Preoperative Care : Nursing assessment
Preoperative Care : Nursing assessment https://urgentcarenearmetx.com/wp-content/themes/corpus/images/empty/thumbnail.jpg 150 150 Tony Guo Tony Guo https://secure.gravatar.com/avatar/aa9bbdf8f1e6bbf534778ecea7c0c925?s=96&d=mm&r=g- Tony Guo
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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)
- Familial diseases
- 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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