Preoperative Care : Nursing assessment

• July 16, 2020
• Tony Guo
• no comments

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