‘1113122, 859 AME Preoperative Care - procedure, recovery, bload, removal, pain, compleaions, time, infection Surgery (Indoctin) | Pat ndentint) | Preoparte Coe Preoperative care Why this a (Definition Preoperative care isthe prepar jon and management of @ patient prior to surgery. Itinludes both physical and psychological preparation. (Purpose Patins who ar physialy and psychological prepared for surgery tend to have beter surgical outcomes, Properatve teaching mess the patents nese forinformaton rearing he surgical experiance, which'n tur may alleviate mos ois or er fears. Patents who ae more knowledgeable abo what 0 expec er surgery and wnohave an oppor to expres thi goals and pions, often cope biter wih postoperatve pan and éecreased moby Preoperative cares extvomelyimparan prio any invasive proce, egerdess of wheter he process minimal invasive oor of mae suger. Preoperative teschng must be indvitualzed foreach patent. Some people want a mich infomation as possible, while thers prefer ony minal riermaton because foo much owiadye may nerease thi analy. Patents have fret abies to compreond matical procedures; some pofo Dried information, whl thers lea mar ram orl peseratins tis import forthe patent o ask questions dung preoperative teaching Sessions. (Description Preoperative care rvoles many component, and maybe done he daybafore sige inthe hosp, or during the weks before surgry onan outpatent a8, Many sural procadures ae now parfomed na cay surgry sting, arth patents never admits he nes Physical preparation Physical preparation may consist ofa complete medical history and physical exam, ncling the patent's surgical and anesthesia background, The patient should inform the physician and hospital staff he o she has ever had an adverse reaction to anesthesia (such as anaphylactic shack), or thera is @ family history of malignant hyperthermia. Laboratory tests may include complete blood count (./Ce-FUComplete-Blood-Count.htm)) electelytes, prothrombin time, acvated paral thromboplastin i, and urinalysis (/St-WrlUrinalysis.htmi). The patent wil most ikely have an electrocardigram (EG) ihe or she has a history of cardiac disease, or fs over 80 years of age. A chest x ray (-ICe-FiChost X-Ray. htm) is done if the patient has a history of respiratory disease, Part of the preparation includes assessment for isk factors that might impair healing, such as nurional deficiencies, steroid use, radiation or chemotherapy, drug or alconol abuse, or metabolic diseases suchas diabetes. The patient should also provide alist ofall medications, vitamins, and herbal or food supplements that he or she uses. Supplaments are often overlooked, but may cause adverse elects when used wih general anesthetics (eg, St. John's wort, valerian root). Some supplements can prolong blaeding tme (e.g. ati, gingko biloba). Latex allergy has become a public health concern. Latex s found in most sterile surgical gloves, nd is @ comman component in other medical supplies including general anesthesia masks, tubing, and mutt.dose medication vias ts estimated that 18% ofthe general population and 8-17% of hea care workers have his allergy. Children with disables ae partcularly susceptible. This includes children with spina bia, congenial urological abnermalities, cerebral palsy, and Dandy-Walker syndrome. Atleast 50% of children with spina bids ar ltex-sensitve asa result of ear, frequent surgical exposure. A. ourrently ne cue available for latex allergy, and research has found thal the alley accounts fr upto 19% of all anaphyiatc reactions during htpsshwww.surgeryencyclopedia com/Pa-SUPreoperative-Care.himl ve‘1113122, 859 AME Preoperative Care - procedure, recovery, bload, removal, pain, compleations, time, infection White Oak Medical Centre White Oak Medical Centre Ltd ‘tom a sleeping pil the night before surgery xe “The night before surgery, skin preparation is often ordered, which can take the form of serubbing witha special soap fe. Hibiclons), or possibly hair removal rom the surgical area. Shaving hair sno longer recommended because studios show that ‘his practice may increase the chance of infection. Instead, adhesive barrier drapes can contain hair growth onthe skin around ‘he inion Psychological preparation Pationts are often fearful