1st Post op NCP Should be continuation of Pre op nursing care plan
Purpose of using care plan is to individualize and improve care provided to client
Appendectomy is the surgical removal of the appendix
Pre op preparations for patient under go surgery are patient history, lab investigation, allergies, NPO, I.V. fluids, preoperative medication, teaching, consent, ……..
Post op monitoring include Vital signs, Intake & output, Pain relief, Bowel sounds, Wound healing.
continuous patient health education from admission to discharge
Acute appendicitis (AA) is considered as one of the most common causes of surgical emergencies worldwide (1). The gold standard treatment for AA is Appendectomy (2). About 6% of the population during their lifetime, will suffer from acute appendicitis
Acute appendicitis (AA) is considered as one of the most common causes of surgical emergencies worldwide (1). The gold standard treatment for AA is Appendectomy (2). About 6% of the population during their lifetime, will suffer from acute appendicitis
Presented in:
Pre-Conference Workshop on Communication Skills in Management of Cancer Patients,
World Cancer Day Conference & Expo 2015
by National Cancer Society of Malaysia
Aligning Incentives for Patient Engagement: Enabling Widespread Implementation of Shared Decision Making
May 23, 2013
Karen Sepucha, Massachusetts General Hospital
Dale Collins Vidal, The Dartmouth Institute for Health Policy & Clinical Practice
Test bank for critical care nursing a holistic approach 11th edition morton f...robinsonayot
Test bank for critical care nursing a holistic approach 11th edition morton fontaine.pdf
Test bank for critical care nursing a holistic approach 11th edition morton fontaine.pdf
Understanding Chronic Appendicitis - Unraveling the Mysteries.pdfMeghaSingh194
Chronic appendicitis is a condition that has puzzled medical professionals for years. Unlike acute appendicitis, which presents with severe pain and requires immediate surgical intervention, chronic appendicitis is characterized by milder and recurrent symptoms. This has made diagnosis and treatment challenging, as patients often experience vague abdominal discomfort, bloating, and changes in bowel habits. Let's explore more: https://www.southlakegeneralsurgery.com/chronic-appendicitis-southlake-general-surgery/
This presentation is part of the theoretical and practical training course for oncology nurses of Bugando Medical Centre (Tanzania) that our institute organized in collaboration with Dr Nestory Masalu, Prof Dino Amadori, Dr Patrizia Serra, Dr Carla Masini, Dr Marina Bragagni and Dr Ivana Barlati. It was for all of us an amazing experience sharing with Tanzanian Colleagues these information.
THE PURPOSE of the following sections is to give a brief description of many of the major drug classes that are important to nursing pharmacology; for drug class, we ‘ll discuss one prototype drug and examine it for information about warnings, indications, administration, and more; nurses, however, should seek out detailed information about individual drugs, as the prototype cannot be assumed to provide comprehensive information on other drugs in the same class; underline=preferred administration route
Define
Define related concepts nursing care of patients with musculoskeletal disorders.
Recognize
Recognize different types of musculoskeletal disorders.
Identify
Identify the clinical manifestations of musculoskeletal disorders.
Recognize
Recognize the medical management of musculoskeletal disorders.
Recognize
Recognize the nursing management
patients with musculoskeletal disorders.
MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERSTHYROID DISORDERS (Hyperthyro...Jamilah AlQahtani
MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERSTHYROID DISORDERS (Hyperthyroidism &Hypothyroidism)
Learning Objective
On completion of this lecture, the students will be able to:
Compare hypothyroidism and hyperthyroidism: their causes, clinical manifestations, management, and nursing interventions.
Diabetes insipidus and syndrome of inappropriate antidiuretic hormoneJamilah AlQahtani
MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERSDiabetes Insipidus and Syndrome of Inappropriate Antidiuretic Hormone
Learning Objective
On completion of this lecture, the students will be able to:
Compare diabetes insipidus and SIADH: their causes, clinical manifestations, management, and nursing interventions.
Dm,MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERSDiabetes MellitusJamilah AlQahtani
MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERSDiabetes Mellitus
Learning Objectives
On completion of this lecture, the students will be able to:
Differentiate between type 1 and type 2 diabetes
Describe etiologic factors associated with diabetes
Identify the diagnostic and clinical significance of blood glucose test results
Describe the relationships among diet, exercise, and medication for people with diabetes.
