Postoperative Care for Total Abdominal Hysterectomy Patients

Total Abdominal Hysterectomy (TAH) involves preoperative care to ensure patient readiness and postoperative care to prevent complications. Preoperatively, patients are instructed on cleansing enemas, perineal cleaning, and medication administration. After surgery, patients spend time in the Anesthetic Care Unit before being transferred to a ward for further recovery. Postoperatively, nurses monitor vital signs, lung auscultation, and intake/output statistics. Patients may experience symptoms such as hemorrhage, headaches, and vaginal discharge, which require close monitoring. Additionally, patients are taught about proper wound care, incision inspection, and early ambulation to prevent complications.

Running Head: PREOPERATIVE AND POSTOPERATIVE CARE IN TOTAL ABDOMINAL HYSTERECTOMY
Preoperative and Postoperative Care in Total Abdominal Hysterectomy
Student’s Name
Institution

PREOPERATIVE AND POSTOPERATIVE CARE IN TOTAL ABDOMINAL HYSTERECTOMY 2
Contents
1. Introduction.........................................................................................................................................3
2. PREOPERATIVE CARE...........................................................................................................................3
2.1 What are the dangers of this surgical procedure?.................................................................................3
2.2 How does the patient get prepared for surgery?..................................................................................4
3. POSTOPERATIVE CARE.........................................................................................................................6
3.1 How will the patient empty the bladder?........................................................................................7
3.2 Why are college students taking part in patient care?....................................................................8
4. Conclusion...........................................................................................................................................9
5. References.........................................................................................................................................10

PREOPERATIVE AND POSTOPERATIVE CARE IN TOTAL ABDOMINAL HYSTERECTOMY 3
1. Introduction
In surgical procedures, there are cares executed before and after the patient goes for a surgical
procedure. These care need to be executed appropriately and with caution lest there be any
difficulty that can position the patient’s existence at risk. Below is the manner ahead in the cares
(Karla, 2015).
2. PREOPERATIVE CARE
Examine the patient’s knowledge of the technique. Provide rationalization, explanation, and
emotional guide as wanted. Reassure that the anesthesia will remove any ache all through
surgical treatment and that medication may be administered postoperatively to reduce pain. A
patient who understands the technique to be performed and what to anticipate after surgical
treatment will be much less aggravating (Carol, 2015).
2.1 What are the dangers of this surgical procedure?
Troubles which can come up ought to consist of: A horrific reaction to the anesthetic - That is
minimal in most cases, Blood clots in the deep veins of the legs or lungs that can be averted by
early ambulation and brief-term use of anti-coagulation medicinal drug and infection that can
typically be correctly with antibiotics. Also, Bleeding that could be minimum blood loss at some
stage in surgical treatment, harm to organs, the urinary tract, or bowel in that these accidents do
occur, they are usually addressed on the time of the surgical operation without any vast lengthy-
term troubles and surgical Menopause that will arise if the ovaries are eliminated as a part of
your surgical treatment.
If the patient has some other questions or issues regarding the dangers of the surgical procedure,
let it be discussed with the doctor (Carol, Physician Coding Exam Review 2016 - E-Book: The
Certification Step, 2015).

