Health Assessment NSG 3160 Unit 1: Rehab & Surgery

1. What is the goal of to assist the patient to attain and maintain optimum health as defined by the rehab? 2. What is included patient 1. Bathing in a Functional As- 2. Dressing sessment? (10) 3. Rehabilitation Nursing Interventions (7) 4. Preoperative Nursing 3. Feeding 4. Toileting 5. Pain 6. Positioning 7. Assistive Devices Needed 8. Mobility & Gait 9. Vital Signs 10. Age Related Needs 1. promote independence 2. safety 3. education 4. bowel & bladder care 5. limit distractions 6. prevention of complications 7. self-care education care provided from the time of decision to proceed with surgical intervention until the patient is in the OR 5. SCIP Measures 1. beta-blockers must be taken the morning before surgery 2. prophylactic antibiotic received within one hour of incision 3. hair removal with an electric razor only 4. DVT prevention (mechanical & pharmacological) 5. f/c is to be taken out on day 1, no later than day 2 6. Anesthesia -an induced state of partial or total loss of sensory perception, with or without loss of consciousness 7. General Anesthe- sia 8. Malignant Hyper- thermia 9. Malignant Hyper- thermia (First S/S) 10. Malignant Hyper- thermia (Last S/S) 11. Malignant Hyper- thermia Tx 12. Local or Regional Anesthesia -used to block nerve impulse transmissions, suppress reflexes, promote muscle relaxation, controlled level of consciousness reversible loss of consciousness induced by inhibiting nerve impulses within the CNS; results in analgesia and amnesia inherited muscle disorder which is an acute & life-threatening complication re- sulting from anesthesia tachycardia (CO2 increases, O2 decreases) fever (usually means death) Dantrolene Sodium (muscle relaxer) Briefly disrupts sensory nerve impulse transmission from a specific body region, reducing sensory perception