CNA772 Anaesthetic and Recovery Nursing

Added on - Dec 2020

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Assessment Task 2 PracticeProfile
Table of ContentsINTRODUCTION...........................................................................................................................1Situation, Action, Outcome statements (SAO).......................................................................1PART: 2 Reflection summary paper:.....................................................................................3CONCLUSION................................................................................................................................6REFERENCES...............................................................................................................................7Appendix 1.......................................................................................................................................8PART 1: Reflective journal-...................................................................................................8Case 1: Breast cancer..............................................................................................................8Case 2: Osteoarthritis............................................................................................................8Case 3: Coronary artery disease.............................................................................................8Appendix 2.......................................................................................................................................9PART 3- Situation, Action, Outcome (SAO).........................................................................9Appendix 3....................................................................................................................................11PART 4- Self assessment and reflective journal entries......................................................11
INTRODUCTIONPractice profile is an essential role possess by an individual as basic practices of nursecare such as supporting patient to recover, monitory situation of patient, screening and otherhealth related preventions. It works collaboratively with common specialist to deliverassessment, education and care to every all kind of patient, ranging from kids to ageing people.The aim of this practise profile is to show an individual professional growth, development andknowledge in anaesthesia nursing practices, whereas CNA772 Anaesthetic and recovery nursing.As a good capable perianesthesia nurse working as nurse educator, I have decided to attain briefgoals and henceforth, undertaking an informal self- assessment of all my experience, learningand skills at the initial stage of the semester. Therefore, there are below mentioned practiceprofile discussed in three sections(Perner and et. al., 2012).The first one related with the self-assessment examine to benchmark the present level ofpractice during the commencing of this project. There is a perfect evidence of reflective thinkingin the journal recorded over the learning phases that consists of certain entries. The other sectionis associated with the two SAO episodes those are based on my goals and provide specificknowledge and attitude during the period of research. The third and last element is based on thereflective summary paper that assist in reviewing professional clinical practices development arelinked under this report.Situation, Action, Outcome statements (SAO)Case 1A 34 years old man, Adam Johnson who is suffering from severe pain below ribs in theside and back and that radiates to lower abdomen & groin. He has admitted in the emergencyunit and provide primary relieving treatment to control pain so that diagnosing process can betakes place in an appropriate manner. Moreover, several other signs are observe such as pain inurination, abnormal colour of urine (pink, red brown), nausea, vomiting, white blood cells or pusin urine, persistent need to urinate, burning sensation during urination and many more (Jones andet. al., 2013). At the other hand, several tests are carried out to ensure about actual issue of stoneswhich occurred in kidney due to which critical pain takes place. Additionally, this patient alsohave an issue of Chronic obstructive pulmonary disease (COPD) whose medication is still goingon.1
Pathophysiology of kidney stone– In case of Adam Johnson, his kidney stone size isevaluated as 7mm which is analysed through conducting different tests. It include abdominal X-rays,intravenous pyelogram (IVP), retrograde pyelogram, MRI Scan, Abdominal CT Scan etc.The formation of stone in kidney starts with synthesis of crystals in supersaturated urine whichfurther adhere urothelium which leads to growth of stone. It include that calcium oxalate stonesdevelop on Randall's plaques which are made of calcium phosphate crystals (Dougherty andLister, 2015). However, these grows to erode the urothelium and prepare nucleus of calciumoxalate deposition. At the other hand, crystal formation is required to be evaluated to preventsynthesis of stone.Treatment– The kidney stone has different types of sizes and nature according to whichmore effective as well as efficient medication is selected. In context of Adam,ureteroscopyistakes place by utilising technique of general anaesthesia. It include several medicines which aresufficient to dissolve minor stones but if not work then surgical procedure is needed to be carriedout. Meanwhile, medication involves medicines such asallopurinol (Zyloprim) for uric acidstones, diuretics, sodium bicarbonate or sodium citrate, phosphorus solutions, ibuprofen (Advil),acetaminophen (Tylenol), naproxen sodium (Aleve). Additionally,Extracorporeal Shock WaveLithotripsy (ESWL), percutaneous nephrolithotomy and ureteroscopy.Anaesthesia and Post anaesthesia– The patient has problem of COPD then it is requiredto be remain much careful while using general anaesthesias in order conduct surgical process inan appropriate way. However, it is kind of progressive inflammatory situation which may resultsinto expiratory airflow limitation. Additionally, it is required that treatment include smokingcessation, inhaled therapy, pulmonary rehabilitation with diagnosing exacerbations accurately atcorrect time. It is necessary to give anaesthesia very carefully because it may generatesperioperative and post operative complications(Johns and et. al, 2012).Case 2A 45 years old woman, Mile Wilson who is suffering from problem of vaginal bleeding,abnormal, watery or blood-tinged discharge and pelvic pain.Last night, she is not able to toleratethat pain and get admitted to ICU where primary medication was provided to make her feelrelieved. Moreover, by observing signs and reports of pathological tests, specialists decided toconductTotal hysterectomyto remove that infection from uterus. Additionally, hospitalmanagement stops her meal and said that operation will be carried out in the next morning but2
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