The homecare nurse can follow up with ongoing clinical assessments of the patient, monitor vital signs, and response to therapy including medication. See table of Text on pg.
Encourage patient verbalization of feelings. Provide information that helps to allay fears and concerns of the patient. Reinforce information provided by surgeon.
An informed consent is necessary to be signed by the patient before the surgery. The following are the purposes of an informed consent: Protects the patient against unsanctioned surgery.
Protects the surgeon and hospital against legal action by a client who claims that an unauthorized procedure was performed.
To ensure that the client understands the nature of his or her treatment including the possible complications and disfigurement. Criteria for a Valid Informed Consent Consent voluntarily given.
Valid consent must be freely given without coercion. For incompetent subjects, those who are NOT autonomous and cannot give or withhold consent, permission is required from a responsible family member who could either be apparent or a legal guardian. Minors below 18 years of ageunconscious, mentally retarded, psychologically incapacitated fall under the incompetent subjects.
The consent should be in writing and should contain the following: Procedure explanation and the risks involved Description of benefits and alternatives An offer to answer questions about the procedure Statement that emphasizes that the client may withdraw the consent The information in the consent must be written and be delivered in language that a client can comprehend.
Should be obtained before sedation. Nursing Interventions Provide psychosocial support.
Teach patient breathing exercises and how to use an incentive spirometer if indicated. Monitor patient for signs of adrenal insufficiency. Assess patients with uncontrolled thyroid disorders for a history of thyrotoxicosis with hyperthyroid disorders or respiratory failure with hypothyroid disorders.
Remain unhurried, understanding, and caring. Combine teaching sessions with various preparation proce-dures to allow for an easy flow of information.
Answer questions and describe what to expect. Explaining Pain Management Instruct patient to take medications as frequently as prescribed during the initial postoperative period for pain relief.
Remove jewelry, including wedding rings If patient objects, securely fasten the ring with tape. Initiate protective measures for the older patient with arthritiswhich may affect mobility and comfort.A pain history should include location, quality, intensity, temporal characteristics, aggravating and alleviating factors, impact of pain on function and quality of life, past treatment and response, patient expectations and goals.
About Journal of Nursing Care Quality JNCQ provides practicing nurses, nurses in leadership roles, and other health care professionals with new information and research on patient safety, quality care, evidence-based practice, and more.
Health assessment is one of the most essential and challenging aspects facing health care practitioners.
From top to bottom, from inside out, your ability to identify a patient’s condition influences that patient. Nursing programmes of quality assurance are concerned with the quantitative assessment of nursing care as measured by proven standards of nursing practice.
Quality assurance system motivates nurses to strive for excellence in delivering quality care and to be more open and flexible in experimenting with innovative ways to change outmoded systems. Director, California Quality Collaborative metin2sell.com Develop an initial intake and assessment process that includes establishing an initial care plan and goals and identifying any critical care needs.
Consider having health assessment scores, and patient activation. An ongoing process of assessment, clinical decision making, planning, intervention and education will minimise complications, promote healing and facilitate optimal wound.