2.50
Hdl Handle:
http://hdl.handle.net/10755/161935
Category:
Abstract
Type:
Presentation
Title:
Diagnostics and Interventions of Nursing for Patients in Recovery
Author(s):
Palazzo, Soraya
Author Details:
Soraya Palazzo, MS, RN, Centro Universitario, Sao Camilo, Brazil, email: enfcentrocirurgico@saocamilo-sp.br
Abstract:
Poster presented at AORN's 58th Annual Congress: The postoperative phase begins when the patient is admitted to the care unit denominated post-anesthesia care unit and ends with continuity of care on a floor or at home. Nursing activities are geared to promote the patient's recovery and the initiation of teaching focusing the follow-up care and referrals that are necessary for recovery and rehabilitation after discharge from the hospital. Concern for the patient during the post anesthesia recovery period is constant, with the need for frequent evaluations of the cardiovascular system, the respiratory system, the central nervous system and the muscular system due to the action of anesthetic medications. The objective of this study was to identify the principal nursing diagnoses and interventions during post anesthesia recovery. This involved a literature review performed through a bibliographical search of journals indexed in the LILACS, SCIELO, and SOBECC databases. The scientific articles utilized were published in the timeframe from 2000 to 2009. Nineteen articles resulted from this search, and four of these were excluded. The exclusion criteria utilized were: publication year (> 11 years) and articles that did not include diagnoses and interventions in post anesthesia recovery patients. Therefore, a total of 15 articles were utilized, of these, 11 had to do with nursing diagnoses and intervention in post anesthesia recovery and four related to postoperative nursing care. In order to correctly perform a nursing diagnosis, the nurse needs to know nursing diagnostics, collect valid and pertinent data, group the data, differentiate the nursing diagnosis from the collaborative problems, correctly formulate the nursing diagnosis, and select the diagnostic priorities. The principal diagnoses and their respective interventions as encountered in post anesthesia recovery were: * Anxiety: Furnish all the information regarding the procedure to be performed and clarify doubts the patient and family may have; * Impaired urine output: Control pain, urinary catheterization, monitor fluid, and anxiety resolution; * Diminished cardiac output: Fluid and respiratory monitoring, oxygen therapy, arrhythmia control, positioning, and anti-bleeding precautions; * Hypothermia: Fluid and environment control, regulate the temperature, and maintain the patient warm; * Infection risk: Care of lesions and catheters, infection control, adequate positioning, and vital signs monitoringl; * Nausea: Pain and medication control, temperature regulation, fluid monitoring, and aspiration precaution; * Fall risk: Keep the side-rails up and not leave the patient alone; and * Respiratory insufficiency: Administer medications, airways control, oxygen therapy, reduce anxiety, and maintain appropriate positioning. Systematic perioperative nursing care should be based on a nursing theory that takes the patient's needs into account, meeting each individual's specific needs, with a correct identification of nursing diagnosis.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDiagnostics and Interventions of Nursing for Patients in Recoveryen_GB
dc.contributor.authorPalazzo, Sorayaen_US
dc.author.detailsSoraya Palazzo, MS, RN, Centro Universitario, Sao Camilo, Brazil, email: enfcentrocirurgico@saocamilo-sp.bren_US
dc.identifier.urihttp://hdl.handle.net/10755/161935-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: The postoperative phase begins when the patient is admitted to the care unit denominated post-anesthesia care unit and ends with continuity of care on a floor or at home. Nursing activities are geared to promote the patient's recovery and the initiation of teaching focusing the follow-up care and referrals that are necessary for recovery and rehabilitation after discharge from the hospital. Concern for the patient during the post anesthesia recovery period is constant, with the need for frequent evaluations of the cardiovascular system, the respiratory system, the central nervous system and the muscular system due to the action of anesthetic medications. The objective of this study was to identify the principal nursing diagnoses and interventions during post anesthesia recovery. This involved a literature review performed through a bibliographical search of journals indexed in the LILACS, SCIELO, and SOBECC databases. The scientific articles utilized were published in the timeframe from 2000 to 2009. Nineteen articles resulted from this search, and four of these were excluded. The exclusion criteria utilized were: publication year (> 11 years) and articles that did not include diagnoses and interventions in post anesthesia recovery patients. Therefore, a total of 15 articles were utilized, of these, 11 had to do with nursing diagnoses and intervention in post anesthesia recovery and four related to postoperative nursing care. In order to correctly perform a nursing diagnosis, the nurse needs to know nursing diagnostics, collect valid and pertinent data, group the data, differentiate the nursing diagnosis from the collaborative problems, correctly formulate the nursing diagnosis, and select the diagnostic priorities. The principal diagnoses and their respective interventions as encountered in post anesthesia recovery were: * Anxiety: Furnish all the information regarding the procedure to be performed and clarify doubts the patient and family may have; * Impaired urine output: Control pain, urinary catheterization, monitor fluid, and anxiety resolution; * Diminished cardiac output: Fluid and respiratory monitoring, oxygen therapy, arrhythmia control, positioning, and anti-bleeding precautions; * Hypothermia: Fluid and environment control, regulate the temperature, and maintain the patient warm; * Infection risk: Care of lesions and catheters, infection control, adequate positioning, and vital signs monitoringl; * Nausea: Pain and medication control, temperature regulation, fluid monitoring, and aspiration precaution; * Fall risk: Keep the side-rails up and not leave the patient alone; and * Respiratory insufficiency: Administer medications, airways control, oxygen therapy, reduce anxiety, and maintain appropriate positioning. Systematic perioperative nursing care should be based on a nursing theory that takes the patient's needs into account, meeting each individual's specific needs, with a correct identification of nursing diagnosis.en_GB
dc.date.available2011-10-27T08:43:03Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:43:03Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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