STOMAL THERAPY NURSING PRACTICES

Stomal Therapy Nursing Practices

Stomal Therapy Nursing Practices

Question 1

Prior to any surgical procedure, patients should signalalal a consent pattern, which is usually supplied by the wellbeing care agency. Maria has to sign this first before Maria can undergo surgery. This requirement protects the patients from having any surgical procedure they do not desire or do not understand. It also protects the hospital and the health care professionals from a claim by the patient or family that permission was not granted(Alcock, 1996, p23). The consent then becomes a part of Maria's record and goes to the operating room with him during the surgery.

The major activity to ensure that Maria is prepared for surgery is preoperative teaching. This means that Maria has to be educated regarding his surgery. Studies have shown that preoperative teaching reduces the patients' anxiety and postoperative complications and increases their satisfaction with the surgical experience (ANA 1995a).

Good preoperative teaching also facilitates the patient's return to work and other activities of daily living (Bryant-Lukosius et al 2004). There is a good chance that Maria will have an easy recovery after surgery and that Maria will be continuing his usual daily habits once Maria is finished with his surgery.

Preoperative preparation includes the following localities: nutrition and fluids, elimination, hygiene, medications, rest, care of valuables and prostheses, exceptional orders, and surgical skin preparation. In many health care agencies a preoperative checklist is used on the day of surgery ((Barnes, 1995, p78).

The doctor should ascertain the wellbeing care agency's types and should pursue befitting notes procedures. It is essential that (a) all pertinent records of Maria, like laboratory records, x-ray films, and consents, be assembled and completed so that operating and recovery room personnel can refer to them and (b) all physical preparation is completed to ensure the safety of Maria.

Adequate hydration and nutrition encourage healing, thus wellbeing care professionals should need to record any signals of malnutrition or fluid imbalance. If the patient is on intravenous fluids or on measured fluid intake, nurses must ensure that the fluids are carefully measured (Benner & Chelsa, 1996).

The alignment “NPO after midnight” has been a long-standing tradition because it was accepted that anesthetics depress gastrointestinal functioning and there was a danger the patient would vomit and aspirate throughout the management of general anesthetic (Byers & Brunell, 1998).

Reevaluation and research, although, do not support this argument. The revised guidelines permit for (a) the consumption of clear fluids up to 2 hours before elective surgery needing general anesthesia, regional anesthesia, or sedation-analgesia, (b) a lightweight morning meal is allowed 6 hours before the method, and (c) a heavier serving of food eight hours before surgery (Callahan 1998).

Enemas are no longer usual, but cleansing enemas may be organised if bowel surgery is designed (Doenges & Moorhouse, 2004). Maria has to undergo enema since the surgical procedure will be an excision of bowel tumor with end to end anastomosis.

The enemas help prevent postoperative constipation and contamination of the surgical locality by ...