Clinical Reasoning Assignment
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Added on 2021-04-21
Clinical Reasoning Assignment
Added on 2021-04-21
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Running head: CLINICAL REASONING ASSIGNMENT CLINICAL REASONING RELATED NURISNG ASSIGNMENTName of the StudentName of the UniversityAuthor note
CLINICAL REASONING ASSIGNMENT1Importance of nursing problem As per the case study, Darren was diagnosed with cholecystitis, which is associated withthe symptoms such as upper abdominal pain, nausea, and vomiting. The physicians have alreadyidentified the remedy and after admitting him in the hospital, transferred him to the surgical wardfor elective laparoscopic Open Cholecystectomy. However, the risk of nausea and vomiting isstill present in Darren as usage of anaesthesia and opioid-related medication can increase theepisodes of vomiting and nausea. The laparoscopic cholecystectomy is an important interventionas, without this, the patient will face multiple episodes of nausea and vomiting leading to moredistress in the patient’s daily life (Pierre & Whelan, 2012). Therefore, it cannot be avoided. ASwell as, opioid medications and anaesthesia are important aspects of surgery and is administeredto prevent anxiety and stress in the patient’s body. Hayes et al. (2016) also mention thatanaesthesia and opioid medications are associated with postoperative episodes of nausea andvomiting which, if untreated, can increase the health complication in patient’s body. There areseveral shortcomings that are associated with this situation such as it increases the patient’s stayat the hospital by increasing nausea and vomiting related situation. Therefore, in the case ofDarren, while undergoing laparoscopic cholecystectomy, usage of anaesthesia and opioidmedications are severe risk factors that can increase the patient complications (Pierre & Whelan,2012). While discussing this nausea and vomiting problem of Darren, several research articlesshould also be mentioned that determine the significance of these symptoms in postoperativesituation after the usage of anesthesia and opioid medications as a part of ambulatory and daycare practices (Ajori et al., 2012). This symptom occurs in the first 12 hours of surgery and the
CLINICAL REASONING ASSIGNMENT2risk factor ranges from 30% to 80% in patients and can increase the risk level for recovery thatcan affect the patient’s health improvement. Further, as Darren had Cholecystitis, which isassociated with episodes of abdominal pain, nausea, and vomiting to extreme levels, it can affectthe health of Darren by increasing the rate of morbidity. The first four hours of return fromsurgical ward is important for Darren as Shaw et al. (2012) mentions that the effect ofanaesthesia lasts from 3 to 5 hours after any surgery and during this period the area wheresurgery has been done is numb and senseless. However, it is also evident from medical historyand recent researches that laparoscopic surgery is also associated with side effects such asprolonged nausea and vomiting related episodes, infection at the incision site, abdominal painand the risk of damages in internal body structures. However, Elgueta et al. (2012) mention thatepisodes of nausea and vomiting are common due to the risk of anesthesia and the type ofanaesthesia used in the surgery. However, despite being a common phenomenon in post-operative situation for all type of surgeries, in case of Darren it is a major risk factor as healready suffered from several episodes of nausea and vomiting due to his Cholecystitis andsimilar situation in postoperative condition, within the effect of anaesthesia can lead to severehealth complication (Ajori et al., 2012). Patient-centered SMART goalIn this case, the SMART goal will be preventing the episodes of nausea and vomiting inthe first four hours post-operative situation using several well-researched nursing interventions. The three nursing interventions that will be used to reduce the chances of nausea andvomiting will be- 1. Hydrating patient
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