LAPAROSCOPIC CHOLECYSTECTOMY

Complex Care-Implement And Monitor Nursing Care During Clinical Placement Case Study

Complex Care-Implement And Monitor Nursing Care During Clinical Placement Case Study

Case Study

Female 48 years admitted for laparocholeycystectomy. Underlying condition asthma, obesity, hysterectomy and hypertension (own medication). Pre surgery prep and post-op, free drainage of nasogastric tube (explained about fluid balance chart of the gastric tube, IDC, Vacuumed drainage. 2 IV therapy. Patient's education about breathing and coughing exercise to prevent lungs infection. Prevention DVT etc etc...

Patient's Reason for Admission To The Health Care facility

A female patient of 48 years of age is admitted to the hospital for laparocholesycystectomy. Laparoscopic cholecystectomy is the procedure for the removal of gall bladder using laparoscopic technique. It is a type of minimal invasive surgery in which the surgical procedure is carried out using a video camera and thin inserting equipment's. The procedure is conducted after drilling out small incisions and the plastic tubes are than places through these incisions. The camera for video caption is also inserted through the incision which allows seeing the images of the organs inside the abdomen. Since it is an invasive procedure that requires incision into the body therefore the patient is admitted in to the hospital followed by a short stay in the hospital (Tacchino, Greco & Matera, 2009, p. 896).

Pathophysiology Of The Main Disease

Gall bladder is a pear shaped organ resting beneath the right side of the liver. The main function of the gall bladder is to collect and concentrate bile. Bile is the digestive liquid produced by the liver and stored in the gall bladder. When we eat food the stored bile is released from the gall bladder and it aids digestion. The bile for its action travels down the bile ducts directly into the small intestine. In most of the people who have their gall bladder removed for any of the reason does not impair the process of digestion (Wang, Cohen & Carey, 2009, p. S406).

Most of the problems in the gall bladder arise due to the presence of the gallstones. Gallstones are small masses comprising primarily of cholesterol and bile salts that may be present in the gall bladder or in the bile duct. The reason for the formation of gallstones is still not clear and may vary from patient to patient. There is no prophylactic treatment or medicine available that can prevent the formation of gallstones. The main pathology caused by gallstones is obstruction in the flow of the bile causing the back flow and resulting in swelling, abdominal pain, vomiting, indigestion and fever. If the flow of the bile is obstructed in the common bile duct than it causes jaundice (Wang, Cohen & Carey, 2009, p. S406).

Gallstones do not get removed on their own, in minor cases the condition can be managed with drugs to treat the complications of by making modifications in diet (taking no cholesterol and low fat diet). The success rate for this is very low as symptoms might be temporarily treated and may become severe with ...