PREOPERATIVE AND POSTOPERATIVE CARE IN TOTAL ABDOMINAL HYSTERECTOMY 4
2.2 How does the patient get prepared for surgery?
Ensure the patient is properly rested before coming to the health facility. If the patient becomes
ill before the surgical procedure, the physician ought to be notified in case it'd be better to delay
the patient’s surgical operation until the affected person is healthy once more. The reason for the
pre-admission appointment is to make certain that the patient is equipped for surgical treatment.
A nurse interviews the patient to find out if there are any special needs, provide facts
approximately regarding what to expect with in surgical treatment and healing and help plan
ahead for the home return. A few surgeons require that the patient clean out the bowels earlier
than a surgical procedure. The pre-admission nurse will provide those instructions as wanted.
The patient should not consume or drink something after 12 midnight, so as to have an empty
stomach. The patient ought to take a look with the preadmission nurse if there may be reason to
take any medicinal drugs whilst wide awake at the day of the surgical treatment (Carol & Jackie,
Step-By-Step Medical Coding, 2016 Edition, 2015). The patient packs a bag for the clinic with a
housecoat, non-slip slippers, pajama pants and toiletries consisting of; cleaning soap, frame
lotion, facial tissue, lip balm, and even “baby wipes” for handy hand washing when in bed. Also,
jewelry ought to be eliminated together with frame-piercings and nail then confirm the time of
surgery.
Day of surgical operation. After arrival, the patient has to document to the Admitting department
hours before the deliberate surgical operation time. The patient could be directed to the Surgical
Admission ready Room. A member of the family or pal can also accompany. The patient can be
directed to a locker room wherein the patient may trade right into a robe (Patricia, 2016). The
patient may be sent to a cubicle in which the surgeon, anesthetist, and nurses might be before
surgical treatment. This offers an opportunity to have any last minute questions and concerns

PREOPERATIVE AND POSTOPERATIVE CARE IN TOTAL ABDOMINAL HYSTERECTOMY 5
addressed before the surgical procedure (Karla, Workbook for ICD-10-CM/PCS Coding: Theory
and Practice, 2016 Edition - E-Book, 2015).
If ordered, administer a small cleansing enema and ask the patient to empty her bladder to
prevent infection from the bowel or bladder throughout the surgical operation. Cleanse the
stomach and perineal location, and shave the perineal area. Administer preoperative medicinal
drugs as ordered. The nurse takes a look at the chart to make certain that the consent has been
signed.
After the surgery, the patient will spend some time inside the Anesthetic Care Unit. The
healthcare professional will attempt to speak with the patient’s family with the aid of a phone in
the surgical ready Room to let them realize how the surgical treatment went (Fred, 2015).
3. POSTOPERATIVE CARE
The following points are the postoperative care for these patients: The nurse checks for
symptoms of hemorrhaging - Hemorrhage is not unusual once vaginal hysterectomy is done than
after stomach hysterectomy. Every four hours, a nurse checks important signs, lung auscultation
in each shift and measure the intake together with output. These statistics are crucial indicators of
the status of hemodynamic and headaches. As soon as the removal of the catheter is done, the
nurse measures the voided urine quantity. Headaches are investigated together with possibility of
contamination, ileus, shock or hemorrhage, thrombophlebitis, and pulmonary embolus. This is
normal, but the bleeding must in no way be more than what you'll have with a regular duration.
If it's miles extra, the patient should alert the health practitioner right away (Carol, Facility
Coding Exam Review 2016: The Certification Step, 2015). Vaginal discharge is assessed and the

PREOPERATIVE AND POSTOPERATIVE CARE IN TOTAL ABDOMINAL HYSTERECTOMY 6
perineal care taught appropriately. The bowel sounds and the incision are inspected in every
shift.
3.1 How will the patient empty the bladder?
Immediately after surgical treatment, there may be a catheter inside the patient’s
bladder. It’s used to preserve the bladder empty and to reveal the body functioning at
the same time as the patient sleeps (Carol, Workbook for Step-By-Step Medical
Coding, 2016 Edition, 2015).Commonly this tube is removed the morning after
surgical treatment. While the patient is urinating for the first time on her own, she
will feel some burning sensation. For the first time urination after surgery, the nurses
will ask to urinate into an accumulating field for measurement to ensure that the
kidneys and bladder are operating properly.
Going back to the surgery aftermath, Inspire turning, coughing, deep respiration, and early
ambulation. It’s also vital to move around in mattress and do leg sporting activities (factor and
flex the toes and do ankle circles) to flex bloodstream and prevent complications associated with
blood clots. Inspire ambient fluid intake. Teach the splinting of the stomach and deep coughing
and train usage of the motivation spirometer.
Advice on restriction physical activity, restrict for about four to six weeks. Lifting heavy objects,
and sex must be prevented. Hemorrhage and infections are the most postoperative risks; limiting
activities and avoiding introducing foreign objects into the birth canal enables lessening those
risks.
Provide an explanation for to the patient in that feeling tired is normal and she needs periodical
rest. It is critical to get masses of rest at home however it is also crucial to do sports as referred to

