Health Assessment and Nursing Care Plan for Post-Op Patient Mr. Kahil

This report focuses on the application of health assessment, planning, implementation, and evaluation of professional nursing care for a patient named Mr. Kahil. It begins with an introduction to health assessment and its importance, followed by a discussion of the Hartmann's procedure, including its ...Read More

Application of health
assessment, planning,
implementation, and
evaluation of professional
nursing care

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
The Hartmann’s procedure including which help to show the definition, indication and the
complication. Ensure the application to this discussion to Mr. Kahil....................................3
The vital sign of Mr. Kahil. Using the knowledge of the common causes of the clinical
deterioration in the postoperative patient. This all are reversible cause. Define
pathophysiological cause?......................................................................................................4
Three specific intervention assessments which help to taking as priorities for the Mr. Kahil
deterioration............................................................................................................................5
Three specific nursing intervention that you as registered nurse to manage the health of
patient?...................................................................................................................................6
Mr. Kahil is prescribed a bolus of intravenous isotonic solution crystalloid fluid. Why?.....7
Three nursing evaluation that you would complete in response to the assessment and
intervention which is used to completed?..............................................................................8
CONCLUSION................................................................................................................................9
REFERENCES..............................................................................................................................10

INTRODUCTION
Health is defined as the emotional, physical well-being of an individual is defined as
health. As per this, there is a various application which is associated with the health in which
they are used to provide quality of care and quality of health to the patient who is needed and
facing issues for the longer period. In context with this, the health assessment is very essential
for the patients who need it the assessment takes planning, implementation, and evaluation. As
per this, before delivering the health-related applications to the patient the proper planning is
associated with the patient's comfortable quality and compliance, and study is held. Then, the
good implementations and evaluation of the professional's nursing care are started. As per this,
planning is defined as the process in which the things which are going to be held are pre-planned
and their aim and objective are well defined. This implementation is referred to as the scenario
and perception where that it is going to implement it for better outcomes and helpful for the
achieving of goals and objective. Moreover, the evaluation also states about various factor which
is analyzed to reduce the negative outcome which is achieved during the implementation of that
particular plan. So, in terms of healthcare, this assessment is well cared for and well analyze
because all factors are associated with the patient life. In this report, the case studies were given
and the proper planning implementation and evaluation is regulated with taking aspect as a nurse
(Ahmed and et. al., 2020).
MAIN BODY
The Hartmann’s procedure including which help to show the definition, indication and the
complication. Ensure the application to this discussion to Mr. Kahil
The Hartmann’s procedure is used to take in this because they are majorly taken in this and show
the impact of the surgical resection of the colon which used to establish the factor of anorectal
stumps and formulate the section of end colostomy. This process is used to take and help to
treatment of the colon cancer and their inflammation which is associated with the this such as
proctosigmoiditis, proctitis and diverticulitis and many more. In context with this, the current
section is used to define the condition of the emergency surgery when it help to stimulate
anastomosis where it is not possible (Barrie, M., 2018). They are used to show the impact of the
palliatively in the major of patient with the factor of colorectal patient. In order to this, the
patient Kahil face various issue and they need this process to reduce the complication which is

associated with this. In this, they are used to take the major precaution and this used to show
number of irrelevant fractions. Kahil is dealing with the colostomy and various disease such as
they are used deal with their past history. They are newly diagnosed with the bowel cancer,
hypertension, hypercholesterolemia and they have also habit of smoking. As per this, they are
used to take down the factor by taking the standard process and procedure which enable the
attitude of being healthy and Hartmann’s procedure provide support and relevant figure in this,
they used to show the report of the Mr. Kahil which is associated with measurement which play
essential role in their treatment (Borse and et. al., 2018).
The vital sign of Mr. Kahil. Using the knowledge of the common causes of the clinical
deterioration in the postoperative patient. This all are reversible cause. Define
pathophysiological cause?
Mr. kahil face various issues which is related to the health unit of their body. As per this,
by using the specific knowledge and evidence the patient has their past medical history which
used to show various dysfunctions in the body. In order to this is faced bowel cancer,
hypertension, hypercholesterolemia and habit of smoking. As per this, the patient it must avoid
all the risk factor which is associated with the health and their past complications. Some of the
factors are reversible in nature such as if the habit of smoking is regular then it causes various
complications such as failure of respiration and lung failure. In order to this, the highest smoking
rate decrease the respiration rate because it used to collect tar in the body which may create
complications in the body. As per this, the bowel cancer has also some of the complications with
the patient health because the cancer is driven sometime malignant in nature and they used to
travel from one organ to another. They act as an increasing cancer. In this, the patient is face
chronic obstructive pulmonary disease and with this they used to take cigarettes 20 pack day.
This can create complication and also race factor for death.
The pathophysiological condition which is related with the Mr. kahil is on advance stage.
As per their past medical stream this is well identified that the patient is face bowel cancer and
various disease which may cause the number of issues related to the health. In this, the patient
face chronic obstructive pulmonary disease which is related to the respiration. In that case, the
person is not able to complete the respiration with their normal range. In this, the person face
difficulty in the respiration and breathing while taking this aspect this is also observed that the

