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Principles of Pre and post operative care.pptx

Principles of pre and post operative care includes providing calm and comfort environment to patient who consents to have surgery, renders himself/ herself dependent on knowledge, skills and integrity of health care team. The healthcare services begins to be given with preparation for admission to the hospital.

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PRINCIPLES OF
PRE AND POST
OPERATIVE CARE
PRESENTED BY:
HARJOT KAUR
BSC.(N) 3RD YEAR
ROLL NO.:13
The period extending from the time of
hospitalization for surgery to the time of
discharge is the perioperative phase.
It includes care of patient prior to
surgery:
Preoperative phase
Intraoperative phase
Postoperative phase
INTRODUCTION
PERIOPERATIVE CARE
PREOPERATIVE
CARE
INTRAOPERATIVE
CARE
POSTOPERATIVE
CARE
The period in which patient is to be
prepared both emotionally and physically
for surgery.
Begins with decision to proceed with
surgical intervention.
Preparatory education.
PREOPERATIVE CARE
 Assess and correct psychological problems.
 Patient and others should be explained about
surgery.
 Management of fears related to surgery is essential.
 Nurses should be honest and truthful while
answering questions of parents and children.
 The parents and child should be oriented to the
recovery room, postoperative ward and equipment,
as the child will be kept there after surgery.
 Good communication between all members of the
health care team and patient.
PRINCIPLES FOR EMOTIONAL
PREPARATION
Preoperative preparation includes the following
area:
Nutrition and fluids.. Patient kept NPO from midnight
onwards before surgery.
Elimination … enema to be administered.
Hygiene.. Bath in morning to make skin free from
microbes.
Medications .. Anti emetics, sedatives, antibiotics..
Surgical skin preparation
Vital signs and laboratory test
Safety protocols
Special orders … insertion of NG tube prior to surgery,
medications etc.
PRINCIPLES FOR PHYSICAL
PREPARATION

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Principles of Pre and post operative care.pptx

  • 1. PRINCIPLES OF PRE AND POST OPERATIVE CARE PRESENTED BY: HARJOT KAUR BSC.(N) 3RD YEAR ROLL NO.:13
  • 2. The period extending from the time of hospitalization for surgery to the time of discharge is the perioperative phase. It includes care of patient prior to surgery: Preoperative phase Intraoperative phase Postoperative phase INTRODUCTION
  • 4. The period in which patient is to be prepared both emotionally and physically for surgery. Begins with decision to proceed with surgical intervention. Preparatory education. PREOPERATIVE CARE
  • 5.  Assess and correct psychological problems.  Patient and others should be explained about surgery.  Management of fears related to surgery is essential.  Nurses should be honest and truthful while answering questions of parents and children.  The parents and child should be oriented to the recovery room, postoperative ward and equipment, as the child will be kept there after surgery.  Good communication between all members of the health care team and patient. PRINCIPLES FOR EMOTIONAL PREPARATION
  • 6. Preoperative preparation includes the following area: Nutrition and fluids.. Patient kept NPO from midnight onwards before surgery. Elimination … enema to be administered. Hygiene.. Bath in morning to make skin free from microbes. Medications .. Anti emetics, sedatives, antibiotics.. Surgical skin preparation Vital signs and laboratory test Safety protocols Special orders … insertion of NG tube prior to surgery, medications etc. PRINCIPLES FOR PHYSICAL PREPARATION
  • 7. Children and their parents should ne taught those postoperative practices that they will need to do and their role in preventing complications, includes: Turning in bed and early ambulation Deep breathing exercises… prevent pneumonia or other conditions after surgery. Coughing… small pillow may be held tightly across incision so as to minimize the pain. Extremity exercises… active or passive.. Prevents circulatory problems. PREOPERATIVE TEACHING PRINCIPLES
  • 8. Informed consent Check all laboratory reports. Make sure that identification band for the child is attached to prevent faulty identification. Allow one of family member to stay with child to prevent fear of strange. Make sure that the child is send to the OT with all documents and necessary precautions. PROTECTIVE MEASURES
  • 9. Before surgery, the client or family member must sign a surgical form or operative permit. Client or family members must sign the consent before receiving any preoperative sedatives. The nurse must ensure that all necessary parties have signed the consent form and that is in the client’s chart before the client goes to the operating room. INFORMED CONSENT
  • 10. Pre-operative assessment. Obtaining informed consent. Preoperative teaching. Physical preparation of the patient. Psychological preparation of the patient. ROLE OF NURSE IN THE PREOPERATIVE PHASE
  • 11. The principle of safe and effective postoperative care includes: Maintaining fluid and electrolyte, Maintaining oxygen saturation, Managing pain, Preventing postoperative complications. POSTOPERATIVE CARE
  • 12.  Receive child with detailed information and the case sheet recorded accurately.  Check vital signs.  Maintain patent airway by keeping child inn side lying position.  Remove secretions if required.  Administer oxygen if needed.  Replacement of fluids.  Maintain intake and output chart.  Restrain child to prevent injury.  Pain management.. Administer prescribed analgesics.  Ensure guardians are with the child in recovery room. IMMEDIATE POSTOPERATIVE CARE
  • 13.  Monitor vital signs.  Observe for hydration status, intake and output, any drainage from surgical site, Return of bowel sounds and level of consciousness.  Administer medications.. Antibiotics, analgesics.  Maintain personal hygiene.  Ensure adequate rest, sleep and comfort.  Early ambulation and exercises.  Provide diversion therapy… play therapy , etc.  plan for discharge and teach about home based care, diet, medication and follow up. CARE AFTER 24 HOURS OF SURGERY