or anxious about having surgery. Ili offen helpful for them to express ther concams to heath care ‘workers. This can be especialy Beneficial for patents who are critical il or who are having a highisk procedure. The family needs fo be inclided in psychological preoperaive care, Pastoral cares usualy offered inthe hospital. the patient has a fear ‘of dying during surgery, this concer should be expressed, and the surgeon notified, In some cases, the procedure may be postponed untl the patient feels more secure. Children may be especially fearful, They should be alowed to have 8 parent with them as much as possible, as long as the parent isnot demonstrably fearful and canributing tothe chi’ apprehension. Children should be encouraged to bring a favorite toy or blanket tothe hospital onthe day of surgery. Patiants and famille who are prepared psychologically tend to cope batter withthe patient's postoperative course. Preparation leads to superior outcomes since the goals of recovery are known ahead oftime, andthe patents able to manage postoperative pain more effocively Informed consent ‘The patent's or quarsian's writen consent forthe surgery is @ vial parton of preoperative care. By law, the physician wha will perform the procedure must ‘xpi the risks and benofts of the surgery, along with othr treatmont options. Howover, the nurse is often the person who actually winessas the patent's signature on the consent form. Its important that the patent understands everyting he or she has been told. Sometimes, patents are asked to explain wat they were fold so thatthe health care professional can determine how much is understod. Patienis who are mentally impaired, heavly sedated, or ertically ill are not considered legally abl to give consent. In this situation, the next of kin (spouse, adult ci, adult sibling, or porson with matical power of attorney (./Pa-SUPower-of-Attorney htm) ) may ac asa surrogate and sign the consent form. Children under age 18 must have a parent or quardian sign. Prooperative teaching Preoperative teaching includes instruction about the preoperative period, the surgery itself, and the postoperative period, Instuction about the preoperative period deals primarily wit the arval ime, where the patient should goon the day of surgery, and how to prepare for surgery. For example, patents should be told how long they should be NPO (nothing by mouth, which medications to take pror fo surgery, and the medications that should be brought wih them (such as inhalers fr pationts with asta). Insvuetion about the surgery isl includes informing the patent about what wll be dane dung the surgery, and how long th procedure is expected to {ako. The patint shouldbe tld whare te incision willbe. Children having surgery should be allowed to “practice” ona dala sued animal. It may be helpul to demonstrate procedures on the doll prior to performing them on te child. is also important for family members (or ather concemed parties) to now where fo wait during surgery, when they can expect progress information, and how long it wil be before they can see the patient. Knowledge about what to expect during the postoporaive period is one ofthe best ways to improve the paiont' outcome, Instucton about expected {actvties can also increase compliance and help prevent complications. This includes the opportunity forthe patient to practice coughing and deep breathing exercises, use an incentive sprometer and practice splinting the Incision. Addtonally, the patient shouldbe informed about early ambulation (gotng aut of bed). Th patient should also be taught tha he respiratory inlarvantons decrease the occurence of pneumonia, and that early lg exercises ‘and ambulation decrease the risk af blood cots, Patients hospitalized pastoperatvly should be informed about the tubes and equipment that they wal have. These may include mutipl intravenous lines, drainage tubes, dressings, and monitoring devices. In addon, they may have Sequential compression stockings on their logs to prevent blood clots unt they start ambulating Paln management isthe primary concern for many patients having surgery. Preoperative insuction should includ information about the pain management meth that they wil utilize postoperatively, Patients should be