This task requires you to compile responses that suggest cares and rationales to a set of 4 questions regarding the care of the post-operative patient. It is suggested that you limit these responses to 200 words. This assessment also requires an introduction and conclusion.
Patient information
Mr. Malcolm Jones is a 32 year old male, who has presented to the Extended Day Surgery Unit (EDSU) you are working in, in the capacity of a Registered Nurse. Mr. Jones is scheduled for a repair of an inguinal hernia and is being admitted on the day of his surgery. Mr. Jones has been allocated to you for care, therefore you will need to ensure all relevant information is collected.
Following an admission and pre-operative interview you have gathered the following information:
Mr. Malcolm Jones, DOB: 6.5.1984. Medical History
? Gastro Oesophageal Reflux Disease (GORD) for 6 years
? Medications: Omeprazole 40mg, Nocte PO
? Allergies: Penicillin, causes all over body rash and mild airway occlusion
Other relevant
? Non-smoker, nil special dietary requirements, nil alcohol
? Nil dentures, nil sensory deficits, skin integrity intact
? Ambulant without assistance
Social history
? Lives with wife Meredith and two children, works as delivery driver for a furniture warehouse
? Plays indoor cricket each Thursday night
Family History
? Nil significant, parents still alive and healthy
Cultural History
? Practicing Jehovah Witness
Pre-operative preparation:
At 0730 hrs. you collected and charted a baseline set of vital observations, including height, weight, BGL & U/A. You have also completed a pre op check list, ensured the Mr. Jones has not had anything to eat or drink since midnight last night, has identifying name and allergy bands insitu and has been advised to change into a theatre gown and remain in bed now until he is transferred to theatre.
Malcolm?s next of kin (his wife, Meredith) accompanied him for this admission and knows where she is able to wait for Mr. Jones until he returns from theatre. The operation consent was completed at a pre-operative appointment by Dr. Williams (the surgeon) prior to Mr. Jones? admission and this is now with the admission paperwork.
Intra-operative Period:
Mr. Jones was transferred to theatre at 1100hrs, the procedure was attended with nil adverse events, remained in recovery for one (1) hour and returned to the surgical ward at 1530hrs.
Post-operative orders:
Patient can eat and drink as desired, ambulate as able and analgesia is ordered. Mr. Jones can be discharged home in the morning after review by surgical team. Mr. Jones has an appointment made for two weeks? time for a wound check with Dr. Williams and a medical certificate has been organised to cover sick leave from work for two weeks. Mr. Jones has been advised that he is not to do any heavy lifting (over 15 kg) for 6 weeks post operatively.
Questions
1. Post- operative pain assessment
During your most recent post-operative assessment of Mr. Jones, he tells you he has pain in his abdomen. Identify one (1) method of pain assessment used in the adult post operative setting and provide a rationale to support its use.
This discussion should be sup
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