PRE-OPERATIVE PHASE Flashcards
What is done to identify and correct problems to decrease patient’s risk of complications during and after surgery.
Pre-operative assessment
What is performed to obtain baseline data for post-operative comparison.
Pre-operative assessment
It is a process of action embracing perception, thought, feelings and performance.
Pre-operative Teaching
Instruction of teachings is best given during this phase of the perioperative procedure
What Pre-operative Teaching level is:
involves guiding the patient in practicing the patient in the postoperative period. Doing this may decrease anxiety, hasten patient’s recovery and prevent the occurrence of complications
Skill training
Pre-operative Teaching Should take place at three levels:
- Information
- Psychosocial support
- Skill training
What Pre-operative Teaching level is:
involves explanations of procedures, patient care activities and physical feelings that the patient may encounter during the perioperative experience.
Information
What Pre-operative Teaching level is:
the nurse assists the patient in identifying effective coping mechanisms in dealing with anxiety and fear; provision of emotional support
Psychosocial support
It is a minor who has been judicially emancipated from their parents, or has reached the age of majority and is therefore free from the custody anf control of their parents
emancipated minor
Pre-operative Teachings:
promotes faster clearance of inhaled anesthesia’s, done 5-10 times every hour;teach patient how to splint surgical incision
DBCE
Pre-operative Teachings:
turning and reposition every 2 hours; turning team
Turning exercises
Involves a thorough physical assessment to identify whether or not the patient is capable of enduring the surgery
Physiologic Preparation
May involve diagnostic procedures such as ECG, chest x-ray, spirometry and other tests (cardio pulmonary clearance)
Pre-operative Teachings:
flex and extend each joint while lying
Extremity exercises
Pre-operative Teachings:
(1) turn to sides; (2) sit up on bed and dangle feet; (3) transfer to bedside chair; (4) walk around bed then corridor
Ambulation
refers to interventions that would directly prepare a patient for surgery.
Physical Preparation
Physical Preparation:
What must be done ON THE EVE of SURGERY
- Skin Preparation
- Bowel Preparation
- Preparing for anesthesia
- Promoting rest and sleep
Physical Preparation:
What must be done ON THE DAY OF SURGERY
- Early morning care
- Pre- operative medication
- Recording
- Transportation to OR
- Care of patient’s family
Type of Consent:
authorizes the attending physician and staff to render standard day-to-day treatment or to perform generalized treatment and care as the physician deemed advisable
General Consent
Refers to Preparing the parent spiritually could give rise to several issue hence, it is vital to seek the preference of the parents regarding this matter.
Spiritual Preparation
2 Types of Consent
General and Informed Consent
Type of Consent:
process (not mere documentation) explanations of the procedures, risks, benefits and alternative therapy made verbally to the patient’s level of understanding.
Informed Consent
In the event that the patient is not capable of giving consent such as in cases where the patient is minor, unconscious or mentally unsound, the following may give consent (arranged according to legal interstate succession):
- Spouse
- Adult child
- Parent
- Sibling
- For minors: legal guardian
The ____ should be the one to provide information about the procedure, its nature and known possible consequences
surgeon
