Symptoms And Treatment Of Patients

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

On 01/27/2016, I observed about 22 patients in Postanesthesia Care Unit. Some of the patients were observed after surgeries while others were observed after endoscopy. During my shift, I observed patients awaiting recovery for removal of kidney stones, malignant melanoma (removal of moles), Endometrial Biopsy (EBX), superficial femoral artery (SFA), Hernia repair, Oophorectomy (ovary removal surgery), Cardiorrhaphy (Ventricular repair), Cystolithalopaxy (bladder stone removal), gall stone removal, Ectopic pregnancy surgery, and leg surgery.

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)

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 practice of patient-controlled analgesia (PCA) has been around for approximately four decades now. During this time there have been improvements to the technology and the understanding of how to use this form of patient pain control; however, there continues to be concern related to the safety and efficacy of PCA. As this analysis proceeds it will briefly explain what PCA is and how it is used, then delve into the benefits and the safety issues surrounding PCA use as it pertains to the patient and the nurse. Some of the benefits of PCA include improved pain management, improved use of nursing resources, increased patient satisfaction, and reduced pulmonary issues (Hicks, Sikirica, Nelson, Schein & Cousins, 2008). Some of the safety

In order to discover the effectiveness of IV acetaminophen on opioid use for postoperative pain, a detailed question must be asked to provide guidance for a search. The question asked has five pieces: (P) population, (I) intervention, (C) comparison, (O) outcome, and (T) timing (Melnyk & Fineout-Overholt 2011). The full PICOT question is as follows: For surgical patients receiving general anesthesia, does the use of post-operative IV acetaminophen influence post-operative opioid usage to control pain during the inpatient

GDT has been found to be the pillar upon which the Enhanced Recovery after Surgery (ERAS) program is built upon. The downside of this technique is that it does not work well for bedside applications and most specialists do not allow the use of this method on a day-to-day basis. In the past few years, the use of GDT policies has been suggested as an important part of the ERAS package. The main concept of this plan is to have a myriad of solutions that will automatically lead to a better result in magnitude (Trinooson & Gold, 2013). Most of the studies, however have analyzed the effect and impact of implementation of the ERAS program. With regards to this shortcoming, it can be conclusively said that the outcome of using GDT mediation cannot be seen

Objective: To investigate the perioperative analgesic efficacy of oral paracetamol (Pardale-V ®) at licensed dose in dogs undergoing surgery.

Group N showing a faster onset compared to group B and the time that was taken to achieve complete block was shorter in group N. also, group N had prolonged postoperative analgesia (11).

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).

b) Another concept I have learned in this course is perioperative analgesia. Pain management after surgery is an obvious necessity. However, I was not familiar with the concept of windup, which describes hypersensitivity due to constant nociception. To avoid windup, analgesics may be administered before, during, and after

They were randomly (closed envelop method) divided into three equal groups according to administration of magnesium or lidocaine. The first group included 30 subjects who were received 2.5g magnesium over 12 hours prior to off-pump surgery and 2.5 g magnesium over 30 minutes intraoperatively; and were assigned as the study group. The second group included 30 subjects who were after induction of anesthesia; were given an i.v. bolus injection of 1.5mg/kg lidocaine followed by a continuous i.v. infusion of 2 mg/kg/h. The lidocaine infusion was maintained throughout the surgical procedure and discontinued at the end of surgery. The other 30 subjects received amounts of both drugs in a half dose prescribed for each

Improvements in pain management have many benefits for the patient, clinician and health care provider. Patients benefit from reduced pain, discomfort, physiological stress, delirium, morbidity, and the facilitation of return to mobility and independence (NICE, 2011). Clinicians benefit from having more manageable, less physiologically unstable patients, and reduced personal dis-ease with patients in pain. Health care providers will benefit from earlier discharge, more patient independence and less morbidity, as hospital bed days, post-discharge nursing and social care costs are reduced.

Surgery always comes with a number of risks and when you compound that with any pre-existing medical conditions it often creates a host of post-operative complications that the body has to now try and compensate for. When this stress response kicks in its main goal is to preserve the body’s vital resources to ultimately keep the individual alive by regulating blood pressure, heart rate, electrolytes, oxygen output, respiratory rate, blood volume distribution, coagulation, blood sugar and urine output. Mr Jensen was diagnosed with Diabetes Melitus (Type II) 2 years ago and a history of Hypertension which would create extra burden to regulate the above mentioned vital resources which could potentially be life threatening. A major factor that

Perioperative, postoperative data and renal function tests were collected before and after the procedures. Preoperative data was used to create the propensity model that was utilized in a multivariate model of survival. They measured the overall survival rate of the participants and cardiac specific survival rates.