Describe the acute and chronic complications of diabetes
Management of Patients withLower Respiratory Disorders Pulmonary Tuberculosis (TB)
At the end of the lecture, the student will be able to
Describe the patho-physiology of the disease.
Discuss the major risk factors and clinical manifestations of the disease.
Use the nursing process as a framework for patient care.
Discuss medical , surgical and nursing management of the disease.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
1. How can I put this lightly?
The sooner you come to love nursing care plans, the
easier your career as a nurse will be.
The relationship that most nurses have with care plans
goes something like this:
What the hell is a care plan?
This seems easy!
Agh! Why do they keep telling me my diagnosis is
wrong?
Screw it! I’ll just Google and copy some random care
plan.
I’ll never do these again once a graduate.
Finally! I graduated . . . goodbye care plans.
2. Please take a minute
and think positively
• What does it mean to you to be
accredited by JCI, CABHI?
• What do you think which
accreditation should come next ?
• Are you ready for next challenge?
• How it can benefit you?
• What do you think you need ?
7. Introduction
• Acute appendicitis (AA) is considered as one of the most common causes
of surgical emergencies worldwide (1). The gold standard treatment for AA
is Appendectomy (2). About 6% of the population during their lifetime, will
suffer from acute appendicitis (3,4).
• Males suffer from acute appendicitis more than females (8.6% and 6.7%
respectively) (5,6). Acute appendicitis rarely causing death; with a
mortality rate ranges from zero up to 2.4% (8). However, more attention
has been directed for early diagnosis and intervention.
1. Douglas, Charles D., et al. "Randomised controlled trial of ultrasonography in diagnosis of acute appendicitis, incorporating the Alvarado score." Bmj321.7266 (2000): 919.
2. Schwartz SI, Brunicardi FC. Schwartz’s Principles of Surgery. 9thed. New York: McGraw-Hill, Medical Pub. Division; 2010. pp. 1073–1082.
3. Cuschieri, A. "The small intestine and vermiform appendix." Essential surgical practice 3 (1995): 1325-8.
4. Kanumba, Emmanuel S., et al. "Modified Alvarado scoring system as a diagnostic tool for acute appendicitis at Bugando Medical Centre, Mwanza, Tanzania." BMC surgery 11.1 (2011): 1.
5. Von Titte, Sigmond N., Charles J. McCabe, and Leslie W. Ottinger. "Delayed appendectomy for appendicitis: causes and consequences." The American journal of emergency medicine 14.7 (1996): 620-622.
6. England, R. J., and D. C. G. Crabbe. "Delayed diagnosis of appendicitis in children treated with antibiotics." Pediatric surgery international 22.6 (2006): 541-545.
7. Shawana, et al. "CAUSES OF DELAYED PRESENTATION OF ACUTE APPENDICITIS AND ITS IMPACT ON MORBIDITY AND MORTALITY." Journal of Ayub Medical College Abbottabad 27.3 (2015): 620-623.
8. Ohmann,37. Hussain MI, Al-Akeely MH, Alam MK, Al-Qahatani HH, Al-Salamah SM, Al-Ghamdi OA (2012): Management of appendiceal abscess. A 10-year experience in Central Saudi Arabia. Saudi medical journal., 33(7):745-
8. Brief View Of Appendectomy
• Appendectomy is the surgical removal of the appendix. An inflamed
appendix may be removed using a laparoscopic approach with laser.
However, the presence of multiple adhesions, retroperitoneal positioning of
the appendix, or the likelihood of rupture necessitates an open (traditional)
procedure.
• Studies indicate that laparoscopic appendectomy results in significantly less
postoperative pain, earlier resumption of solid foods, a shorter hospital stay,
lower wound infection rate, and a faster return to normal activities than
open appendectomy.
10. Post
appendectomy
nursing care
plan
Nursing care planning and
management for patients who
underwent appendectomy
includes:
preventing complications,
promoting comfort,
and providing information.