PREOPERATIVE AND POSTOPERATIVE CARE IN TOTAL ABDOMINAL HYSTERECTOMY 7
above. She may still have some pain or pain and can be given a prescription for pain medication
(Patricia, Professional Review Guide for the CCS Examination, 2016 Edition, 2016).
Provide an explanation for appetite reduction and bowel elimination in that they will be gradual
in improvement and train the patient in apprehending complication signs and symptoms that
ought to be pronounced to the doctor or attending nurse. Also, encourage the patient to explicit
emotions that may indicate bad health.
3.2 Why are college students taking part in patient care?
This should beautify the patient’s clinic experience with the aid of applying
additional care from doctors-in-education. The willingness to permit students to take
part in the care enhances knowledge of those who are keen to study, helping make
certain nicely-skilled doctors in the future. They are only given obligations which
can be suitable to the level of education they have got. Final duties always rest with
the body of the health practitioner (Patricia, Professional Review Guide for the CCS-
P Examination, 2016 Edition, 2016).
Provide records on dangers and advantages of hormone alternative remedy, if indicated. If the
ovaries have additionally been eliminated, the woman is straight away thrust into menopause and
might need or need hormone alternative therapy. Explain the need to gain gynecologic
examinations after hysterectomy. If there are stitches or staples in the incision region when it is
time to go home, the patient makes preparations with the surgeon for its removal.
4. Conclusion
The preoperative and postoperative cares are achieved in order to provide proper fitness take care
of the ones going through total belly hysterectomy. For the duration of the care, the nurses reveal
the patient with instructions from the health care professional while wished. Also, there is an

PREOPERATIVE AND POSTOPERATIVE CARE IN TOTAL ABDOMINAL HYSTERECTOMY 8
option of an emergency call to the medical institution that completed the surgical operation in
case any problem arises (Carol & Jackie, Step-By-Step Medical Coding, 2016 Edition, 2015).

PREOPERATIVE AND POSTOPERATIVE CARE IN TOTAL ABDOMINAL HYSTERECTOMY 9
5. References
Carol, J. (2015). Facility Coding Exam Review 2016: The Certification Step. Sydney: Elsevier
Health Sciences.
Carol, J. (2015). Physician Coding Exam Review 2016 - E-Book: The Certification Step. Perth:
Elsevier Health Sciences.
Carol, J. (2015). The Next Step: Advanced Medical Coding and Auditing, 2016 Edition. Darwin:
Elsevier Health Sciences.
Carol, J. (2015). Workbook for Step-By-Step Medical Coding, 2016 Edition. Melbourne: Elsevier
Health Sciences.
Carol, J., & Jackie, L. (2015). Step-By-Step Medical Coding, 2016 Edition. Sunshine Coast:
Elsevier Health Sciences.
Fred, F. (2015). Ferri's Clinical Advisor 2016 E-Book: 5 Books in 1. Brisbane: Elsevier Health
Sciences.
Karla, R. (2015). ICD-10-CM/PCS Coding: Theory and Practice, 2016 Edition. Sydney: Elsevier
Health Sciences.
Karla, R. (2015). Workbook for ICD-10-CM/PCS Coding: Theory and Practice, 2016 Edition -
E-Book. Cairns: Elsevier Health Sciences.
Patricia, S. (2016). Professional Review Guide for the CCA Examination, 2016 Edition. Hobart:
Cengage Learning.
Patricia, S. (2016). Professional Review Guide for the CCS Examination, 2016 Edition.
Wollongong: Cengage Learning.