Patient Follow Up Through Surgery: The Person Centred Approach And Care

Patient Follow Up
Through Surgery The
Person Centred
Approach And Care

Table of Contents
PATIENT PROFILE........................................................................................................................3
PREVIOUS MEDICAL HISTORY................................................................................................3
PRESENTING COMPLAINT.........................................................................................................3
DURING PRE-OPERATIVE APPOINTMENT.............................................................................3
MANAGEMENT BEFORE, DURING AND AFTER SURGICAL..............................................4
DISCUSSION..................................................................................................................................4
CONCLUSION................................................................................................................................7
REFLECTION.................................................................................................................................8
REFERENCES................................................................................................................................9

PATIENT PROFILE
Mrs. Emma is 68 years old who is a single mother of three grown child. She maintain her
job along with care for her child. As she is self employed person so that she can manage one of
his child who is facing disability (Arakelian and et. al, 2017). She is facing early symptoms of
hip pain which restrict her do take care care of his daughter and to do her job (Patient Experience
Case Studies, 2020).
PREVIOUS MEDICAL HISTORY
The patient was taking medication from past several years as she was experiencing hip
pain which leads to unable from walking. The physician also provides her dose of her hip pain as
she was facing problem in walk. After it, she complained of having more pain with in her body
to physician. This result in increase of her pain occur as increase in medication of her dose
including prescribed medication for arthritis. It also include deterioration in working capacity of
Emma (Pettersson and et. al, 2018). She consulted with her physician after being not recovery
from medication and who suggest her to take consult from ODP. The ODP told her that she has
to come under some test so that her actual condition can be determined. After being tested with
CT scan which is six month later because the ODP was only able to see her in two weeks after
being tested. As the CT scan test describe the condition that her hip joint are importantly
deteriorated.
PRESENTING COMPLAINT
The Emma is facing problems in getting surgery as her condition is deteriorated. She was
put on a waiting list and told her that she would get her surgery as soon as possible. The months
has passes and she is not aware about any scheduled of her surgery. She was proposed to consult
from client representative but she also attain same response from them that she is on a list
(Sawatzky and et. al, 2017). This lead to a proper 24 months of period in her surgery. This
develop concern about over all health of Emma as she broken down in crying.
DURING PRE-OPERATIVE APPOINTMENT
The patient is following up from weeks and her appointment is scheduled from that day.
She was scheduled for pre-operative appointment and during this appointment, she communicate
with lots of health professionals who provide consultation and conduct different types of test,

assessment to her. With the progress with in her treatment, she feels overwhelmed about it that
she receive information about her condition and surgery. The different pre-operative test are
conduct before the day of her surgery, on her to ensure that she is still is a candidate for surgery.
After it, the hospital contacted her that her surgery is rescheduled due to availability of low bed
with in hospital. As her bed was given to an emergency patient for overnight. This leads to
several days of waiting and after with long patience she was informed that her surgery is with in
week. She also had fear of cancellation of her surgery again (Pettersson and et. al, 2017).
MANAGEMENT BEFORE, DURING AND AFTER SURGICAL
During her surgery day, she was prepared for surgery by performing various test by
operation department practitioner so that her surgery can occur properly. The surgery of Emma
was well managed by ODP including her pain throughout her stay in a hospital as her surgery
runs smoothly. Their are some effects occur after her surgery as she feel immediate urinate. This
was manage by perioperative nurse who provide appropriate care to people who are undergoing
surgery. The nurses provide immediate help to Emma so that they can assist her. At the time
when she feels urinate intensely then she call nurses but she was not immediately respond which
develops curiosity in her (Leo, Jangland and Arakelian, 2017). This leads to pressing the button
again and again. After it, she urinated all night with in bed as she was afraid of being impose on
nurse staffs. After her second day of surgery, discharge planner come to discuss about his needs
that if she wants extra care and support in home. They also discuss the need of physiotherapist
which is necessary for a patients after being surgery.
DISCUSSION
There are various difficulties that are faced by Emma from her perioperative treatments.
Mrs. Emma has different difficulties when she was consulting for her condition to
physiotherapist. As while consulting for her pain, her physician are not much concerned about
her pain and they give medication to her pain. They are fail to recognise the intensity of pain
with in her body as this was not effective care of plan as this does not provide navigation to
system of organisation. With this, it was not proper plan that is designed for Emma care of plan.
The patient have to wait for several months from which develops impact on her life. As the
patient have various previous complaints regarding his health condition. As she have to wait for
longer time to consult from her physician. The lack of information is provided with in procedure