Pre-Operation:
● If there is limited time - address needs of highest priority, about safety, and
give written info.
● Several days before surgery - observe and listen to see how much
teaching is needed, remember that anxiety and fear can hinder learning so
give priority to what they are concerned about.
● Three Types of Information
○ Sensory
○ Process
○ Procedural
● Purpose of Patient Interview
○ Provide and clarify information
○ Assess emotional state, and determine expectations
○ Obtain health information like allergies
● How to Minimize Anxiety:
○ Pre-op teaching - Teach back for patient
■ Teach deep breathing, coughing, and early ambulation as
appropriate
■ Inform if tubes, drained, or any special equipment will be used
postoperatively
■ Provide surgery-specific information (not too specific)
● Instruction sheet with contact info of health care
provider
● Number of the surgery center
● Follow-up appointment date and time
● name, dose, schedule, and purpose of medications and
side effects, printed info
● Explain activity/diet restrictions, and signs of any issues,
and provide an instruction sheet.
■ Feelings regarding surgery
■ Pain relief measures - med administration
■ Preparation for the day of surgery
■ Geriatric considerations
○ Encourage communication
○ Promote rest
○ Use distraction
, ○ Teach family members
■ Signs and symptoms of infection
● Reasons for Surgery
○ Diagnostic - to determine the origin or cause - BIOPSIES
○ Curative- to resolve a health problem by repairing or removing
○ Transplantn- replace a malfunctioning struction
○ Restorative- to improve functional ability /Reconstructive - total
shoulder replavement
○ Preventative - performed with the intention that a condition will not
develop - arthroscopy
○ Palliative - to reduce pain - ileostomy
○ Cosmetic - to reshape normal body structives - body contouring
● Reasons for surgery
○ Elective - planned for correction of a nonacute problem
○ Urgent - requires prompt intervention, may be life threatning,
delayed more than 24-48 hours
○ Emergent - immediate
● Surgical Approach
○ Simple- only the most overtly affected areas are involved
○ Minimally invasive - surgery performed in a body cavity/area through
one or more endsocpes
○ Radical - extensive Surgery beyong the area obviously involved
● Surgical Setting
○ Inpatient
○ Outpatient
■ Ambulatory center
● Basic info to tell
● Time and place
● What to wear and bring
● Responsible adult needed
● Fluid and food restrictions
■ More cost-effective, patient-oriented, service-oriented
■ Quicker
■ Disadvantage- more responsibility on patient and family after
the surgery
● Pre Surgical Steps
● Ensure all documentation, preoperative procedures, orders are
complete
● If there is limited time - address needs of highest priority, about safety, and
give written info.
● Several days before surgery - observe and listen to see how much
teaching is needed, remember that anxiety and fear can hinder learning so
give priority to what they are concerned about.
● Three Types of Information
○ Sensory
○ Process
○ Procedural
● Purpose of Patient Interview
○ Provide and clarify information
○ Assess emotional state, and determine expectations
○ Obtain health information like allergies
● How to Minimize Anxiety:
○ Pre-op teaching - Teach back for patient
■ Teach deep breathing, coughing, and early ambulation as
appropriate
■ Inform if tubes, drained, or any special equipment will be used
postoperatively
■ Provide surgery-specific information (not too specific)
● Instruction sheet with contact info of health care
provider
● Number of the surgery center
● Follow-up appointment date and time
● name, dose, schedule, and purpose of medications and
side effects, printed info
● Explain activity/diet restrictions, and signs of any issues,
and provide an instruction sheet.
■ Feelings regarding surgery
■ Pain relief measures - med administration
■ Preparation for the day of surgery
■ Geriatric considerations
○ Encourage communication
○ Promote rest
○ Use distraction
, ○ Teach family members
■ Signs and symptoms of infection
● Reasons for Surgery
○ Diagnostic - to determine the origin or cause - BIOPSIES
○ Curative- to resolve a health problem by repairing or removing
○ Transplantn- replace a malfunctioning struction
○ Restorative- to improve functional ability /Reconstructive - total
shoulder replavement
○ Preventative - performed with the intention that a condition will not
develop - arthroscopy
○ Palliative - to reduce pain - ileostomy
○ Cosmetic - to reshape normal body structives - body contouring
● Reasons for surgery
○ Elective - planned for correction of a nonacute problem
○ Urgent - requires prompt intervention, may be life threatning,
delayed more than 24-48 hours
○ Emergent - immediate
● Surgical Approach
○ Simple- only the most overtly affected areas are involved
○ Minimally invasive - surgery performed in a body cavity/area through
one or more endsocpes
○ Radical - extensive Surgery beyong the area obviously involved
● Surgical Setting
○ Inpatient
○ Outpatient
■ Ambulatory center
● Basic info to tell
● Time and place
● What to wear and bring
● Responsible adult needed
● Fluid and food restrictions
■ More cost-effective, patient-oriented, service-oriented
■ Quicker
■ Disadvantage- more responsibility on patient and family after
the surgery
● Pre Surgical Steps
● Ensure all documentation, preoperative procedures, orders are
complete
