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Discussion On Post-Operative Respiratory Infections (Essay Sample)


THIS ESSAY DISCUSSES ON Post-Operative Respiratory Infections.


Post-Operative Respiratory Infections
Name of Student:
Name of Institution:
Osteoarthritis is from three Greek words meaning joints inflammation and born. Osteoarthritis is a joint disorder caused by loss of cartilage cautiously that develops spurs and cysts at the margin of the is also known as (DJD) degenerative joint diseases or disorder or osteoarthritis. John Grant was diagnosed with Osteoarthritis of the knee, his age and doing heavy work triggered the disease to affect his knee. He was referred for a right knee replacement, and after the surgery proceeded successfully, hospitalized for post-operative care by the nurse during these care, the patient can be affected by some infection due to the new environment, the climate change and also another patient with an airborne disease can transmit to other patients.
In this paper am going to discuss on the Provide an overview of the patient, Comprehensive Assessment, Plan nursing care based on your assessments of the patient and evaluation of attention on post-operative respiratory infection.
Overview of The Patient
John Grant is currently suffering from the post-operative respiratory infections which is Angina. And this infection can result depending on the environment the patient is in and how long the patient is admitted to the hospital after the surgery. In the most case patient that are hospitalized in the ward can be infected by viruses from other patients or also the climate change. Most of these infection patients gets them in the hospital while they are being attended to by the nurse (prolong staying in the hospital) and also prolonged ICU (intensive care unit) stay, Example of the infections are phlegm, cough, chest pain, shortness of CITATION Cho16 \l 1033 (Choi, Park, Sim, & H., 2016) Angina is a chest pain that occurs in the heart muscle when the area does not get enough oxygenated blood. It makes an individual feel pressure in the chest, and also its pain may feel like indigestion. Also, the pain also occurs in the back, shoulder, jaw, neck and the arm.
Other relevant medical history of John Grant is hyperlipidemia, type 2 diabetes (T2DM), depression,coughs. The social environment is a setting in which people live in this may include the culture of the people and their institutions. According to Harerimana, Nyirazinyoye, Thomson, & Ntaganira, (2016), they discovered that poor living standard causes these respiratory infections, and poor management of their surroundings in Rwanda and most of the people affected kids. And concluded that reducing the barrier health care, improve people living standard they should introduce electricity in the area and distribute modern stove. Some of these infections are airborne and patient with this disease can transmit to his family with ease. Because they spend most of their time with them attending to his needs.
The primary risk factor that causes respiratory infection is the type of the surgery that is done to the patient. These depend on where the surgery is done; this depends on how delicate is the place like head, chest, neck and abdomen compared to other operation these are the riskiest part of an operation. Another risk includes the age of an individual most likely person with the age of 45-65, at this age, John grant is 65 years old his age triggered the knee infection and also he did heavy work load in his shop and this added weight to is knees causing the infection, In this condition he is supposed to reduce their workload and do simple tasks in his shop. Other risks are smoking, being functionality dependent and hypoalbuminemia.
Comprehensive Assessment
The are several types of assessments that are done to the different patient this includes admission assessment shift assessment and focused assessment. But in these case, the patient will be assessed on shift assessment and focused assessment. Shift assessment is checking the patient condition if is it changes at any time during your shift. Focused assessment is done to a patient in an emergency department focusing on the patient problem evolvement. While undertaking shift assessment nurse should focus on the patient 100% to understand the patient's problems. And these shift assessments include the airway (coughs, noisy breathing), pain, social (families, friends), focused assessment, reviewing the history of the client, disability, and circulation (Melbourne, 2017). If this evaluation is completed, it is used to create a patient's care plan.
Focus assessment this include observation or inspection; here respiratory assessment is applied. This included a focus on what triggers the infection and the duration of the symptom (a cough). Observe the appearance of the patient, respiratory rate, and effort, the position of the trachea, position of the chest and symmetry, monetize oxygen saturation. Then listen to the breathing rate of the patient and check also check his or her skin condition.
The risks assessment in these scenario includes the falls risk and pressure injury risks. According to Nilsson, et al., (2016) fall risks occurs to people at the age of 65 most of the elder who lives in their home fall each year and around half of the hospitalized patients fall in the hospitals. Most of the falls are not meant to happen because they are preventable The fall risk may cause injuries like hip fracture and head injury to the old adults like John grant. Pressure injury risks it also common to people at the age of 45-65 and also can be caused by when a person thinks so much about something or him or herself in a negative manner. This is dangerous because if a patient is not treated on time, it might lead to the death of the patient. In most cases, these scenarios affect the family of the given patient.
Plan Nursing Care Based On Assessments of the Client
Nursing care plan this is developed to take care of the patient and improve the patients’ health from the current affected position. And these may include interviewing the patient and developing decision aid with an evidence. This can be obtained by practicing the following: The first thing is to make sure the John Grant feels comfortable with the hospital environment by being close to him and make him open up to you for easy assessment test. Secondly, try to get the John Grant attention and make them feel free to open up to you and tell you what they are feeling and take them into count for future use.
Thirdly always be available every time he needs you to attend to his need. Fourthly observe the physical changes of the patient body with keen so that you so that you can prevent or cure the visible temporary symptoms before they turn into permanent. Making sure that patient is monitored after every five minutes to check on their conditions and how the responding to the treatment. According to Nursing Process, (2017) assessing the patient is the first process of nursing process. And these are where all information about the patient is gathered from the family, and the nurse uses it to guide him or her through the patient care. The subjective are collected from the patients as they talk their need or desire, perspective about their problems and feeling. In step by step, the patient response to medication is noted and taken into count.
Plan nursing care should be practiced because it helps the nurses to understand the patient sickness, environment, the patient’s family which make it very easy for the nurse to comprehend with patient’s condition. Also, on the other hand, the patients respond to the medication very fast because the nurse attends to their need anytime they need one. The patient feels safe with the nurse around them by taking good care of them and also showing them love. This creates a relationship between the patient and the therapist, and this is the most foremost thing because the patient will be free to share with the nurse anything he feels is not alright with him. This will make the nurse’s work to be very straightforward and quick recovery is expected.
Evaluation of Care At Home
Before the nurse discharges a patient, he or she should ensure that the patient is medically upright, the correct assessment is done to the patient, a written care plan that sets out the assistance to the patient’s needs, the support described to the patient is put in a safe place before the release of the patient. Before the patient is discharged the carer should be available, should ensure that the patient have a copy of the care plan, arrange the transport to get the patient home, make sure the patient have a GP written, have a medication that is needed, make sure the patient or he or she know how to use the equipment given by the nurse CITATION And14 \l 1033 (Anderson, et al., 2014).
Strategies for evaluating a plan of care include: review the current state of the patient care should ensure that the patient current health state is improving, inviting counselor to come and counsel the patient and try to find out if the patient has a positive at...
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