Provide a list of services that could provide your patient with community support whilst they are home recuperating.

Provide a list of services that could provide your patient with community support whilst they are home recuperating

Situation One
The 56-year-old Mrs. Gay McMann is being admitted for elective total hysterectomy surgery.
Background of the client:
Degenerative arthritis of the spine and both knees (damaged 4 years ago, resulting in a 40-kilogram weight increase from being unable to walk and exercise as before)
She is dangerously fat, weighing 140 kg and standing 176 cm tall.
When she gets the flu or a cold, or when the weather changes, she develops reactive asthma.
She shares a home with her spouse and their five adult children.
She works full-time in the customer service sector, spending much of the day on her feet and putting up with pain.
Medication: daily 15 mg of mobic and omega-3 fish oils; glucosamine twice daily.
Advil prn
She experiences shortness of breath after activity, according to Mr. McMann, and diabetes and heart disease run in her family.
Upon assessment, she seems content, although she is a little worried about the potential risks of surgery given her weight. Gay desires to get the sacraments and see her priest.
Concern is also expressed because Gay is the primary caregiver for a daughter who has a chronic condition.
Respond to the following queries: 100 words, most per response. Harvard referencing must be used, and suitable, high-quality references must be used. It is necessary to use a variety of books, websites, and journals in addition to material found on websites when obtaining information. Questions/Tasks
1. What nursing actions must be performed when the patient comes for admission to the operating room?
2. What does consent entail and why is it necessary?
3. The pre-op ECG has been requested by the doctor. What is an ECG, and why would one be needed before a procedure?
4. Did the patient ask to see a priest before the operation? Given the time limits, must we accommodate this, and if so, why?
5. For cultural reasons, the patient has asked that no male nurses give treatment. What exactly is cultural nursing, and are we required to abide by this request?
6. How would you convey this wish to everyone involved in the patient’s care?
7. How would you arrange the space for your patients’ post-surgery return?
8. What tools would you require to help you care for this patient after surgery?
9. Describe how an ISOBAR handover works and what the handover’s goals are.
10. Describe the purpose of a catheter and how it is handled.
11. Describe the procedure for removing the catheter and post-IDC.
12. Describe how to oversee and manage intravenous therapy.
13. Explain how to take out an IV cannula when it’s no longer needed.
14. Identify two pain scales that can be utilized following surgery and explain which would be the best option for your patient in the given circumstances.
15. What non-pharmacological techniques could we employ to help with pain management?
16. You are helping your patient get up and take a shower on Day 2 following surgery. Your patient complains of SOB, chest pain, and dizziness when rising from a seated position. Describe what you would do and why.
17. During a follow-up evaluation in the afternoon, when the chest pain and event from the morning have subsided, you notice that your patient is complaining of a sore L. calf. Upon closer inspection, the L calf is noticeably larger than the right, and it is also hot to the touch and sore. How would you respond? What might be the reason?
18. The client is preparing for discharge on Day 4, but when does it actually begin?
19. You observe that the patient is flushed in the face as they pack their back. They are grabbing at the area of their wound. How would you respond?
20. You note that the patient’s PR is 110, their temperature is 38.9, and their BP is 100/70 based on your clinical observations of them. When you examine the wound, you find that there is a lot of offensive-smelling yellow ooze coming from the staples that are on the outside of the wound. What do these findings imply?
How will you use nursing interventions, and why?
22. What is a heart rate of 110 beats per minute called?
23. What is a temperature of more than 38 degrees called?
24. The infection is determined to be MRSA when the results of the wound swabs are received. What is MRSA, and what steps will you need to take to control it?
25. What details would you give the client to help them understand what has happened and the guidelines for handling hospital-acquired infections?
26. The patient gets a urinary tract infection while they are in the hospital. What clinical symptoms would the patient complain of, and how would this be diagnosed?
Define what a urinalysis would reveal to be present in the urine.
28. The patient was scheduled to be released on Day 5, but postoperative problems caused the release to be postponed by an additional 5 days. This has now led to additional social and financial obligations. How can you help this patient with the problems that have come up?
29. The patient is ready to be discharged; what steps are necessary?
Provide a list of community resources that could help your patient while they are recovering at home.

 

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