Patient Care and Recovery Strategies

The assignment focuses on developing a comprehensive care plan for Mrs. Janet following her treatment. It emphasizes the importance of person-centered care, involving various healthcare professionals such as occupational therapists, counselors, and dieticians. The plan addresses her physical recovery, potential depression, nutritional needs, and the need for follow-up care to monitor her progress and manage any side effects. The assignment highlights the significance of empathy, clear communication, and support systems in ensuring Mrs. Janet's successful recovery.

Running head: NURSING ASSIGNMENT
Nursing Assignment
Name of the student:
Name of the university:
Authors note:

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NURSING ASSIGNMENT
This essay is about a 40 year old woman Janet Jackson is a single parent and has three
teenage children. She has been experiencing symptoms which has led to the diagnosis of uterine
fibroids (leiomyomas).She has a history of depression and is a heavy smoker. Janet was admitted
to hospital for a vaginal hysterectomy via spinal anaesthesia. She was transferred to the ward
after 2 hours in the post-anaesthetic recovery room (PARU).She has an indwelling urinary
catheter in situ and patient controlled analgesia. Janet was observed on the basis of several
parameters such as respiration rate 30 per minute, BP 90/50mm Hg, Pulse 130bpm, temperature
36.5o C, Pain 0/10 . She has an indwelling urinary catheter in situ with 10mls of urine output for
the last hour .It has been planned for Janet to be discharged after two days on the ward.
Uterine leiomyomas (fibroids or myomas) are benign tumors present in the uterus. They
are majorly found in women who are capable of reproduction. They occur from the myometrial
layer of the uterine corpus or the uterine cervix. Uterine leiomyomas may occur single or in
group after multiplying. They can be found within the muscular layer (intramural) or protrude
outward to become subserosal in location or inward towards the cavity of endometrium, where
they are called as submucous fibroids (White,2017).Abnormal vaginal bleeding occurs due the
presence of fibroids and it occurs when the lining of endometrium gets distorted and hence is
more commonly observed with submucous fibroids. An individual affected from Uterine
leiomyomas leads to a variety of symptoms such as menstrual bleeding, dysmenorrhoea and inter
menstrual bleeding, chronic pain in the pelvis, bloating in stomach, increase in urine output, and
disturbed functioning in bowel. It may also result in the loss of reproductive functions and result
in sub fertility, loss of pregnancy or complications.
There are several nursing management strategies that should be followed for Mrs.
Janet.Since, the respiration rate of Janet is 30 per minute and a pulse of 130, which is quite high

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as compared to a normal respiration rate she should be taken for emergency help.She had an
increased pulse rate of 130 which occurs due to the shortness of breath or tiredness. It may also
result in cardiac arrest in Mrs.janet. There is also a risk of obstruction in the airway and the
nurses should open the airway as soon as possible by lifting her chin and head in a tilted position
(Ball et al., 2013).After opening the airway, nurses should check whether the patient is breathing
normally or not for at least 10 seconds. The movement of chest should be observed in a careful
manner and they should listen to his sounds of breathing and feel his exhaled breathing. The
nurses and other health care staff should monitor the output of urine in Mrs. Janet.
The nursing staff and the clinicians should help Mrs. Janet in exercising regularly and
provide physiotherapy sessions which would play a significant role in improving her mobility. It
would make her independent again .Mrs. Janet should be advised to have a nutritional diet along
with plenty of fluids which would help in the regeneration of tissue and healing (Epstein &
Turner,2015).She should be advised protective measures to avoid various kinds of infection,
injuries after the patient has under gone surgery. Mrs. Janet should be provided palliative care
which is a special type of care given to patients. It should be given to her in an efficient way
which would help her to get rid from physical pain and stress. It involves the collaborative
efforts of several clinicians, nursing staff to help the patient in getting well soon and improve
their health.
There are several nursing care goals for providing priority nursing care in relation to the
nursing issues that have been identified. Mrs. Janet should be empowered and provided care by
understanding her needs and demands. She should also be provided psychosocial care that will
help her to get rid of depressive symptoms, pain and anxiety developed due to surgery. She
should be advised to follow a few precautions to manage emotional issues like taking regular

