Professional Documents
Culture Documents
By: Katie Helms, April Greene, Erin Mosher & Wyatt Withers
Assessment
Pain Management
Gather past experiences with pain and how they manage pain at home
Position change
Massage
Relaxation/diversion
Guided imagery
Meditation
Have patient express when pain level reaches a 5 on the 1-10 pain scale
2.
3.
Preoperative
Intraoperative
Postoperative
Ends when the patient are completely recovered from surgery, and the last follow-up
physician visit
Preoperative Care
Check patients chart for type of surgery and review medical orders
Breathing Exercises
Deep Breathing
Deep Breathing with
Coughing
Incentive Spirometer
Importance:
Breathing exercises help to keep lungs clear of
fluid and buildup postoperatively
Prevents complications and alterations in
cardiovascular and respiratory function
Patient should informed of these exercises prior
to surgery
Splinting
Preoperative Concerns:
Dietary/Fluid Restrictions
Important to make sure stomach contains minimal gastric secretions in order to reduce risk of
aspiration.
Skin Preparation
Intestinal Preparation
Postoperative Care
Temperature
Pulse
Respiratory rate
Pulse Ox
Blood Pressure
Patient Comfort
Ensure that the patient is:
Warm
Comfortably positioned
Pain has been assessed
Medications have been administered or
adjusted as needed.
Ongoing Care
References:
Lynn, P. (2011). Clinical Nursing Skills (3rd ed., pp. 277-303). Philadelphia, PA: Wolters Kluwer.
Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of Nursing
(7th ed., pp. 817-838). Philadelphia, PA: Wolters Kluwer.