60535458 Nursing Care Plan Preop PDF

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Summary

Pre operative...

Description

NURSING CARE PLAN Moderate Anxiety related to unfamiliarity with the surgical procedure as evidenced by increased blood pressure level ASSESSMENT

DIAGNOSIS

PLANNING

INTERVENTION

RATIONALE

Subjective: “gi kulbaan ko dong oi natural man tingali gyud na” as verbalized by the pt.

Moderate Anxiety related to unfamiliarity with the surgical procedure as evidenced by increased blood pressure

After 4 hours of nursing intervention the patient will be able to report decreased fear and anxiety reduced to a manageable level

Provide preoperative education, including intentional repetitive verification of client identifiers, procedure, marked site step and surgical “timeout” process. Discuss routine procedures and processes that may frighten or concern client

Can provide reassurance that client safety precautions are constantly ongoing, alleviate client’s anxiety, as well as provide information for formulating intraoperativev acre. Acknowledges that foreign environment may be frightening, lalleviates associated fear. Decreased anxiety level reduces elevation of glucocorticosteroid levels, which can interfere with healing

Objective: T- 35.8 C P- 102 bpm R- 22 cpm BP- 160/90 mm/hg

Inform client or SO of nurse’s intraoperative advocate role

Assure client anticipating

Develops trust or rapport, decreasing fear of loss of control in a foreign environment. Provides patient or SO with contact person

EVALUATION After 4 hours of nursing intervention the patient was able to report decrease fear and anxiety reduced to a manageable level as evidenced by lowered blood pressure level (130/70)

anesthesia that drowsiness or sleep occurs, that more sedation may be requested and will be given if needed, and that surgical drapes will block view of the operative field

Reduces concerns that client may “see” the procedure

Collaborative: Refer to surgeon, anesthesiologist and the other members of the surgical team

Further evaluation may be desired or required for client to deal with fear, especially concerning life threatening conditions, serious and or high-risk procedures

Administer medication as indicated: Sedatives, hypnotics

Used to promote sleep the evening before surgery; may enhance coping abilities...