I just wanted to drop you a short note on your patient [Name]. As I know you are well aware, she was seen by my partner, Dr. [Name] for evaluation for bile duct stones, and found to have very large load of stones in the left intrahepatic ducts. She returned to seen me on July 16, for repeat ERCP, at which time with the plan to use SPYGLASS cholangioscopy technology to try to manage these stones. We had provisionally also scheduled her for a PTC tomorrow if our efforts failed. We perform her ERCP under MAC anesthesia.…
A pre-op would include disinfection of the skin and a disinfectant such as Chlorhexidine gluconate, Surgical spirit or Chloroxylenol would be used on the skin for at least 30 seconds to allow for the disinfectant to work. This process can be repeated to reduce the number of pathogens each time the disinfectant is applied as this would reduce the likelihood of infection with repeated…
Nursing has a critical role to ensure that patients are prepared for surgery. This is done through education and through thorough review of their medical/social history. Specifically, the ambulatory…
I feel it is my duty to my patients to increase my knowledge. Another value of mine is eating a well-balanced nutritional diet and encouraging others to do so. I have a desire to understand why people choose unhealthy diets. I believe that a portion of the general public does not have the knowledge to establish the necessary habits to sustain healthy outcomes. I am completing a nutrition course that I began prior to enrolling in this BSN program.…
We are living in an age of nutritionism, which varies so much from original tradition diets focused on food as opposed to nutrients. The Western diet falls short of adequately providing nutrition, and the results are telling with how pervasive chronic diseases are now. Healthful eating provides many benefits and an opportunity to enjoy foods on a greater level in new ways, however it does take more effort to upkeep. The context in which foods and nutrients are consumed has great importance, and balanced use of knowledge of nutrients and foods as a whole is…
The patient would have to drink the solution the day before to cleanse his bowels of all stool. The LPN could assist the patient with this…
Follow up appointment after the treatments are completed. A follow-up endoscopy is recommended because documentation of ulcer healing by endoscopy 12 weeks after the end of therapy is the gold standard. Cost considerations suggest reserving it for patients who are at high risk for complications, patients with recurrence, and those who will be on long-term therapy. Patient education should include a lifestyle modification, ways to cope with stress related to his job, discussion of information related to the overall treatment plan as well as that specific to the drug therapy, reasons for the drug being taken, drugs as part of the total treatment regimen, and adherence…
• You will be given a medicine to make you fall sleep (general anesthetic). You may also be given a medicine to help you relax (sedative). • A tube may be inserted through your nose and into your stomach (nasogastric tube). The nasogastric tube removes digestive fluids and prevents you from throwing up or feeling nauseous. • A small, flexible tube (catheter) will be inserted into your bladder to measure your urine production during surgery.…
It is a great idea for these people to prepare their meals in advance to ensure that they eat a balanced meal…
I feel that the preoperative briefing that took place before the patient arrived is what allowed the team to work so well in this emergency case, all of the details that was known about the patient was shared to the entire theatre team, with enough time to be able to prepare and collect all the appropriate equipment that was needed but also equipment that was possibile needed so that all avenues of care was covered and prepared. Bethune (2011) stated that teamwork, communication, and efficiency in the operating theatre is widely recognised to be suboptimal. Poor communication is the single biggest cause of medical error. The surgical operating theatre is a potentially highly stressed environment where poor communication can lead to fatal errors.…
Narrative Essay “I don’t think what I did was brave or anything.” My Aunt Kate said over the phone. “I just did was I had to do.” She continued. “Yeah.…
CONCEPT 7: THE SIGNIFICANCE OF NURSING HISTORY AS PART OF GASTROINTESTINAL TRACT ASSESSMENT. This concept is taken from Block 4, Module 8 which is entitled as ‘Assessment of gastrointestinal system’. The digestive system is made up of organs that function together to transform food substances to energy and nutrients that are needed in the body.…
Many medical students are guided through medicine and when they graduated they have a diploma that certifies them as a doctor. The irony of this is doctors supposedly have degree which entitles them to cure people and tells their patients how to maintain a healthy life. The truth is many doctors don’t know how to or if they do, they do not believe in nutrition so they opt to medicine. Nutrition is defined as, “The science that investigates the relationship between physiological functions and the essential elements of food eaten.” (Donatella 263)…
A dietitian works hand in hand with doctors, pharmacists, speech therapists, anaesthetist, nurse and many others health care professionals to provide the best and quality services to every patient. For example, the clinical dietitians work with TPN pharmacists by assisting in monitoring nutritional intake from both oral and enteral feeding as well as determine patient’s nutritional need and nutrition care plan. Thus, it is important to maintain harmonious relations and appreciate others…
Nursing Care Preoperative care for a patient with appendicitis, the nurse would focus on relieving the pain and preventing infection. For relieving the pain, the nurse would monitor the pain level and note the location, extent and if there was any pattern to the pain. The nurse would assist the patient in finding a comfortable position such as “semi-fowlers and knees up” (Huether & McCrance, 2017).…