Nursing the Surgical Patient Essay 2022

RUNNING HEAD: KNEEE REPLACEMENT 1
Nursing the Surgical Patient
Student Details:

KNEE REPLACEMENT 2

KNEE REPLACEMENT 3
Introduction
This essay is based on the case study of Frank Wright, 76 years old male who has
undergone right total knee replacement and returned to the ward at 2100 hours wherein the essay
focuses on the post-surgical plan, impact of co-morbidities and general anesthetic on post-
operative surgery along with discharge planning of the patient. A surgical procedure wherein the
disordered knee joint gets replaced with the artificial material is referred to as total knee
replacement. Throughout a total knee replacement operation, the culmination of the femur bone
is detached and substituted with a metal covering. The culmination of the tibia (lower leg bone)
is also detached and swapped with a conducted plastic section with a metal stalk. The artificial
component is known as prosthesis. The greatest mutual reason for knee replacement is
“osteoarthritis” of the knees which consecutively causes stiffness, pain and reduced daily
function which leads to the replacement of knee. Therefore, patients who undergo should
understand the post-operative plan and recovery of the process.
Part A: Post-surgical plan
This section comprises of the post-surgical plan of Mr. Wright who has recently
undergone through right total knee replacement surgery. The nurses are accountable for patients
help and acquire professional nursing care. After the surgery, four common post-operative events
are volume depletion, blood loss, nausea and pain. The first 24 hour post-operational strategy
care is as follows. An important component in first 24 hour post-operational care is valuation of
preoperative structure dysfunction and following optimization of purpose, which has been
established to be pertinent, particularly in patients who are involved in smoking and immobility
(PK Edwards, 2016). The elementary instrument for an augmented post-operative hazard in
patients with preoperative structure dysfunction is the medical pressure reaction related with the
process subsequent in accumulative stresses on the previously reduced tissues. Furthermore, a
severe discomfort provision serves as an imperative requirement for general application to attain
ideal pain release. Mobilization will be started within six hours postoperatively, in greatest cases
2-4 hours after surgery as soon as the spinal anaesthesia had damaged off. The nurses will
achieve the first mobilization, and consistent physiotherapy will be ongoing the day after
operation and contained of separate workout once or twice every day (M Botti, 2014). DVT
prophylaxis will be ongoing 6-8 hours postoperatively and will continue until discharge of the
patient. “Non-steroidal anti-inflammatory drugs (NSAIDs)” will be used regularly.
“Postoperative nausea and vomiting (PONV)” will be cured only when obligatory deprived of
regular prophylaxis. The being of an inscribed care plan lecturing the numerous features of fast
retrieval is obligatory and should comprise material on the planned small LOS in instruction to
inspire the enduring to develop an active contributor. An efficient care strategy safeguards that
the operate monitors the patient development rendering to the preparation; handed certification is
obligatory for way of consideration and obtainability of source to the enduring. Regional
analgesia is larger to overall anaesthesia as it decreases post-operative difficulty by 30-60%. The
catheters will be detached after 24 hours (MC Rosal, 2011).