encouraged to ask for or ake pain medication before the pain becomes unbearable, and should be taught how to rate ther d'scomfort on a pain scale. Ths instruction alows the patients, and others who may be assessing them, to evaluate the pain consistantly thay willbe using 2 patient-controlled analgesia (./La-PalPatient-Controlled-Analgesia.htmi) pump, instruction ‘should take place during the prooperative period. Use of allemate methods of pain contra disracton, imagery, positioning, mindiulness mediation, mygle therapy) may also be presented. htps:www.surgeryencyclopedia com/Pa-SUPreoperative-Care.himl 28‘1113722, 859 AM Preoperative Care - procedure, recovery, bload, removal, pain, ompleations, time, infection White Oak Medical Centre 2 White Oak Medical Centre Ltd ‘he ganeric consent frm that do not pertain tothe specific surgery. For example, @ pation who is about to undergo a tonsillectomy (./St WerTonsillectomy.htm) might choose to stike out (and inital) an iter that indicates strlty might be a complication ofthe operation, (Normal results ‘The anticipated outcome of preoperative care isa paiont wha is informed about the surgical course, and copes with it succosefuly, The goal is to decrease complications and promote recovery. S00 also Peciavic concems (.!Pa-SUPodiatrc-Concoms.himl) ; Postoporave care (./Pa-SUPostoperaive-Care html) (Resources books ‘Beascnanp, OanstR, M.D, Mark 8, Evers, M.D, Kenneth, Matos, M.D, Coury M Tange, and vis , Sablon ede, Sbison Textbook of Super The Bill Bass of Modem Surgical Prastice 6b ed. Landon: W.B Saunders Co, 200% Lnwronea Peter Remar Mel, ans Mor T.Dayon Gs Essent of Gonra Surgery Sr x. Pali, PA Lippncat, Wars & Wikis, 2000. Lu, Mehael FH. Kennts Waler an Rober B.S, ad. Mica! Managoment fhe Sura Patan, tho. Cartige, UK: Cantiige Univer Pras, 200, Pons, Jette, Micheal Rose, Jason Brodsky, ML. Frederck toy, M.D. and deay L. Pansy. The Cleveland Cnc Ge fo Sul Part Management st a Plana, Pa: Mosby, 2002. ‘Size, Rabbiejan, AD, ed, Handbook of Pregperaive Assesment and Management, Pilla, Ph nel Wa & Wiki, 200, periodicals ‘Dean, A nT: Feweat. "Muro ut of eidencein pre-operative ating” Aursing Sandor 7, no-12 (December 2002) 38.7 organizations "atonal Insts of Heath 9000 Rocke Pk, Beessa, MD 20882 (201) 496-4000, Ema: [email protected] GOV. hwo! twin gout) Abby Wojahn, RN, BSN , CCRN Crystal H. Kaczkowsk M Se Planning to Take IELTS? Get IELTS on Conrputerresuitsin 3 results t British Council ° (User Contributions: in eR DOES S thanks or the arte twas 80 use ust want to make sur if preoperatie cre i the same wih reoperatveansothesa record or there sa Sifrence ? * htps:www.surgeryencyclopedia com/Pa-SUPreoperative-Care.himl ae‘1113122, 859 AME Preoperative Care - procedure, recovery, bload, removal, pain, complications, time, infection White Oak Medical Centre 2 White Oak Medical Centre Ltd This is very useful atile.Just I want to krow what al are the cases wil doin day surgery uni?How wil giv pre operative cae there? found tis article sspecally helpful for my project on preoperative and post operative teaching to lens. thank you very much forthe well presented ‘nd well explained ale. my caps ff 0 you thanks forthe nice and useful aricle| hope support us with more articles thanks forthe educatonal arte. it helps me to get a relevant information in regards my new corse Fem ‘Thank you! ithad athe information that I needed ana gave it straight frware! ‘Hanx alot forthe very useful information,..* thank go much is realy nce , that really help me in my work and study thanks again {hanks aft fr this info.ithetps me with my studies. THANKS FOR ABOVE ARTICLE IT HEPLED ME ALOT IN SURGERY great have leaned a lot of things here. i's such a useful info and am prety sure it wil greatly help a lot of students ica mel thanks! ‘Trank am a fnal year student clinical medicine KMTC Kenya your atte has realy inspired me . Keep it up A vowarinn a ns) THE ARTICLE IS QUITE USEFUL MORE EMPHASIS ON OPERATIVE CARE IN TROPICAL PATIENTS. nL sue rove pout clear and concise artcle helped me ta have a quick ook at pre-op care.good work thanx forte info £8 be ciscussing this topic today. this thing isa great help, realy bn om sate. rile led me pass my exam. pat opinan a oo com am having tis lecture