This case study focuses on Cyril Smith, a patient complaining of acute pain. It discusses nursing diagnosis, goals of care, nursing actions, rationale, and evaluation strategies. The case study also includes references for further reading.
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Name of patient:Cyril Smith Name of case study:Handover Cyril Smith, DOB: 16 June 1939, MRN: 332 456 Day of Admission: 20 April, 2020 [Actual] Nursing Diagnosis 1: The patient was complaining about acute pain. Goal of careNursing actionsRationale for actionsEvaluation strategies to determine effectiveness of actions To drive client for verbalising that they feel relived or controlled with problem of pain. The client will indicate expressions related to relief of pain, able to sleep or rest appropriately. It includes that patient will demonstrate the utilisation of relaxation skills and general comfort measures as shown for an individual situation. 1.It is necessary to carry out effective assessment of pain with the help of noticing the location, features and intensity on the scale of 0-10. It includes motivating patient for verbalising concerns and listening to them actively to support them in proper manner (Batalla, 2016). Meanwhile, it is required to deliver comfort measures such as mount care, back rub, repositioning along with assuring patient about change in position is not going to injure stoma. The rationale of assessing pain is helpful in order to evaluate degree of discomfort as well as effectiveness of analgesia or may reveal developing complications. It is so because abdominal pain is responsible usually by subsides gradually via third day after operation. The increased or continued pain indicates about delayed healing or persistent skin irritation. However, the verbal concerns of patient are suitable to reduce anxiety or fear can promote relaxation or comfort. Moreover, comfort measures are helpful preventing drying of oral mucosa as well as connected along with decreasing tension in muscles, promoting relaxation and may enhance coping capabilities. Considering the given interventions, it has been analysed these clinical actions can be evaluated with the help of proper monitoring of patient experience after implementation of interventions. It includes matching the desired rationale of specific intervention with actual patient outcomes to evaluate their effectiveness in specific clinical condition. However, if desired outcomes were not observed in monitoring then care plan should be modified as per actual medical needs of given patient. It will provide support to reduce chance of occurring complications and make patient disease free. Along with this, physician should make sure that patient is taking balanced diet and avoid problematic 2.It includes the utilisation of relaxation of techniques including guided imagery, visualisation along with providing diversional activities. It is significant to assist with ROM exercises and motivate early ambulation by avoiding prolonged sitting position. However, the It has an important of decreasing joint or muscle stiffness and ambulation is responsible for returning organs to normal position along with promoting return of general level of functioning(Goldstoneand et. al., 2019). Meanwhile, it has been analysed that ambulation and frequent changes related to position decrease perineal pressure.
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Reference List Batalla, M. G. A. P. (2016). Patient factors, preoperative nursing interventions, and quality of life of new Filipino ostomates.World Council of Enterostomal Therapists Journal,36(3), 30. Goldstone, R. N. & et. al. (2019). The effect of surgical training and operative approach on outcomes in acute diverticulitis: should guidelines be revised?.Diseases of the Colon & Rectum,62(1), 71-78. Saraidaridis, J. T. & et. al. (2018). Colorectal surgery fellowship improves in-hospital mortality after colectomy and proctectomy irrespective of hospital and surgeon volume.Journal of Gastrointestinal Surgery,22(3), 516-522. Rencuzogullari, A. & et. al. (2017). Predictors of anastomotic leak in elderly patients after colectomy: nomogram-based assessment From the American College of Surgeons National Surgical Quality Program Procedure-Targeted Cohort.Diseases of the Colon & Rectum,60(5), 527-536. Al-Khamis, A. & et. al. (2016). Sigmoid colectomy for acute diverticulitis in immunosuppressed vs immunocompetent patients: outcomes from the ACS-NSQIP database.Diseases of the Colon & Rectum,59(2), 101-109. Orcutt, S. T. & et. al. (2016). Ninety-day readmission after colorectal cancer surgery in a Veterans Affairs cohort.Journal of Surgical Research,201(2), 370- 377. Sceats, L. A. & et. al. (2019). Surgery, stomas, and anxiety and depression in inflammatory bowel disease: a retrospective cohort analysis of privately insured patients.Colorectal Disease. McGee, M. F., & Cataldo, P. A. (2016). Intestinal stomas. InThe ASCRS Textbook of Colon and Rectal Surgery(pp. 971-1013). Springer, Cham.