patient used to smoke 20 pack per day and this used to create additional risk for them and if this
is persisting for the longer period. It can cause death due to the respiratory distress.
In this, the hypertension is also creating some of the issues by increasing the blood
pressure. In this case, the hypertension is usually attached with the pressure of blood and it
increase by taking the stress or medicine which can enhance the factor activate the receptor
which can cause the rapid flow in the blood and cause the elevated blood pressure. The proper
diet is also maintained in this case because the person is facing issues with their cholesterol
activities. As per this, they must focus on their diet plan and doctor with nurses must taking care
of their diet charts which is followed as per time to time (Dan and et. al., 2019).
Three specific intervention assessments which help to taking as priorities for the Mr. Kahil
deterioration.
In this, they are used to show the primary factor is based on the primary intervention. There are
related with the tissue that is help to tumor invasion and this used to show the surgical incision.
Therapeutic intervention: Treatment of cancer is used to depend on the stage of disease and this
help to related with the complication. Obstruction is treated with the intravenous fluid and
nasogastric suction and with the blood therapy if the bleeding is significant. Supportive which is
used and adjuvant therapy for example chemotherapy, radiation therapy which is used to show
the also associated with the immune therapy are included.
Surgical management:
 There are used to show primary treatment for the most of the colon and rectal cancer.
There are various type of surgery depends on the location and they are used to show the
size of tumor. This may cause be curative or palliative.
 Cancer is showing the limited to one of the sites can be removed colonoscope.
 Laparoscopy colostomy with the polypectomy show the intervention which is associated
with nursing.
 Neodymium-yttrium-aluminum-garnet which help to show the effective is some lesions
(Fawkes ., 2017).
 Bowel resection with the proper anastomosis and possible temporary or the permanents
colostomy or ileostomy. There are less than 1/3 of patient or the show the coloanal
reservoir.
Pharmacologic intervention:

Narcotic analgesic which is most often show the administered as the patient-controlled which is
anesthesia to manage the pain which is related with the surgical pain and pain from the
metastasis.
Nursing intervention: Administer chemotherapy which show the matter as used to manage the
order to provide the care of the customer which is associated with the receiving the impact of the
chemotherapy. In order to this, they used to provide the client receiving radiation therapy. In this,
they are used to show the provide of the care which is essential for the movement of bowel as
after the surgery.
Patient self-intervention:
They used to teach the patient which is associated with the care of the patient which help to
slow the abdominal incision and have show the perineal wounds. They used to show the
instruction and they are about to show the notification and they are related with the physician.
They are show the impact which is show the impact of redness, bleeding, drainage, unusual odor
or excessive pain and present (Marques and et. al., 2019).
Advise the patient which is used to show the perform and they are heavy lifting, pushing or
help to pulling for the 6 weeks after the core of surgery.
The patient which is used to show the Mr. kahil has a perineal incision and they need
proper, instruction with them and provide the information and knowledge about the various
mechanism which help to show the long period of time of time and this also help to create the
inability which make the thing more admirable and they used to show me rubber thing and
whenever patient is trying to sit.
Three specific nursing intervention that you as registered nurse to manage the health of patient?
Provide quality of care: As a registered nurse, the major role which is played in this to maintain
the quality of care with the aspect of patient. In this, the primary role which is played by a
registered nurse is to maintain the health of that particular patient. In context with this, this is
well known that the patient is face various issue regards with their health such as hypertension
bowel cancer and so on. As per this, they need proper care with proper time of medication and
appropriate his action which is taken when the situation become critical.
Monitor patient properly: In order to this, the registered nurse must monitor the patient properly
with their reports and other complication which may be associated with patient Mr. kahil have
various issues and they need proper monitoring by using the techniques and equipment’s and

