat or ice. Pain is what the patient says it is.

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).

Tearing your rotator cuff is not only painful, but it is also a serious condition that will require orthopedic surgery. If you are a baseball player, this injury can be even more challenging, since you will want to repair the issue in an effective and efficient manner. Of course, properly understanding the injury is key to a successful recovery. Using this guide, you will understand how your rotator cuff was torn and learn how surgeons can repair the problem to get you back on the baseball field.

This adverse event should be escalated properly so that the administration and other doctors are aware of the outcome. This death could have been prevented, and others should be able to learn from this. We don’t know the full story from this short problem described in the book, but many questions arise from the situation. Was she completely aware of the risks? Did she know she was not a good candidate for the surgery?

The agenda was quite clear that during their observations the recovery showed needs were decreased according to age and BMI. They stated older patients were in need of more assistance and longer stay in the hospital as opposed to younger adults. I found it interesting that they saw patients with bilateral knees had decreased needs and that unilateral were in need of more assistance before discharge. Managing pain was their first priority during research and rehabilitation, followed by instructing care of their own surgical wound. The aim of this study was to actively reinforce assessment and management after this procedure and giving guidance to those in health care.

This is a mix of qualitative and quantitative research that uses descriptive and cross-sectional survey design methods to evaluate the patient’s anxiety level and discomfort preoperatively and postoperatively. The level of evidence in this study is III, with controlled trial without randomization (LoBiondo-Wood, 2013). Methods used to collect data are logical, as it corresponds to the phenomenon of interest in this research as listed in the critiquing guideline table in appendix A. This study was conducted in the general surgery unit of a university hospital in 2011 with a sample size of ninety-nine patients. Definitive features, visual analogue scale (VAS) and State and Trait Anxiety Inventory (STAI) tools were used to collect data, refer to appendix A for details. The fasting protocol reported by the nurses in the surgical unit was no solid food on the day before surgery after 10:00 p.m. and no liquid after 12:00 a.m. In the meantime, the patients were on isotonic sodium chloride from beginning of anaesthesia until the 24th hour postoperatively. The result shows that patients who fasted for more than twelve hours has significant increase in anxiety level according to the STAI score, and higher hunger, thirst, nausea, and pain as shown in VAS scores compared to the patients whom fasted for less than twelve

RCT is a common disease. According to general population surveys, the prevalence of rotator cuff tear is 25 % in those older than 50 years of age and 20 % in those older than 20 years of age (1). The rotator cuff is a group of 4 muscles and their tendons supraspinatus, infraspinatus, teres minor, and subscapularis (2). These muscles connect the upper-arm bone, or humerus, to the shoulder blade. The important job of the rotator cuff is to keep the shoulder joint stable. RCT can be caused by degenerative changes, repetitive micro-traumas, severe traumatic injuries, and secondary dysfunctions. Falling on an outstretched hand, unexpected force when pushing or pulling or during shoulder dislocation can cause traumatic injury to the rotator cuff.

This vastly effects the patient’s decision to have surgery performed, because the procedure could affect their normal way of living. This can cause a tremendous amount of anxiety in patients that prevents them from wanting to have surgery. If someone is close to dying and has a chance of being saved from surgery, they should have the surgery performed regardless of the possible side effects. To establish a faction of satisfied patients, neurosurgeons should start putting the impact of the treatment on the patient’s quality of life before the actual surgical procedure.

The rotator cuff is a group of 4 muscles, the supraspinatus, infraspinatus, subscapularis, and the teres minor. These muscles helps to lift your shoulder up over your head and also rotate it toward and away from your body. Unfortunately, it is also a group of muscles that is frequently injured by tears, tendonitis, impingement, bursitis, and strains. The major muscle that is usually involved is the supraspinatus muscle. Rotator Cuff Injuries are usually broken up into the following categories.

Postoperative pain is the most undesired sequence of surgery, and if not treated properly, can lead to increased hospital stay and delayed return to daily activities (10).

3) Almost two-thirds of all surgical procedures are now performed in ambulatory surgery facilities. Discuss the reasons for this shift of surgery from the inpatient setting and its effect on hospitals and

One might think of surgery as simple as going to the hospital and receiving a complex operation that saves ones life or improves their quality of life. What most people do not realize is the hardships that those people go through unless they had surgery performed on them themselves, and same thing for the surgeons it is not easy for them as well, even though they are professional and highly trained.