1. Help the Senior Keep Their Incision Clean
Following pacemaker surgery, help the senior to keep their incision clean. Depending on what was used to close the incision, showers may be allowed right away or not for several days. No lotions or ointments should to the surgical site. Check the incision to make sure that no redness, swelling or drainage have occurred. If you are concerned with how the incision looks, don't hesitate to contact the senior's doctor.
2. Ensure the Senior Limits Their Movement
The senior should limit some of their movement for three months after having pacemaker surgery. These movements include not lifting their arm on the side of the pacemaker above their head, not lifting over five pounds on the side of the surgery,
If a pacemaker is implanted to control Greg’s heart rate, he will need or will be forced to make certain life changes to maintain the device. There are many precautions that he will need to take such as keeping electronics a certain distance from directly over the pacemaker and may have other issues in any metal detector situations (Staff, Pacemakers, 2016). In my opinion I think that Greg will be able to play sports again; but, certain sports may be out of the question. Due to the fact of the contact in certain sports, Greg would risk getting hit again putting him as risk for another
It is important to take good care of your skin when you have a catheter in place. To do this:
In the case of Marion and the pace maker, like that of many cases of elderly patients, there are several factors that need to be understood by both the patient and their family before any decisions can be made, such as in her case, the surgical procedure of implanting the pace maker, the benefits,
S.P. should be up out of bed post-op day 1 and wearing TED hose continuously, as well as wearing SCDs overnight in bed. Constipation prevention should e achieved by administering scheduled doses of Colace. Proper nutrition should be encouraged to include plenty of protein to ensure proper wound healing and avoid development of pressure ulcers (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). S.P. should practice coughing and deep breathing throughout her hospital stay to avoid lung congestion and occurrence of pneumonia infection, educating the patient about smoking cessation assistance can be helpful as well.
I observed the documentation process from week -2 in my clinical setting and through reading the related documents I gained theoretical knowledge of documentation . I week -4 I did the the return demonstration of documentation with my instructor successfully and started the documentation process in clinical and developed my communication skill . I think my learning plan helped me to achieve this goal . When I started this semester I wanted to learn about the wound care . To achieve this goal I observed the techniques of wound care in week -10 demonstrated by my instructor and reviewed the related resources of wound care . In week -11 I was successful in return demonstration of wound care and evaluated by my instructor . The plan I made
A critical literature review exploring the effectiveness of using skin staples as opposed to sutures or skin adhesive as closing materials after orthopaedic surgery.
Researchers will decide to select wound infections that occur after open heart surgery as a topic for their study, because it is significant for staff nurses to know the effect of wound infections that occurs with the adult patients. Researchers will obtain permission from the cardiac surgery center so that they could collect information from adult patients. They will also contact and meet with staff nurses in cardiac surgery center. Nurse educators will provide the form to all staff nurses working in the operating room. The form includes the title of the study, the purpose of the study, place of the work, duration of the study, potential benefits, potential risks, participant signature, and date. The reader can follow that consent
Do not take baths, swim, or use a hot tub until your health care provider approves. If your health care provider approves, you may take showers starting 1–3 days after your procedure.
Avoid shaving as it causes microlesion in skin surrounding the surgical site, providing an environment for infection develop (Tanner & Woodings, 2006) NEED TO VERIFY.
Surgical site infections are considered preventable. Because such infections are considered preventable, there are legal consequences directly connected to such a condition. In this paper, I will discuss what an SSI is and the reasons on why it is considered to be preventable. I will also discuss the role of disclosure and legal implications that are related to SSIs, accreditation expectations, and continuous quality monitoring as it relates to SSIs.
Patients should prepare to have a higher health insurance cost or a higher “out of pocket” costs so they don’t freak out when they get their bill. Patients need to know and understand their health insurance policy, for example brand and generic drug costs, co-pay for doctor visits and etc. They should be assertive in dealing with their own insurers, providers, and case managers. I agree that many of the changes that have led to a managed care system are rooted deeply with the economic realities. Furthermore, I agree that while hospital closings and mergers create many issues and concerns, both the declining number of beds and the declining number of admissions is related to a decline in the number of in-patient
According to Walker and Avant (1995), concept analysis allows nursing to examine the attributes or
According to Bastable and Doody (2007) an objective is a specific, single one-dimensional behavior. Objectives are used to form a map to provide directions on how to achieve a particular goal. In this lesson the students will have two goals. The first is for the student nurses to be able to identify all the supplies necessary to change a sterile dressing and to be able to correctly assess when a dressing needs changed or reinforced. The lesson plan will contain the following objectives:
Surgical site infections (SSIs) are the leading type of infections among hospitalized patients. There are so many reasons why people go for surgery; it can be an emergency reasons or elective. According to Beaver, (2008) a primary concern in healthcare today is the prevention of infections. Careful handling of the surgical equipment reduces the chances of surgical site infections, for instance equipment sterilization and careful hand hygiene of surgical equipment.
A meaningful event from my clinical experience was during week six when one of my colleague and I along with the RN performed a wound care procedure on one of my client who had pressure ulcers on her coccyx area and wound on the right foot. It was my first time doing wound care on a client who has severe wound type. Client is a 90 years old female who has been admitted to the unit for Osteomyelitis, it is an infection of the bone, caused by bacteria breaking into the body’s tissues and entering the bloodstream through an open wound (LeMone, p.1382). The client said a dog bit her foot at a park few years ago and that’s how she got the wound. Client has a wound care dressing order that needs to be changed daily with Betadine soaked gauze for all areas,