Case Study of a Patient Undergoing Hemithyroidectomy Surgery

This case study explores the experience of a 60-year-old female patient who underwent hemithyroidectomy surgery due to hyperthyroidism. It discusses the patient's health history, the surgical procedure, and the role of perioperative nurses in providing care.

PART 2

INTRDOUCTION
 The case study of patient, who is becoming 60 years old female and faced problem related
shortness of breath. Afterwards, she was decided to visit emergency department for going
for hemithyroidectomy surgery. The situation has been occurred when increasing problem
of hyperthyroidism and produced large amount of thyroxin. In this way, it is directly
affecting the metabolism of patient such as weight loss. It also increased the irregular
heart beat rate and shortness of breath. That’s why, patient was decided to perform
“hemithyroidectomy” surgery, it help for improving the health condition or situation.

Overview about case scenario
 As per case scenario, 60 years old lady which established coordination with the emergency
department regarding the hemithyroidectomy surgery. in past decade, she had increased the
problem of shortness of breath. The reason behind the problem is to use harmful substance
and smoking.
 There are no well-known ill contact at home, her family history include significant
role played within heart disease. Generally, it has identified the social history which become
positive for smoking tobacco use at 30 packs. It has rapidly changing the entire body
performance so that she quit smoking, denies to consume illegal drugs and alcohol.

Problem faced by patient in past decade
 Coronary artery disease
 Diabetes mellitus
 Hypothyroidism
 Excessive use of tobacco
 Obesity

Professional can perform different medical
aspects before doing surgical procedure
 Initially, medical professionals are performed physical examine that reveals temperature,
heart rate, saturation, Blood pressure and respiratory rate.
 This is the initial stage to determine the entire body condition or situation. In order to
examine that patient body properly working or not.
 Another day, Specialist was performed the testing which mainly include CT scan of chest.
TSH and T4 evaluate hypothyroidism. This will help for identifying abnormalities within
patient body.

Identified in current health status
 It can be identified that patient was extremely ill and rapidly decompensating with
multisystem organ failure. Especially, include acute chronic renal failure, cardiac
dysfunction, and respiratory failure. The primary concern of medical professional for
providing the stability, which revolved around respiratory failure coupled with mental
status. Another, it always focused on the intensive care that help for improving the health
condition at certain level. Subsequently, the patient was emergently intubated within ICU.

Discuss about the different steps in the
surgical operation
 Following the anaesthetic procedure in order to give treatment of hyperthyroidism. It is
helping to improve the current health condition.
 Medical professional will give general anaesthesia for patient and also perform the induction,
injecting the medicine with help of inhaling gases.
 Nurse anaesthetists have been placed the endotracheal tube in nasal trauma for purpose of
giving oxygen. But at certain level, it will be generated risk that associated with endotracheal
tube.
 The risk may be identified in the form infections, injury, and hoarseness, bleeding.

Planning for anesthesia and surgical
intervention
In recently, the high risk general surgical patient report identified the improvement patient care.
 Rapid identification
 Adequate and appropriate resuscitation
 Investigation about identifying the health problem or issue
 Defining the rapid treatment procedure
 Appropriate way to give critical care provision and prevent from different complications.

Consideration of pathophysiology in context
of progress or improvement
 As per case study, the patient was faced the organ failure that has reached epidemic
proportion in context of intensive care units. It is the most commonly cause of death in
term of surgical intensive care unit. Furthermore, despite of development of successive
generation of new powerful antibiotics. It always support for patient to build or improve
the entire strength. To effectively use of new therapeutic option such as pathophysiology.
Thus integrated with large amount of information on the basis of their current health
report. In this way, medical professionals have concerned about the special attention on
the potential therapeutic consequences of eliminating the complex health condition.

Role of perioperative nurse in term of surgical
episode and care of patient
 Perioperative practice is considered as demanding, complex and highly technical so that it
can easily compared with different settings.
 The medical professionals are responsible for aseptic, infectious prevention and
complication measure through technical method.
 The purpose of perioperative is to evaluate and also create an effective continuity within
patient care. The responsibility towards the patient care but also helpful as fundamental
duty for other. Thus, constituting an ethical way to fulfil need and requirement of patient.

CONCLUSION
 From above discussion, it has concluded that summarise case scenario about the patient,
giving the better treatment facilities and service by medical professionals. In this report, it
has described about the effective intervention technique or method that mainly performed
during surgical operational procedure. It has been identified the significant impact on the
preoperative assessment for providing the pain relief situation so that it can easily help for
patient to improve health condition or situation.

REFERENCES
 Ferid, K., Kemal, G., Svemir, Č., Eric, H. S., & Kristian, S. (2019). Immigrant patients in
brief meetings with anaesthetist nurses-experiences from perioperative meetings in the
orthopaedic setting. Med Glas (Zenica). 16(1).
 Dooley, J., Armstrong, R. A., Jepson, M., Squire, Y., Hinchliffe, R. J., & Mouton, R.
(2019). Qualitative study of clinician and patient perspectives on the mode of anaesthesia
for emergency surgery. British Journal of Surgery.

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