Preoperative Period For Patients Case Solution
Preoperative Period of Patient
There are many resources available to detect preoperative cognitive dysfunction in patients before surgery. This report reviews the prevalence of preoperative cognition loss, its relation to the postoperative outcome, and explains some of the standard screening tools used to detect the preoperative cognitive dysfunction in elderly patients. It then turns to the assessment of preoperative cognition in elderly cancer patients and their relation to operative procedures. The final chapter briefly reviews the use of euro psychological assessments in surgery. The most common cognitive deficits are divided into two categories. Systemic cognitive deficiencies, which include international failures, processing speed deficits, or selective reaction time, and Risorgimento impairments, which involve problems with movement, sensation, or language. There is a large variety of pharmacologic, homoeopathic, and homorganic agents that can help in treating the systemic cognitive deficiencies with positive results in majority of the patients. The main drugs recommended for the management of preoperative Cognitive Deficiencies are: Pizotifen, Finasteride, and Arava.
There are some specific preoperative measures that should be taken in order to prevent the cognitive deficiencies. A preoperative blood test should be conducted a few weeks prior to the actual procedure, to reveal any significant preoperative changes. The patient should undergo a thorough medical and psychological evaluation before the surgery. This includes a complete medical history, physical examination, and the Neurological Assessment Battery (NADA). During the preoperative period, patients are asked to report the changes in mood, feelings of anxiety and fear, thoughts and behavior, and sleep. These should be completed at least weekly during the preoperative period in order to assess the progress of the cognitive therapy. A preoperative neuropsychological assessment is also important. This will help the physiciansin evaluating the patient’s potential resistance to the planned operation and to determine if any additional surgery is needed or not. The preoperative period is very vital in preoperative cardiac care. Preparing the patient for surgery takes time. Preparation involves the proper positioning for the surgery, medications and post-operative care. The physiotherapist can assist with these activities and can also recommend special exercise programs. This includes exercises for the lower back, arms and legs as well as the abdomen, pelvis and groin area.
Although the preoperative period is intended to address specific risk factors of particular bariatric surgery procedures, it is not void of inherent risks of its own. A preoperative diabetic mellitus test may be required to detect and treat preoperative hypoglycemia. A blood glucose monitor should also be used to monitor the glucose levels of patients undergoing an invasive bariatric surgery. In addition, patients should be advised that even when they achieve their desired weight through weight-loss surgery; it may take several months before they can return to a normal active lifestyle. Bariatric surgery occurs under anesthesia and patients remain awake and alert during the entire procedure. Because of the dangers associated with surgery, the preoperative period should be thought of as a short moment of relaxation. It should allow the surgeon, the patient, and their families to prepare and think about what to expect from the day’s eventful experience. The preoperative period is not designed to prevent a future problem or delay the inevitable. Rather, it is meant to allow the family and friends of a bariatric patient to prepare for the unexpected. During the preoperative period; the patient’s body temperature remains elevated above the resting point. This temperature rise is to promote blood flow to the area. Blood flow is necessary for proper nutrition and to avoid fluid loss from the body.
Phases of Preoperative Period
The first phase of the operation is known as preoperative preparation. This will include a brief introduction of the patient, the procedure to be performed, the medical history of the patient, the proposed procedure and any other information needed by the physician and attending surgeons before the operation. A brief description of the procedure is also given. Anesthesiologists usually provide these details.The second phase of the operation is called postoperative. Here the basic or critical care units are set up. Anesthesia will be administered, the incision is madeand the wounds are dressed. After this, the patient is taken home. Postop stay involves the management of any complications that arise from surgery, including: infection and wound leakage. The patient is monitored and measures are taken if necessary, to prevent the postoperative problems.
The third phase of the operation, postoperative care, is where the patient can be observed and the treatment is administered. Any surgical complications, such as: infection can be managed by the attending surgeon. The post wards will contain the most up-to-date surgical equipment. The most common postoperative surgical procedures include the removal of sutures, removing the staples or ligation, the application of local anesthetics, setting of fractures, removal of abdominal or pelvic masses and the use of general anesthesia.The fourth and last stage of the whole surgery, or perioperatively, is known as postoperative care. The patient is discharged to home and nurses will be sent to monitor the patient’s condition. During this period, the patient may be given pain relief medication, intravenous fluids and other additional therapies. The most common drugs given during this stage are: narcotics, antibiotics, anti-inflammatory medications and benzodiazepines. Common surgical complications in this stage include infection and necrosis of the tissues.
The three phases of the perioperative period occur before, during and after the surgical procedure, respectively. All the relevant information should be collected at the first time the surgical procedure is undertaken. This includes: measurements, diagnosis, treatment, time periods, complications, recovery and final outcomes. It is also important to collect the relevant tests at this time period, for example: blood pressure, ECG, EKG, X-ray, CT scan, MRI and PET scan. The third and final postoperative period takes about three weeks. This time period involves the nurses monitoring and controlling any new developments in the patient. This is an ideal period for the surgeon to reevaluate the surgical procedure and take corrective action if required. This also allows the nurses to check the progress of feeding, breathing and the general condition of the patient. The primary objective of this time period is to monitor and to correct any problems that have occurred since the surgical procedure………………….
This is just a sample partial case solution. Please place the order on the website to order your own originally done case solution.