Operating Room Case study
James Daniel B. Codamon BSN308 Group 30 A
Skin Preparation
Draping
Small sheets/Medium sheets & Towels -They must be used to outline the operation site. The folded edge of each towel is placed on the line of incision. Use to drape under legs as an added protection above or below the operative area.
Position
Prone Positiondescribes the position of your body when you are lying on your stomach.
Anesthesia
Local Anesthesia(Infiltration)is injected into a specific area and is used for minor surgical procedures such as suturing a small wound or performing a biopsy. Lidocaine or tetracaine 0.1% may be used.
Incision Site
Discussion of Procedure
NURSING CARE PLAN FOR IMPAIRED BED MOBILITY
CUES NURSING DIAGNOSIS Subjective: The verbalized Medyo nahihirapan client Impaired bed The SCIENTIFIC EXPLANATION GOAL OBJECTIVE LONG TERM: INDEPENDENT: The Facilitates able demonstrate / that client was to AND INTERVENTION RATIONALE EVALUATION
sensory After the nursing 1. Assist on / off 1. of intervention,
mobility related to experience pain discomfort
the bedpan and into elimination.
pain depends on client will be able sitting the interaction to
position 2. Facilitates self- techniques care and clients behaviors
demonstrate when possible.
akong
gumalaw
between
nervous and
the techniques
system behaviors the enable
/ 2. Demonstrate / independence.
that assist safe transfer techniques use of with Proper
enable
safe
kase nga dahil sa tahi ko. Kailangan dahan-dahan lang kase napamali kapag ng
transfer repositioning.
techniques and prevent shearing
environment. The repositioning. processing noxious of SHORT TERM:
mobility abrasions dermal injury related to
stimuli After the nursing aids. the 3.
and the resulting intervention,
Encourage scooting.
galaw
yong
kumikirot
parte na
perception of pain client will be able continuation
involve peripheral central system. (Source: MedicalSurgical Nursing, the to apply the exercises. DEPENDENT:
of 3. To maintain /
enhance gains in strength / muscle
may tahi. Objective: impaired ability: turn side to side
and interventions nervous intended
to 4. Provide foam / control. Reduces
improve condition. flotation mattress. 4.
pressure on skin / tissues that can
Brunner
and
impair circulation,
potentiating risk of tissue ischemial
Suddarth p. 220)
breakdown.