Cholecystitis is an inflammation of gallbladder and associated with the Cholelithiasis (stones in the gallbladder) which is a common disorder of the biliary system of the body. Composed of cholesterol can form gallstone in the gallbladder and gallstones can cause cholecystitis by obstructing the cystic duct resulting in oedema and inflammation of gallbladder (William, & Hopper, 2014). Acute Cholecystitis is the absence of stones this is known as acute or chronic acalculous, it is usually a complication of acute critical illness or surgery. Better understanding of pathogenesis and risk factors of cholecystitis can lead to early diagnosis and treatment which helps in the progress of a critical patient (Tisherman, 2017).
In Joan case, she was …show more content…
The Aldrete score has five sets with scoring range from zero to two, those five sets are colour, consciousness, respiration, activity and circulation. If patient has scored 10, nurse moves patient to phase recover II, and then patient is assessed for vital signs, mental status, pain and intake output. As Joan is still have high score of pain, low blood pressure, high temperature and tachypnoea, that’s why Joan is planned to discharge after two days on the ward. Moreover, as Joan is type II diabetes, she requires monitoring and maintaining blood glucose level. Additionally, Joan needs monitoring for risk associated with diabetic ketoacidosis. A nurse should be aware of laparoscopic cholecystectomy’s complications during Joan’s stay in the ward, these includes internal bleeding, deep vein thrombosis, dehydration, urinary retention, paralytic ileus, and surgical site infection. Joan should be under observation and getting nursing care until discharge criteria is met. After-visit summery is completed by surgeon which contains prescriptions, detailed home instructions, contact details and follow-up appointment information.
After laparoscopic cholecystectomy, post-operative care involves making patient comfortable, managing pain, monitoring bleeding and other signs of infection and preparing the patient for discharge. A reduced-calorie diet is indicated in obese patients, encourage patient to have liquids for first day and eat light food for few days after laparoscopic cholecystectomy. Home care and dietary teachings are important for patient went under laparoscopic cholecystectomy. (BRENNER, & KAUTZ,
In Joan case, she was …show more content…
The Aldrete score has five sets with scoring range from zero to two, those five sets are colour, consciousness, respiration, activity and circulation. If patient has scored 10, nurse moves patient to phase recover II, and then patient is assessed for vital signs, mental status, pain and intake output. As Joan is still have high score of pain, low blood pressure, high temperature and tachypnoea, that’s why Joan is planned to discharge after two days on the ward. Moreover, as Joan is type II diabetes, she requires monitoring and maintaining blood glucose level. Additionally, Joan needs monitoring for risk associated with diabetic ketoacidosis. A nurse should be aware of laparoscopic cholecystectomy’s complications during Joan’s stay in the ward, these includes internal bleeding, deep vein thrombosis, dehydration, urinary retention, paralytic ileus, and surgical site infection. Joan should be under observation and getting nursing care until discharge criteria is met. After-visit summery is completed by surgeon which contains prescriptions, detailed home instructions, contact details and follow-up appointment information.
After laparoscopic cholecystectomy, post-operative care involves making patient comfortable, managing pain, monitoring bleeding and other signs of infection and preparing the patient for discharge. A reduced-calorie diet is indicated in obese patients, encourage patient to have liquids for first day and eat light food for few days after laparoscopic cholecystectomy. Home care and dietary teachings are important for patient went under laparoscopic cholecystectomy. (BRENNER, & KAUTZ,