Skin assessment
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is an important component of the preoperative assessment. Assess skin
color, turgor, and temperature; signs of breakdown; open sores; or areas
that may be exposed to excessive pressure during the surgical procedure.
,Psychosocial Assessment
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Most patients have some degree of anxiety or fear before surgery.
Determine the patient's level of anxiety, coping ability, and support
systems.
Provide information and support to the patient and family as needed.
Identify coping mechanisms used by the patient under similar situations or
in the past when confronted with a stressful situation. Ask open-ended
questions about the patient's feelings about the entire surgical experience.
Laboratory assessment
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before surgery provide baseline data about the patient's health and help
predict potential complications.
The patient scheduled for surgery in an ambulatory surgical center or
admitted to the hospital on the morning of or day before surgery may have
preadmission testing (PAT) performed from 24 hours to 28 days before the
scheduled surgery.
Older Adults: Changes of Aging as Surgical Risk Factors --> decreased
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, Cardiac output, peripheral circulation
Vital capacity, blood oxygenation
Blood flow to kidneys, glomerular filtration rate
Drains are often placed
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•during surgery to help remove fluid from the surgical site. Some drains are
under the dressing; others are visible and require emptying. Inform the
patient that drains are often used routinely and that generally they are not
painful but may cause some discomfort. Discuss the reasons drains should
not be kinked or pulled.
Planning and Implementation: Responding
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- Providing information
- Ensuring informed consent --> Patient self-determination
- Implementing dietary restrictions
- Preventing respiratory complications
- Preventing cardiovascular complications
- Minimizing anxiety
Prepare for Postoperative Procedures: Prevention of cardiovascular complications
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is an important component of the preoperative assessment. Assess skin
color, turgor, and temperature; signs of breakdown; open sores; or areas
that may be exposed to excessive pressure during the surgical procedure.
,Psychosocial Assessment
Give this one a try later!
Most patients have some degree of anxiety or fear before surgery.
Determine the patient's level of anxiety, coping ability, and support
systems.
Provide information and support to the patient and family as needed.
Identify coping mechanisms used by the patient under similar situations or
in the past when confronted with a stressful situation. Ask open-ended
questions about the patient's feelings about the entire surgical experience.
Laboratory assessment
Give this one a try later!
before surgery provide baseline data about the patient's health and help
predict potential complications.
The patient scheduled for surgery in an ambulatory surgical center or
admitted to the hospital on the morning of or day before surgery may have
preadmission testing (PAT) performed from 24 hours to 28 days before the
scheduled surgery.
Older Adults: Changes of Aging as Surgical Risk Factors --> decreased
Give this one a try later!
, Cardiac output, peripheral circulation
Vital capacity, blood oxygenation
Blood flow to kidneys, glomerular filtration rate
Drains are often placed
Give this one a try later!
•during surgery to help remove fluid from the surgical site. Some drains are
under the dressing; others are visible and require emptying. Inform the
patient that drains are often used routinely and that generally they are not
painful but may cause some discomfort. Discuss the reasons drains should
not be kinked or pulled.
Planning and Implementation: Responding
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- Providing information
- Ensuring informed consent --> Patient self-determination
- Implementing dietary restrictions
- Preventing respiratory complications
- Preventing cardiovascular complications
- Minimizing anxiety
Prepare for Postoperative Procedures: Prevention of cardiovascular complications
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