13. Nursing
Assessment
The identity of
the client…
Medical/surgical
History
Physical Examination
Investigations
Reminder
‘’Purpose of
using care plan
is to
individualize
and improve
care provided
to client’’
14. Nursing Diagnosis
•Acute pain
•Imbalance nutrition: less than
body requirements
•Impaired skin integrity
•Ineffective tissue perfusion: GI
•Risk for deficient fluid volume
•Risk for infection
15. Key outcomes
The patient will:
Express feeling of comfort and decrease pain
Maintain calorie requirement
Maintain skin integrity
Maintain adequate GI tissue perfusion
Maintain normal fluid volume
Remain free from signs and symptoms of
infection
16. Nursing Interventions
• Maintain NPO status until surgery is performed
• Administer I.V. fluids
• Avoid administering analgesic until the diagnosis is
confirmed
• Avoid administering enemas that may rupture
appendix
• Place the patient in fowler’s position to decrease
pain
• NURSING ALERT Never apply heat to the right lower
abdomen; this can cause the appendix to rupture
• Administer prescribed preoperative medication
17. Monitoring After
Surgery
• Vital signs
• Intake & output
• Pain relief
• Bowel sounds, passing of flatus
or bowel movements
• Wound healing
18. Assistant Tools & Forms Used in AFHSR
• Initial assessment Adult
• Reassessment evaluation
• Care of plan
• Pain assessment
• Fluid balance
• Risk fall assessment
19. Health Education For
Post Appendectomy
Be sure to cover:
Disorder, diagnosis and treatment
Pre op teaching
Possible complications
Appropriate wound care
Medication administration and possible
adverse effects
Postop limitations
20. Conclusion
• 1st Should be continuation of pre op nursing care plan
• Purpose of using care plan is to individualize and improve care
provided to client
• Appendectomy is the surgical removal of the appendix
• Pre op preparations for patient under go surgery are patient history,
lab investigation, allergies, NPO, I.V. fluids, preoperative medication,
teaching, consent, ……..
• Post op monitoring include Vital signs, Intake & output, Pain relief,
Bowel sounds, Wound healing.
• continuous patient health education from admission to discharge
21.
22. References
1. Douglas, Charles D., et al. "Randomised controlled trial of ultrasonography in diagnosis of acute appendicitis, incorporating the Alvarado score."
Bmj321.7266 (2000): 919.
2. Schwartz SI, Brunicardi FC. Schwartz’s Principles of Surgery. 9thed. New York: McGraw-Hill, Medical Pub. Division; 2010. pp. 1073–1082.
3. Cuschieri, A. "The small intestine and vermiform appendix." Essential surgical practice 3 (1995): 1325-8.
4. Kanumba, Emmanuel S., et al. "Modified Alvarado scoring system as a diagnostic tool for acute appendicitis at Bugando Medical Centre, Mwanza,
Tanzania." BMC surgery 11.1 (2011): 1.
5. Von Titte, Sigmond N., Charles J. McCabe, and Leslie W. Ottinger. "Delayed appendectomy for appendicitis: causes and consequences." The American
journal of emergency medicine 14.7 (1996): 620-622.
6. England, R. J., and D. C. G. Crabbe. "Delayed diagnosis of appendicitis in children treated with antibiotics." Pediatric surgery international 22.6 (2006):
541-545.
7. Shawana, et al. "CAUSES OF DELAYED PRESENTATION OF ACUTE APPENDICITIS AND ITS IMPACT ON MORBIDITY AND MORTALITY." Journal of Ayub
Medical College Abbottabad 27.3 (2015): 620-623.
8. Ohmann,37. Hussain MI, Al-Akeely MH, Alam MK, Al-Qahatani HH, Al-Salamah SM, Al-Ghamdi OA (2012): Management of appendiceal abscess. A 10-
year experience in Central Saudi Arabia. Saudi medical journal., 33(7):745-9.