medical technologies. As per this, the recent technologies which is used in medical are useful to
monitor the patient accurately such as using of electrocardiogram which is help to measure the
heartbeat and blood pressure and other associated techniques are useful to monitor the patient.
Interpret report and provide information about their health: As per this, the registered nurse
must provide the information about their health to the doctor and their families. The rate of
recovery which he used to take and what are the benefits is he achieved from the medication. The
nurse must be interpreting the report and provide this information in the concluding way to their
families and reach their motivation for being healthy and stating some of the points which may
create the lowest risk factor for the patient (Santana and et. al., 2018).
Mr. Kahil is prescribed a bolus of intravenous isotonic solution crystalloid fluid. Why?
Crystalloid fluid is the subunit of the intravenous solution which helps to provide the
frequent help in the clinical settings. In order to this, the crystalloid fluid is the first choice for
the fluid in order to provide the presence of high-quality suppressors and dehydration. As per
this, in the context with this fluid has to use as intravenous medication delivery in order to
deliver the fluid in patients with limited or no nutrition. As per this, it is also helps to manage the
blood pressure and management which is faced by the patient. As per the core concept of
hypertension this also helps to increase the diversity and avoid the kidney failure which is also
called as nephrotoxic. This fluid is helpful to manage detoxing mediated and organ damages.
These all activities are reviewed and taking in the prospect the mechanism of action and it is
finally helps to maintain some of the adverse event profile toxicity dozing pharmacodynamics
and monitoring of crystalloid fluids. These all factors are help to maintain the interprofessional
team for treating hypovolemia and other medications. As per this, some of the indication which
is usually show the factors and authentication in this. The main objective of the crystalloid fluids
are they help to identify the mechanism of action and provide proper crystalloid fluids also this
helps to reduce the indication for using crystalloid fluid with this. They use to summaries the
contradiction and adverse effect which is associated with the crystalloid fluid administration.
They used to explain various importance of improving the care and coordination among the
interprofessional scheme to enhance the delivery of care for patients. With these all as fact are
used to provide the administration of crystalloid fluid.

Three nursing evaluation that you would complete in response to the assessment and intervention
which is used to completed?
In order to this, the evaluation of the intervention which is a state for the patient is very essential
because this is all interventions are used to complete and fulfill the need and want of the patient.
In order to provide the compatibility. As per this, some of the intervention which is associated
with the health and help in the eradication of issues which is associated with the patient. In this,
the proper medication and appropriate diagnostic test is used to determined and evaluate the
condition of the patient (Sremanakova and et. al., 2019). In second order, they were used to
analyses their self-management therapies and others associated diet plan which help them to
recover fast and smooth in order to developing some new strains with helpful for their future
concerns. As per these, interventions which is associated with the diet plan are useful because
they provide and extra force combust the energy e and safe and effective border. As per this, the
last intervention is used to provide the support and proper monitoring of the electrocardiogram
and other associated equipment. Because the prior knowledge regard with this help to gain more
and more information about the patient and what are the risk which is associated with the patient
or well analyzed.

CONCLUSION
The above discussion, this is well analyses that the patient will face various issues with their
health concerns. They have associated some of the health risk factors are bowel cancer,
hypertension, hypercholesterolemia and various disease which may create the life-threatening
issue for the individual. As per this, the nursing interventions and self-management is used in
effective way to eradicate or retaliate the issues which may create medical complications for the
patient and this may cause various issues for the future.

REFERENCES
Books and Journals
Ahmed and et. al., 2020. Effect of Nursing Protocol on Nurses' Performance and Venous
Thromboembolism Risks Among the Patients with Cancer Undergoing Surgery. Assiut
Scientific Nursing Journal, 8(22), pp.22-35.
Barrie, M., 2018. Nursing management of patients with faecal incontinence. Nursing Standard
(2014+), 33(2), p.69.
Borse and et. al., 2018. Probiotic use in the management of hypertension: A new era of
therapeutic management. Indian Journal of Health Sciences and Biomedical Research
(KLEU), 11(3), p.207.
Dan and et. al., 2019. Differential analysis of hypertension-associated intestinal
microbiota. International journal of medical sciences, 16(6), p.872.
Fawkes, J., Corpus, M., Stein, J., Smith, T., Andrew, P., Vega, R. and Seward, E., 2017. OC-060
Colonoscopy versus ctc in the north central london bowel cancer screening
programme. Gut, 66, p.A32.
Marques and et. al., 2019. Guidelines for transparency on gut microbiome studies in essential
and experimental hypertension. Hypertension, 74(6), pp.1279-1293.
Santana and et. al., 2018. Effectiveness of a telephone follow‐up nursing intervention in
postsurgical patients. International journal of nursing practice, 24(4), p.e12648.
Sremanakova and et. al., 2019. Exploring views of healthcare professionals, researchers, and
people living with and beyond colorectal cancer on a healthy-eating and active lifestyle
resource. Nutrients, 11(10), p.2482.