Postoperative Care for Complex Patients in Nursing

This report discusses the complexities associated with postoperative care for complex patients in nursing, including high-risk complications. It covers common postoperative discomforts, critical issues that require treatment, and proper care and support for patients. The report emphasizes the importance of family support and nursing considerations in minimizing risks and consequences associated with post-surgical patients.

NURSING
COMPLEX

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
CONCLUSION................................................................................................................................3
REFERENCES................................................................................................................................4

INTRODUCTION
The post-operative care is defined as the care which is required by the surgical patient that need
support and requirement of care. As per this, the post-surgical patient requires support and care
with their need which majorly focus on the various aspect such as medication, drug dose and
frequency. In this, the postoperative care is the care which is receive by patient during the
completion of surgical procedure. There is various type of postoperative care which is require
and depend on the type of surgery that they take which is bilateral knee operations. It is based on
the pain management and wound care which is require by patient for the safety compliance. In
the need of family inclusive support and nursing consideration which is helpful for the patient
safety for the rising issue of infection and wound care support. In this report, the discussion is
based on the various complexities which is associated with the patient after the surgery. In this,
they include various high risk complication. Moreover, they require proper support which is
applicable in such a way which help to deteriorate the risk which is associated with the patient.
However, the family support is also mentioned which play vital role in the deterioration of risk
and consequence which is associated with the post-surgical patient (Alpendre and et. al., 2017).
MAIN BODY
There are some of the common postoperative discomfort which is associated with the patient
in ward which is transfer after the completion of surgical procedure. Moreover, there are some
amount of discomfort which is occur during the surgery and depend on the number of thing
which mainly include the type of surgery which is perform. In this report the bilateral knee
surgery is taken with the respect with patient who is transferred in the ward. In addition to this,
the typical discomfort is usually including nausea and vomiting form the general anaesthesia,
they have sore throat which is usually caused due to the place of windpipe in some of the cases
for the breathing the during the process of surgery with the patient. In this. Soreness, pain and the
swelling is also observed around the incision site which is associated with the patient.
restlessness and they are related with the sleeplessness due the anxiety and pain which is occur
during the cycle of operation or the surgery which is perform with the patient, other common
complexities include thirst and constipation and gas which is known as flatulence (Chughtai and
et. al., 2017).
1

There are some of the critical issue which require treatment which help to minimise the risk
with the post-surgical patient. The complication is majorly associated with the patient when they
are transferred to the ward then they require proper monitoring with this all because the excess
rise in the complication may create issue with the patient compliance (Gonzalez and et. al.,
2018).
After the completion of surgery, the major observed issue with the patient is blood loss from
the site of injury or the site of surgery, moreover, the rapid loss which is occur from the site of
surgery, they may also enhance the chance of shock such as hypovolemic. In order to reduce the
complication of the blood loss there are some effective prevention technique which is reliable in
the case of bilateral knee surgery. This include IV fluids or the plasma requirement in order to
maintain the fluid to reduce the chance of shock or the condition of low fluid presence in the
body. In this, blood transfusion is another option in order to maintain the availability of blood
which is loss during the process of surgery. Sometime, when the above process is fail to
complete the need of fluid in body then other surgery is taken in order to control the bleeding
(Kehlet and et. al., 2017).
Therefore, the wound infection is also a critical issue which is analysed after the surgical
process. The major issue is usually occurring due the infection which is associated with the
bacterial when they are enter in the site of surgery, this may create issue in the process of healing
due the infectious cause. Wound infections is usually spread to organ or tissue or they can show
their presence in the blood stream. The treatment which works as prevention technique follow
use of appropriate antibiotic that show mechanism include bacteriostatic. Moreover, the other
surgical procedure is taken in order to clean or drain the infected area which is influence due the
presence of bacteria (Kendall and et. al., 2017).
It is rare but eventually happen after with the post-surgical patient. In this, the clot is
usually get separated from the vein and they are travel to the lungs. They used to form the
situation of pulmonary embolism. However, while taking the contrast of lungs the clot can cut
the follow of blood and due to this the medical emergency is required and in the major cases the
death is eventually happen and determined. In order to reduce the complication, it is necessary
that the patient require tough care and treatment to minimise the condition. There are some of the
symptoms which may create complexities with the patient is chest pain, coughing which may
show the presence of blood, trouble in the breathing, sweating in the excessive manner and
2

fainting. The prevention includes use of anticoagulant medication and thrombolytic medicine and
in severe case the surgery is also derived.
In this, the proper care, after the completion of surgical procedure. It is probable response
which is associated with the patient that they stay for the hours while wake up form the core
anaesthesia. In the recovery room, staff are usually help to require some monitoring aspect which
include monitoring of blood pressure, breathing, temperature and pulse. In this, they used to take
breathe by the asses the lung function. Moreover, they also watch some of the sign which is
associated with the general anaesthesia. Whereas, they are cause the allergic reaction which is
some of the people. As per this, they are very important to follow the doctor instruction which is
after the leaving of hospital. They take medication which is prescribed as they watch the
potential which is create more complication. In this, they require proper assistance with the all
care and support. Moreover, the support includes in daily activities and various implication
which is occur are reduced by using proper approach in the prevention aspect. In this, they are
focus on the rest and sleep of the patient and provide them adequate food with the instruction of
doctors. The medication and the dose is also taken and provide a regulatory timetable which is
inspected by doctor (Nikolian and et. al., 2018).
CONCLUSION
As per the above discussion, it is analysing that the patient who is from the post-surgical process
require care and support in home and hospital. In this, the care in the hospital is the major aspect
which is helpful to reduce the complication which may associated with the surgical patient that
include wound infection and many more. However, the proper care and support is requiring with
the patient in their day to day activity which may include brushing, bathing and many more. In
this, they need care support for their complexities which is minimise by taking approach of
medication and self-management.
3

REFERENCES
Books and Journals
Alpendre and et. al., 2017. Safe surgery: validation of pre and postoperative checklists1. Revista
latino-americana de enfermagem, 25.
Chughtai and et. al., 2017. The epidemiology and risk factors for postoperative
pneumonia. Journal of clinical medicine research, 9(6), p.466.
Gonzalez and et. al., 2018. An enhanced recovery after surgery program for video-assisted
thoracoscopic surgery anatomical lung resections is cost-effective. Journal of thoracic
disease, 10(10), p.5879.
Kehlet and et. al., 2017. Enhanced recovery after surgery: current controversies and
concerns. Anesthesia & Analgesia, 125(6), pp.2154-2155.
Kendall and et. al., 2017. The role of physiotherapy in patients undergoing pulmonary surgery
for lung cancer. A literature review. Revista Portuguesa de Pneumologia (English
Edition), 23(6), pp.343-351.
Nikolian and et. al., 2018. Pilot study to evaluate the safety, feasibility, and financial
implications of a postoperative telemedicine program. Annals of surgery, 268(4), pp.700-
707.
4