Preoperative care Flashcards

pre op and pt education

1
Q

What is preoperative care?

A

= involves holistic, physical, psychological, emotional and spiritual preparation of the patient

  • educates patient on risks
  • checklist
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2
Q

Preop plan

A

= best patient outcomes

  • gather and record all relevant info
  • risks considered
  • adverse events anticipated
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3
Q

What does pre admission add to pre op care?

A
  • Patient assessment and education
  • Discuss post-operation care
  • Fasting instructions and specific preparation instructions
  • Ensure all forms are completed
  • Consent and documentation check
  • Controlling co morbidities and evaluating medications
  • Stabilising nutritional and. Hydration status
  • Preparing the patient physically and psychologically
  • Advise obstinance from smoking and support where required
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4
Q

Pre operative assessment

A

= involves a nursing history/ interview, observations, physical examination

  • medical history and families
  • medications
  • social history
  • airway considerations
  • allergies
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5
Q

what is patient education?

A

= the process by which health professionals and others impart information to patients and their caregivers that will alter their health behaviours or improve their health status.

  • essential component for patients recovery
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6
Q

benefits of patient education

A
  • understand more about surgery
  • more control
  • increased use of self management strategies
  • improved health related quality of life
  • improved patient outcomes
  • increased satisfaction with care
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7
Q

Education for pt and family with surgery

A
  • what to bring
  • any changes
  • fasting
  • insertion of invasive instruments
  • purpose of vital sign monitoring
  • analgesia
  • process - admissions
  • where families should wait and what they should expect
  • include what they should expect for post op recovery
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8
Q

Fasting

A

= Nil by Mouth

  • minimises the risk of regurgitating the stomach contents
  • medications can be taken with little water

(around 6 hours prior)

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9
Q

Preoperative medications

A
  • benzodiazepines - reduce anxiety
  • opioids
  • anticholergics - prevent bradycardia
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10
Q

Discharge planning

A
  • should begin prior to admission
  • consider support network
  • patients carer
  • shopping food/houskeeping
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11
Q

Admission to clinical area

A

risk assessment

  • pressure injury
  • Venous thromboembolism
  • falls
  • malnutrition screening
  • baseline observations
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12
Q

Preoperative checklist

A
  • Makeup nail polish removed
  • Showered
  • Hospital gown
  • ID band x 2
  • allergy band if applicable
  • All jewellery to be removed or taped
  • Bladder emptied
  • Pre-medication given if applicable
  • Glasses, hearing aids, dentures to be removed - reading glass case if required
  • Health record, valid consent form, observation chart, drug chart (pre-med) and completed pre-procedure handover
  • Old notes and Xrays
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