Acute Nursing Care for Surgical Patients: Clinical Issues and Interventions

Acute -Nursing the Surgical
Patient

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
Analysing case study for identifying potential clinical issues along with relevant nursing care....3
Identification of three priorities..............................................................................................3
Nursing intervention with rationales for each three clinical issues........................................4
Discharge planning..........................................................................................................................6
Plan and priorities discharge advice for Wendy.....................................................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
Laparotomy refers to a surgical incision into an abdominal cavity. It is performed to
examine aid diagnosis and abdominal diagnosis which is referred to any problems. In this report,
there is discussion about the 65 years old lady who have recently go through open right hemi-
colectomy surgery. There are other medical history like high cholesterol level, hypertension,
problem of asthma, late nigh respiration problem etc. In this report, there is discussion about
identification of various clinical issues along with relevant nursing care. This report address the
three priorities that is concerned with clinical issues 24 hours after post-surgical care. It also
includes various nursing interventions for each clinical issues along with rationales. There is
some description about plan and prioritising discharge advice for patient. Post-operative plan
consist of education, surgical procedure, medication along with post-operative complications,
lifestyle modification and psychosocial issues (Afiyanti, 2021).
MAIN BODY
Analysing case study for identifying potential clinical issues along with
relevant nursing care
Identification of three priorities
After hemicolectomy surgery there is chance of getting some complication or clinical
risks which can be there post surgery. There is identification of some of clinical issues which are
associated with patients and needed to address effectively to provide better care and resolve the
health related issues. There are some of the issues which area going to be discussed further.
Diarrhea or constipation- This is one of the priorities in clinical issue which can be
there post-suregery. This can either due to using anaesthesia pre-operation. This can stay for few
days.
Infection- There is chance of infection when there is intestinal surgery. This can be due
to including prolonged procedures and inadequacies or due to antiseptic preparation of skin.
Pain in abdominal area- In patient, there abdominal pain that can be severe and can be
there that can cause due to leak at the point of anastomosis. During surgery surgeon removes
colon section or reattaches of colon is known as anastomosis (Azeem, 2020).