Nursing Intervention In Acute Surgical Care

Nursing Intervention In Acute Surgical Care

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Nursing Intervention In Acute Surgical Care

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Nursing Intervention In Acute Surgical Care

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Discuss About The Nursing Intervention In Acute Surgical Care?


The health care industry has advanced considerably by the virtue of scientific nd clinical reasoning techniques added to it. Along with the care standards and care delivery has changed completely as well. Be it the clinical reasoning cycle and the or the evidence based practice the innovations have made the medical care more patient centered than it ever was. With the changes to the health care structure the nursing care has changed completely. As the patients spend a considerable amount of time with the nursing professionals and are much more comfortable with the nursing professionals, the upgrading standards of nursing care has improved the patient satisfaction drastically as well (Brenner & Kautz, 2015). This report will demonstrate the upgraded nursing care in details taking an acute surgical care setting as an example.
Acute care scenario:
The acute care scenario opted for the assignment is of cholecystosis, a very common health concern among the middle aged men and women. Cholecystosis is known as a gall bladder inflammation that blocks the cystic duct and traps the digestive bile inside the gall bladder. The bile is necessary for digestion of fat and absorption of some key vitamins, which is the reason the individual suffering with this particle disease experiences excruciating right upper quadrant pain upon consuming oil rich heavy food, other symptoms for this includes fever nausea and vomiting. Usually cholecystosis is coupled with gall stones but acalculous cholecystosis is just as frequent. The treatment plan for a severe cholecystosis with gall stones is cholecystectomy or surgical removal if the gall bladder (Graham et al., 2012).
Nursing care:
The nrs8ng care plan for a middle aged man suffering with cholecystosis coupled with gall stones should include stabilizing his vitals, restoring normal body temperature, minimizing his pain and preparing and caring for the patient before and after the surgery.
In the preoperative scenario minimizing the pain that the patient is going through is the first scope for nursing interventions. The nursing profession must assess the pain the patient is experiencing using a modern pain assessment tool, the  depending on the pain scale determined by the patient the nurse must administer pharmacological and non-pharmacological interventions. The nursing professional must administer medication like multimodal analgesia to minimize the pain (Hambridge, 2013). Along with that the nursing professional can encourage nonpharmacological interventions like changing the position and making relaxing conversations. Other than that the nurse must administer antipyretics to minimize the nausea and fever that the patient is under and care should be taken that the vital signs pf the patient and his nutritional levels are restored before the surgery. After the surgery, the postoperative pain and discomfort should be monitored and addressed with milder analgesia, and his vital signs should also be diligently monitored until his conditions are stabilized (Lee & Lee, 2013).
Barriers and facilitators:
Apart from a sound an safe nursing care plan for a patient dealing with a acute medical condition in need for a surgical care, there are a number of factors that has profound effect on the success of the care plan and the safety and wellbeing of the patient. All these factors can present barriers and challenges in the path for the patent to gain full recovery, one of these factors can be fear and apprehension in the patient. A patient that is going through acute pain and several other medical complexities can get terrified and somewhat paranoid with the impending surgery (Oruc, Ugurlu & Boyacioglu, 2012). In such situation a nursing assistance can act as the facilitator for the patent attaining a smooth journey to recovery and regain the life back. Educating the patient about his medical condition and how the treatment plan selected for him can help him go though this rough phase much easily can overcome the apprehension successfully. Resistance nad non cooperation from the patient and his family can also act as a barrier, communicating and educating them can serve as an adequate intervention complete with the standard consent process. Furthermore, incorporating 8 core values of strength based nursing to enforce empowerment and self-dependence in the patient can be the biggest facilitator in this scenario (Zheng, Qin & Zhao, 2012).
Potential complication:
Another important aspect of a complete care scenario is the occurrence of unwanted complications that can severely damage the condition of the patient further and affect his or her chances to speedy recovery. For instance, the case scenario opted for this assignment revolves around a case of acute cholecystosis requiring immediate surgical intervention. A common complication that can arose in this scenario is post operative infection. Infections are te most common cause for health complexities leading to co-morbidities in the health care scenario, and according to the centre for disease control 40000 deaths occur every year sue to the hospital acquired infections (Gould, 2012). In such situations according to the guidelines of CNO, the RPN designated to the patient must take actions in accordance to the standards outlined. For instance the nurse must administer antibiotic based prophylaxis to minimize the spread of the infection. Moreover the nurse must ensure preventative measures like proper hand hygiene and oral hygiene using mild antimicrobial agents like chlorehexin. Lastly, the RPN is responsible for the safety and wellbeing of the patient, hence RPN must adhere to the systemic approach as guided by the CNO protocols to ensure a comfortable and aseptic environment for the patient (, 2017).
On a concluding note, it can be said that with te emergence of newer ad better regulatory authorities and organizations like CNO standardizing the health care practice, medical care has become most safe and patient centred at this point. The health care professionals are investing time and effort to adhere to the regulatory benchmarks to ensure optimal care is provided to the patients. Hence it can be hoped that with the periodic amendments to the regulatory guidelines and provisions every day, health care will attain a stage where flaws will cease to exist in medicine.
Brenner, P., & Kautz, D. D. (2015). Postoperative care of patients undergoing same-day laparoscopic cholecystectomy. AORN journal, 102(1), 15-32.
Gould, D. (2012). Causes, prevention and management of surgical site infection. Nursing standard, 26(47), 47-56.
Graham, L., Neal, C. P., Garcea, G., Lloyd, D. M., Robertson, G. S., & Sutton, C. D. (2012). Evaluation of nurse?led discharge following laparoscopic surgery. Journal of evaluation in clinical practice, 18(1), 19-24.
Hambridge, K. (2013). Assessing the risk of post-operative nausea and vomiting. Nursing Standard, 27(18), 35-43.
Home. (2017). Retrieved 14 May 2017, from
Lee, C. K., & Lee, I. F. K. (2013). Preoperative patient teaching: the practice and perceptions among surgical ward nurses. Journal of clinical nursing,22(17-18), 2551-2561.
Oruc, M. T., Ugurlu, M. U., & Boyacioglu, Z. (2012). Transumbilical multiple-port laparoscopic cholecystectomy using standard laparoscopic instruments.Minimally Invasive Therapy & Allied Technologies, 21(6), 423-428.
Zheng, M., Qin, M., & Zhao, H. (2012). Laparoendoscopic single-site cholecystectomy: a randomized controlled study. Minimally Invasive Therapy & Allied Technologies, 21(2), 113-117.

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