https://nurseslabs.com/4-appendectomy-nursing-care-plans/4/
http://www.rncentral.com/nursing-library/careplans/
https://doc-0s-7c-apps-
viewer.googleusercontent.com/viewer/secure/pdf/ofkvilh5a7fbgg4k8hmhn0gcum46fuf9/elg9m6m1adqhjrej1sm0ihv25hf7c8ob/1521198075000/gmail/0
5492739580097384208/ACFrOgD7-4pf3jGWqn1ya6LH9rsY0YouITN0Y4ZuegFbcGAHpJcwh7SrZJtb8OwhiQJQyB-
GvJ2eraGzx7frEt7wZ0k8gFRq9etJ68fQW9LNJN-XkyQ0BQUQ-
DzYlD4=?print=true&nonce=cf5nf7r32n9fu&user=05492739580097384208&hash=of8qlbb5r4rn7sn7aegvm23377cbm2lm
23. Charles Heber McBurney, MD
Harvard alumni
Published first paper on appendicitis
in 1889
Introduced the use of rubber gloves during
operations to improve aseptic technique
Pre dates antibiotics
E. Patchen Dellinger, MD
Harvard alumni (trained under McBurney)
Published his first paper circa 1900
Also uses rubber gloves in the OR (and
rubber duckies in the bathtub)
Never met an antibiotic he ever liked
Editor's Notes
If that what came in your mind
You need to change
In this lecture we by Allah help will guide you to have different way of thinking and analysis of care plan
Only if you beattention and share participat you can benefit
So tell me start thronging some questions to you in order to keep you focus the whole journey of nursing care plan
Let me share with you very important fact that nursing care plan the evidence that we have or can how professional is nursing as it stated long time that nursing is art and sciences the art showing throughout our skills and sciences show though out our thinking and professional writing
Now I will take you to beautiful journey through out the nursing care plan
Care plan consist of 5 things assessment, diagnosis, outcome identification, planning accordingly implement your planning than evaluate what have plan and implement if your desire outcome met or not met if not again go around the circle assess the needs if something is missing and so on
A nursing care plan provides direction on the type of nursing care the individual/family/community may need.[1] The main focus of a nursing care plan is to facilitate standardised, evidence-based and holistic care.[2] Nursing care plans have been used for quite a number of years for human purposes and are now also getting used in the veterinary profession.[2] A care plan includes the following components: assessment, diagnosis, expected outcomes, interventions, rationale and evaluation
Objective[edit]
To promote evidence-based nursing care and to provide comfortable and familiar conditions in hospitals or health centers.[1]
To promote holistic care which means the whole person is considered including physical, psychological, social and spiritual in relation to management and prevention of the disease.[1]
To support methods such as care pathways and care bundles. Care pathways involve a team effort in order to come to a consensus with regards to standards of care and expected outcomes while care bundles are related to best practice with regards to care given for a specific disease.[1]
To record care.[1]
To measure care.[1]
History
The function of nursing care plans has changed drastically over the past several decades. In 1953, care planning was not believed to be within the nursing scope of practice.[3] In the 1970s, care planning was activity based.[3] Patients were listed according to the procedures they were having done, which determined their plan of care.[3] Care provided was passed on by word of mouth, dressing books, and work lists.[3] These forms of communication all focus on activities the nurse performed instead of focusing on the patient.[3] Today, nursing care plans focus on the individuals unique set of needs and goals.[3] Care plans are individualized to create a patient-centered approach to care.[4] Therefore, nurses must perform a physical assessment prior to planning a patients care
A cross-sectional study was conducted to assess the relationship between appendicitis and lifestyle ; dietary and hygiene in Saudi Arabia. This study showed defects in Dietary life style for acute appendicitis patients including, low consumption of water, a significant decrease in the containment of fiber at the usual food.
Risk factors : adolescent male
Incidence
Occure at any age howover majority of cases ages between 11 to 20
Affects both both sexes equally however between puberty and age 25 more prevent male
Current medical history ; complaints of pain in postoperative wound appendectomy, nausea, vomiting, increased body temperature, increased leukocytes
Physical Examination
Cardiovascular System: To determine vital signs, presence or absence of jugular venous distension, pallor, edema, and abnormal heart sounds.
Hematologic System: To determine whether there is an increase in leukocytes is a sign of infection and bleeding, nosebleeds splenomegaly.
Urogenital System: Whether or not the tension of the bladder and lower back pain complaints.
Musculoskeletal System: To determine whether there is difficulty in movement, pain in bones, joints and there is a fracture or not.
The immune system: To determine whether there is lymph node enlargement.
Investigations
Routine blood tests: to determine an increase in leukocytes is a sign of infection.
Abdominal examination photo: to know the existence of post-surgical complications.
Patient information for the day of the surgery.
The perioperative RN should instruct patients:
•
To contact the surgeon’s office if they develop cold or flu-like symptoms
•
About NPO restrictions and medications as ordered
•
To bring a valid ID, insurance card, Medicare or Medicaid care
•
Not to wear jewelry, makeup, powder, or deodorant
•
To leave all valuables at home
•
Arrive at _______ (insert time)
•
Park at ________ (insert)
•
Check in at _________ (insert)
•
Eat or drink nothing after _________ (insert time) and take _________ (insert medications as ordered by the physician) at
_________ (insert time)
•That an anesthesia professional will contact them to discuss their care and answer their questions
•That the patient’s pain will be addressed by the physicians and nurses