Question

Cardiac Health Disruption - Real Life Case Study Permission has been granted to share this actual doctor's report of a valve replacement surgery. Please, read these three documents. You may not understand all the terminology, but after studying Hinkle and Cheever (2018) you should be able to get the idea of what all took place. What is not in this report is the concern before the surgery of the patient and family. The patient lives in an assisted living facility with his wife of 50 years. His wife suffered a massive stroke seven years ago and requires ongoing assistance with activities of daily living day and night. The patient provides many of these cares but does have the help of nursing assistants that are scheduled for morning and afternoon cares. While hospitalized the patient's daughter is staying with his wife to provide assistance and support for her both physically and emotionally. Following the surgery, the patient is admitted to the Critical Care Unit ventilated and was later weaned, which is normal procedure. All went very well. When the patient was later weaned from the ventilator and coming out of the effects of anesthesia, the patient experienced intense pain, mostly in his side. Refer to Hinkle and Cheever (2018) pages 774-779. You are the nurse coming on after the patient was extubated. You have the surgery report and the report from the last shift related to pain. Based on the surgical report, could you explain to the patient the basis for his pain? What are your top two priorities for the care of this patient? What might the patient's priority be for the shift? Heart Valve Surgery.pdfPreview the document This is a summary of the original Operative Report. It is not word for word but does contain the majority of the information. Preoperative Diagnosis (2).docxPreview the document

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☆ Explain to the patient that he had undergone a cardiac surgery and you had given anesthesia before the surgery to make you sedate for the surgery. That's why you did't feel pain just after the surgery. But now you are reverted from the anesthesia make you feel pain and is common in every patient .Don't worry about the pain. We will administer analgesic to reduce your pain as per doctor's order.

☆First priority will be airway, breathing, circulation and disability the patient

*Assess the airway and breathing pattern

*Monitor the vital signs

*Obtain ECG of the patient

*Assess the heart rate and respiratory rate

*Assess for any risk of post operative complication

*Assess the level of movements

Second priority is managing the post operative pain of the patient.

*Administer analgesic as per doctor's order

*Provide proper position to the patient

*Avoid vigorous movements of the patient

☆ *Patient should be hemodynamically stable to shift from the ICU

*Patient should maintain normal respiratory status without ventilator support

*Patient should free from postoperative complications

*patient should stable with the help of assistive devices

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