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Nursing care of patients undergoing tonsillectomy

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on 10 June 2015

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Transcript of Nursing care of patients undergoing tonsillectomy

NURSING CARE
OF PATIENTS
UNDERGOING
TONSILLECTOMY

Ivan Rado
common low risk procedure
usually performed for sleep-disordered breathing and when tonsillitis occurs frequently
PAIN
- most common post tonsillectomy complaint
NURSING CARE PLAN
PREOPERATIVE CARE
POSTOPERATIVE CARE
PAIN MANAGEMENT
GOOD PREOPERATIVE CARE
better experience
faster recovery
less anxiety
lower risk of complication
Physical Preparation
Psychological Aspect
physical exam
patient's surgical and anesthesia background
laboratory tests
reminders
preparation of the patient and family
understanding the long term goal
Nursing diagnoses
and interventions
Objectives:
There is no infection.
Interventions:
• Monitor temperature every 4 hours, the state of injury when performing maintenance.
• Give an antibiotic is prescribed, give at least 2 liters of fluid every day while implementing antibiotic therapy.
• Give antipyretics are prescribed if there is fever
Diagnosis - Risk for infection related to the factors of surgery
Objective:
The patient expresses pain is reduced and shows a relaxed and calm state.
Interventions:
• Assess the level or degree of pain felt by the patient using a scale.
• Help the patient in finding factor in precipitation of pain felt.
• Create a quiet environment.
• Teach and demonstrate to patients about several ways to do relaxation techniques.
• decrease children’s anxiety

Diagnosis - Acute Pain related to surgical operations
Objective:
The patient was able to communicate to meet their basic needs and showed improvement in their communication capabilities
Interventions:
• Do a personal communication with the patient (often but short and easy to understand).
• Create an atmosphere of acceptance of the changes experienced by the patient.
• Instruct patients to improve communication techniques.
• Use non-verbal communication techniques

Diagnosis - Impaired verbal communication
childrens right and a priority of treatment
CONCLUSION
Understanding of pain management is crucial
Every interaction with patients and families should be viewed as an opportunity
Nurses are truly the key to a successful postoperative pain management
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