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exercise and a well balanced diet (Daly, Speedy& Jackson, 2017).She should not be allowed to
smoke after the surgery as she was a heavy smoker. She should also discuss her issues with other
patients who had undergone vaginal hysterectomy. Mrs. Janet can also be provided counseling
with a health counselor to share her feelings that will help her in feeling positive.
Mrs. Janet suffers from severe depression so she can also be advised to take the help of
antidepressants, which is very helpful and her them feel good about themselves. The doctors and
the nursing staff should provide proper care and post- operative follow ups to Mrs. Janet. She
should also be asked about her mental and emotional issues or problems to assess her
psychological status such as if he is still suffering from depression, anxiety, sadness, anger or
frustration (Maslow, 2013).Nursing care for Mrs. Janet are that she should be encouraged to take
appropriate amount of rest which would help in conserving her energy and avoid fatigue.
Mrs. Janet should be counseled and guided properly to take appropriate rest and several
precautions to improve the condition of her health (Epstein & Turner, 2015).She should be
advised to follow the principles of self- actualization which is known to lead to a healthy mental
state and will foster to improve her positive attributes and do not focus on their negative
attributes. She would be self-determined and have a high self esteem.
Self actualization plays a significant role in providing person- centered care to patients
sufferings from psychosocial issues such as depressive symptoms associated with serious
diseases. The nurses should follow the principles proposed by The Code of Professional Conduct
for Nurses which aims to provide to provide guidance to the nursing professionals about their
roles and responsibilities to provide care to the patients in an ethical and effective manner. It
includes various values such as the nurses should maintain their dignity and their patients as well

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to listen to their patient (Ehde et. al.2014). It will develop a strong relation between the nursing
staff and Mrs. Janet. This will develop a bond of trust and care and a between her and the doctor
and ultimately would develop a positive approach and reduce the stress about her condition. It
will reduce the complications in her and decrease in post operative complication. The nurses
should improve time- management skills during dealing with patients and they should also to be
more patient.
Mrs. Janet should be provided proper nursing care by the nursing staff and other health
care professionals. Janet and her daughter should be provided appropriate guidance about the
disorder, symptoms, procedure of treatment and the precautions to prevent any future health effe
cts .A lack of proper communication may lead to issues and errors in the treatment. Janet should
be been provided proper counseling and psychosocial support so that she becomes confident and
does not remain tensed about the disease. She should be advised to ask if she has any problems
and doubts about the health issue .This would motivate her and provide patient satisfaction thus
improving her well being.
A proper communication to patients plays an important role in improving the hospital
journey and reduces the anxiety, stress and depressive symptoms (Mischel, 2013).Lack of proper
communication leads to issues such as a delay in treatment and sometimes may cause adverse
health effects among them. This decreases their bonding with healthcare professionals such as
clinicians and nurses and creates misunderstanding and confusion about the treatment and the
precautionary measures that should be taken. She should discuss her problems with her daughters
and friends since she is also suffering from hypotension and depression.

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The interdisciplinary team for Mrs. Janet involves the hospital staff of the OT,
counselor and the dietician .They would play an important role in providing person centered care
to her so that she gets well soon. The staff of the OT would keep a check on the condition of
Mrs. Janet by monitoring her signs and symptoms (Niemela & Kim, 2014). They also make sure
that she is stable enough to take him to the recovery room. A counselor will motivate her to be
positive and not be depressed so that she recovers soon from depression. A dietician will advise
her to .They can also help in providing proper follow ups after the treatment to keep a track on
the side effects of the medications prescribed to him.
It can be concluded that several strategies should be taken into account to provide
proper information to family members in order to provide proper patient care and satisfaction.
Regular follow-ups should also be conducted for the patient to keep a check on his health. It may
lead to mental issues such as depression and may have an adverse effect on the psychological
condition of the patient. The doctors should provide proper support and inform about the
precautionary measures to be followed. She should be prohibited from smoking again and which
may result in several health issues such as cardiovascular problems including heart stroke, heart
attack and ultimately death .They should also make sure they solve their problems and issues.
Mrs. Janet should be treated empathetically and with courteousness and should be counseled
properly so that she can explain the severity of her pain. Various tools for the assessment of pain
should be used if she is feeling discomfort. The nurses and other healthcare professionals should
help her and provide psychosocial care along with palliative care so that she gets well soon.

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