colonoscopy
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visual examination of the colon
What are some careful assessments, precautions, and history to be taken?
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, uMedical Surgical History
uMedical Clearance
uAllergies (Food, Med, Latex)
uPhysical Examination (ROS)
uDiagnostic Screenings (Labs, Type & Cross, X-ray, MRI, CT scan, EKG)
uSmoking/Alcohol/Substance abuse screening
uPregnancy screening
uPerceptions & Knowledge regarding surgery
uHome Meds (Medication Reconciliation)
vHold NSAIDs 5-7 days before surgery
vNSAIDs like Ibuprofen or Aspirin can prolongs bleeding time (surgical
wound won't stop bleeding)
vWarfarin has prolonged action with a duration of 2-5 days (bleeding risk
continues even after med is discontinued.)
uSupport sources
uOccupation
uPreoperative pain assessment
uReview of emotional health
uSelf-concept
uBody image
uCoping resources
uCultural and spiritual factors
uPrivacy & Social media
· Know the principles of asepsis (medical & surgical) and when to apply these
principles.
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Surgical asepsis or sterile technique prevents contamination of an open
wound, serves to isolate an operative or procedural area from an unsterile
environment, and maintains a sterile field for surgery or procedural
intervention
· Know the classification/staging of pressure ulcers
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Stage 1: nonblanchable erythema of intact skin
Stage 2: partial thickness skin loss w/ exposed dermis
Stage 3: full thickness skin loss
Stage 4: full thickness skin and tissue loss
colostomy
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the surgical creation of an artificial excretory opening between the colon
and the body surface
Constipation etiology
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´Insufficient dietary fiber
´Inadequate fluid intake
´Decrease physical activity
´Medication side effects (pain killers)
´Bowel obstruction secondary to tumor
what is routine Urinalysis?
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includes a number of tests that are used for screening and are diagnostic
for fluid and electrolyte disturbances, urinary tract infection, presence of
, blood and other metabolic problems
· List down the factors that commonly impact urinary elimination.
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´Growth and development
´Sociocultural factors
´Psychological factors
´Personal habits
´Fluid intake
´Pathological conditions
´Surgical procedures
´Medications (diuretics- please check potassium)
´Diagnostic Examinations
· What is fecal assessment (what do you check)?
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Discuss elimination pattern, stool characteristics, routines, bowel diversions,
appetite changes, diet history, daily fluid intake, surgery or illness,
medications, emotional state, exercise, pain or discomfort, social hx,
mobility and dexterity
· What do you mean by SMART goal and its relevance to evaluation?
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specific patient behavior, measurable or observable, attainable or
achievable for patients, realistic or relevant for patients, timed for
Give this one a try later!
visual examination of the colon
What are some careful assessments, precautions, and history to be taken?
Give this one a try later!
, uMedical Surgical History
uMedical Clearance
uAllergies (Food, Med, Latex)
uPhysical Examination (ROS)
uDiagnostic Screenings (Labs, Type & Cross, X-ray, MRI, CT scan, EKG)
uSmoking/Alcohol/Substance abuse screening
uPregnancy screening
uPerceptions & Knowledge regarding surgery
uHome Meds (Medication Reconciliation)
vHold NSAIDs 5-7 days before surgery
vNSAIDs like Ibuprofen or Aspirin can prolongs bleeding time (surgical
wound won't stop bleeding)
vWarfarin has prolonged action with a duration of 2-5 days (bleeding risk
continues even after med is discontinued.)
uSupport sources
uOccupation
uPreoperative pain assessment
uReview of emotional health
uSelf-concept
uBody image
uCoping resources
uCultural and spiritual factors
uPrivacy & Social media
· Know the principles of asepsis (medical & surgical) and when to apply these
principles.
Give this one a try later!
Surgical asepsis or sterile technique prevents contamination of an open
wound, serves to isolate an operative or procedural area from an unsterile
environment, and maintains a sterile field for surgery or procedural
intervention
· Know the classification/staging of pressure ulcers
,Give this one a try later!
Stage 1: nonblanchable erythema of intact skin
Stage 2: partial thickness skin loss w/ exposed dermis
Stage 3: full thickness skin loss
Stage 4: full thickness skin and tissue loss
colostomy
Give this one a try later!
the surgical creation of an artificial excretory opening between the colon
and the body surface
Constipation etiology
Give this one a try later!
´Insufficient dietary fiber
´Inadequate fluid intake
´Decrease physical activity
´Medication side effects (pain killers)
´Bowel obstruction secondary to tumor
what is routine Urinalysis?
Give this one a try later!
includes a number of tests that are used for screening and are diagnostic
for fluid and electrolyte disturbances, urinary tract infection, presence of
, blood and other metabolic problems
· List down the factors that commonly impact urinary elimination.
Give this one a try later!
´Growth and development
´Sociocultural factors
´Psychological factors
´Personal habits
´Fluid intake
´Pathological conditions
´Surgical procedures
´Medications (diuretics- please check potassium)
´Diagnostic Examinations
· What is fecal assessment (what do you check)?
Give this one a try later!
Discuss elimination pattern, stool characteristics, routines, bowel diversions,
appetite changes, diet history, daily fluid intake, surgery or illness,
medications, emotional state, exercise, pain or discomfort, social hx,
mobility and dexterity
· What do you mean by SMART goal and its relevance to evaluation?
Give this one a try later!
specific patient behavior, measurable or observable, attainable or
achievable for patients, realistic or relevant for patients, timed for
