Preoperative Care : Nursing assessment

Preoperative Care : Nursing assessment 150 150 Tony Guo

Nursing assessment

  • Overall goals
    • Identify risk factors
    • Plan care to ensure patient safety
    • Establish baseline data for comparison intraoperative and postoperative
    • Determine psychologic status to reinforce coping strategies
    • Determine physiologic factors of procedure contributing to risks
    • Identify and document surgical site
    • Identify drugs, OTC medications,  and herbs taken that may affect surgical outcome
    • Review results of preoperative diagnostic studies
    • Identify cultural and ethnic factors that may affect surgical experience
    • Determine receipt of adequate information from surgeon to sign informed consent
    • Determine that consent form is signed and witnessed
  • Communication
    • Use common language
    • Use translators if needed
      • Decreases level of anxiety
    • Communicate all concerns to surgical team
  • Handle anxiety
    • Anxiety can impair cognition, decision making, and coping abilities
    • Anxiety can arise from
      • Lack of knowledge
      • Unrealistic expectations
    • Information lessens anxiety
  • Fears
    • Death or disability
    • May prompt postponement
    • Influence outcome
    • Mutilation/alteration in body image
    • Assess concerns nonjudgmentally
  • Pain
    • Consult with ACP
    • Confirm drugs will be available
  • Health history
    • Familial diseases
      • Inherited traits
      • Conditions
    • Reactions/problems to anesthesia (patient or family)
  • Current medications
    • Prescription and OTC
    • Herbs
    • Dietary supplements
    • Antiplatelets/NSAIDs
    • Recreational
      • Drugs
      • Alcohol
      • Tobacco
  • Allergies (drug and nondrug)
    • Screen for latex allergy
    • Risk factors
    • Contact urticaria or dermatitis
    • Aerosol reactions
    • History of reactions suggesting latex allergy

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