on preoperative care ard post operte care a month om now ad fend this aril so vii thanks. ll appreciate more you could sond mo more articles about pre and postop preparations on my oma htps:hwww.surgeryencyclopedia.com/Pa-SUPreoperative-Care.html ‘simple and very clr. e 48‘1113122, 859 AME Preoperative Care - procedure, recovery, bload, removal, pain, ompleations, time, infection White Oak Medical Centre 2 White Oak Medical Centre Ltd 118 a nice arucle butt lacks some intormaton.1 would Ike to have mare knowledge about averythng thats relates operations. Esato yal om) thanks alot. very nice arco.very informative, it ealy helped me a t.thanks again:D 4o patients have the ight to revoke consent at any time before surgery? Eee mia at aot a AVERY GOOD ARTICLE IT HAS HELPED ME AS A STUDENT. (etl com) ls a really ood articles. thas helped me on my project of preoperative car, thankx alt. <7 samton nine aiesnatine alan ft omy Yaa! benafited a lot from ths alle whan i was doing my reasorch SE BLESSED. sally (ma x aayStgenteman (yahoo [ot com) its very nce artcl.very informative,thanks alt. Lis vory useful atc helped me alot as anurse, enh ould you please tel me when was this article published? thank You for your time maria This article is very Inspiring, I bellove it wil bo of great help for me a school, Thanks forthe work well dane This article is very useful and beneficial However would lke to know when ths article was published, {need paper and books about preoperative teaching tne Otgboye busirah(maetegbeyebushah [yahoo (et com) ‘This article is useful beneficial helpful ane explanatory-Tanx so much ane wel done ths ance is vary interesting but wil noed more details on the nurses rote thanks thanks fortis good piece of atte.’ really helpful nice article ithelpd me 2 lot as a nurse. we hope more from u side regarding surgery. thank you htps:www.surgeryencyclopedia com/Pa-SUPreoperative-Care.himl se‘1113122, 859 AME Preoperative Care - procedure, recovery, bload, removal, pain, compleations, time, infection White Oak Medical Centre 2 White Oak Medical Centre Ltd THANKS FOR THE TOPIC. | wllbe thankful, Always Thank again ved wok dane, yourrice aie had ea a mura we pe more am uid epacing arpa. Bark you Stee Sai a BBA © Actual love te arc ns explonough butt doesn tak about gating patent ready about the cost implication and te nursing process as tational care ab onder, var od or pretation, oda emimasonbe % 3 the artci is very educative has helped to broadened my knowlege inte poloperatve cae rendered to my pants: alt ortho knowedge S aeamptraine z ° ‘Ver heb actualy is ery hap for rowing he sri reparation and care of hecent <5 ot uate ait preeseondrohimin ama tem) ° Very god vary informative efectve and pracicaly appcable arlan ca a Gta © am cecussng preoperalve care thanks to this arict am going to gather he § pos im > Tarte is ust ana helps meat, Thanks for arin!) cr onanues ° \Wiell-done, am right now scheming my lecture on preoperative management. My Work is made easy wen i opened this article i 3 This s Not Good Infomation | Am A Tenth Grader tenn ong 3 3 Its wol explained and spied and thank you so much for he good and wel prec note rata : 3 ‘Awol writen arc. Aust read ad practic by all medical personne volved in pe, dng and post operaon surgery. ‘pre operate patent wi be heped Both phyicaly and pyenokgialy to overcome fear and pan ar operation feo shes Steted oan enent a requred 2 ey uote =aaneee Th rile rely helped mn dong my asinment of psychloia uppor of patents end relatives por to surgery htps:www.surgeryencyclopedia com/Pa-SUPreoperative-Care.html oe‘1113122, 859 AME Preoperative Care - procedure, recovery, bload, removal, pain, compleaions, time, infection White Oak Medical Centre 2 White Oak Medical Centre Ltd Thanx alot, may you also send me a complete case of pre and postop assessment cite 3 Thank ya ery mich our ara vvd ti oor hi oo ma eallng eal ry next ener on preoprativa procedure eda itt surmie portodals stan ana Goran ates oar mo con) ° Thanks frinforaon gin umn vary uel and profasionl, Rapa tom Now Afgharitan rc aaa 3 Your 0 fatasc at al t's improve and be competent in providing preoperative care a 3 {am very thanktulfor the art ts really important to me as student sep up he good work