Refort of perioperative observation

Running Head : PERIOPERATIVE OBSERVATION

Perioperative Observation (Name of Author (Name of University

Introduction

Perioperative practice is patient-oriented nursing , benefiting both patient and nurse . For the nurse the role emphasizes the professional intellectual , and human aspects of nursing and increases responsibility to the patient and his or her family . The patient benefits from direct communication with the perioperative nurse as well as from individualized care . Because the nurse sees the role as significant and gains grater personal satisfaction , better nursing care may be given which also directly benefits the patient p

Setting and Surgical Procedures Observed in the Perioperative Experience

As a specialty , perioperative patient care is based on general definitions and concepts of nursing . Nursing has been and still is predominantly a woman 's profession . Nurses are still expected to demonstrate so-called feminine characteristics . They are expected to be caring and compassionate , even self-sacrificing . With the women 's movement and the shifting role of women in society , the women and men entering the nursing profession bring to it different characteristics These nurses are no longer willing simply to carry out medically related activities . They clearly see the independent function of nursing as well as the different focus nursing has in contrast to medicine Perioperative nursing reflects this perspective . Although perioperative nurses perform medically related activities during surgical procedures they also give direct nursing care in collaboration with physicians and other healthcare personnel

The perioperative nurse will continue to be more specialized . He or she will be responsible for managing the care of groups of patients having surgical and /or noninvasive procedures . Less invasive surgical procedures are becoming more commonplace , including laparoscopic cholecystectomy , hernia repair , and hysterectomy and bowel resection Procedures requiring technology such as lithotripsy , lasers , and ultrasound are considered noninvasive

Laparoscope Colostomy

The perioperative evaluation for laparoscopic patients varies little from that of patient scheduled for a laparotomy and the same points should be considered . The patient is positioned in a supine position but may be tilted into a reverse Tredelenburg position intraoperatively Other aspects for consideration during these procedures are the following : laparoscopic procedure may convert to a laparotomy at any time and the appropriate instrumentation should be available patient must be made aware of this possibility laparoscopic instrumentation an equipment should be assembled and be in good working before commencement insufflations pressure must be set to 15 mmHg as exceeding this may lead to changes in blood pressure , bradychardia or the development of gas emboli in an exposed blood vessel pressure flow of the CO2 gas should not exceed 21 min suction and electrosurgical equipment should be in good working a method for defogging the laparoscope should be available , e .g , warm water . Laparoscopic procedures have the benefit of shorter hospitalization , earlier ambulation , decreased post operative pain , lower wound-related morbidity , and more rapid return to normal activities

Perioperative Care : Trauma

Any clotting defect which may be present is rectified and , once the patient 's condition has stabilized , she is prepared for surgery . Close observation of the...