Outlines

Introduction Reason for Surgery Nursing Assessment Nursing implications Provide preoperative morning care And preparation of the patient 's blood units

Introduction : Begins with the decision that surgical intervention is necessary and ends when the patient is transferred to the operation room table.

Reason for Surgery :

Diagnostic Curative Palliative Preventive Explorative Cosmetic

Patient Interview and Nursing Assessment

Psychosocial Assessment Patient Interview

Nursing Assessment : Past Health History Medications Allergies

Preoperative Care
Implementing Doctors order for preparing a patient for surgery: - Patient may undergo tests, radiographic studies, and laboratory procedures. - Patients may need to receive a course of medication for many days.

Nursing implications:
Assist the patient with personal hygiene: - showering and shaving. - If ordered, administer enema. - Remove all makeup and polish. - Save the jewelry and other valuables in safe place.

Preoperative Care
Provide information regarding surgery: - About risks and benefits. - Explain each preoperative nursing measure. - Let the patient to express feelings. - Provide family members with information.

Provide preoperative morning care: - Awake the patient early. - Showering and gowning - Mouth care. - Remove prostheses - Record vital signs.

And preparation of the patient 's blood units:

- Determine the quantity according to the doctor - Determine the platoon - Preparing for the operation 12 hours before Patient Preparation : - Psychologically - Special exercises for after the operation

prepare the area of operation before 12 hours and include

- Wash your hands - Prepare tools near the patient - Gradually detection region - Develop a tarpaulin - Tighten the skin and shaving in one direction - Clear Skin - Ensure cleanliness - Re Gadgets and wash your hands

Recheck the accuracy of the preoperative patients chart. If ordered, administer preoperative medications (30-60 minute before) -Assure voiding before giving medication. -Instruct the patient to stay in bed.

Health factors (Preoperative) that may affect the outcome of the Surgery
- Nutritional status - Drug or alcohol abuse - Respiratory status - Cardiovascular status - Hepatic and renal Factors - Endocrine Function - Immune function - Previous medication use - Psychosocial factors - Spiritual and cultural beliefs

Summary
Patient must sleep before the day operation and give a treat if necessary Emptying the bladder before going to the operating room Give the patient an enema if necessary Review the file and make sure from the data Ensure the readiness of the patient 's body and taking vital signs especially heat Sure to give treatment before the operation Change the patient clothes and make him wear operations clothes . Ensure the cleanliness of nails Dislocated lenses Accompany the patient to the operating room