NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper

NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper

Pre- and Post-Operative Care

“A wide range of illnesses and injuries may require treatment that includes some type of surgical intervention. Surgery may be planned or unplanned, major or minor, invasive or noninvasive, and may involve any body part or system”

—Pamela Lynn (2008).

As this quotation suggests, advanced practice nurses must be able to provide pre- and post-operative care to patients with various illnesses and injuries. Consider a 17-year-old patient who is injured in a car accident. The patient has severe burns on her legs, and several toes on her right foot require amputation. Her injuries are affecting multiple body systems. As an advanced practice nurse, how might you stabilize and prepare this patient for surgery? What areas of care will be your focus as the patient recovers from surgery?

This week, you examine and discuss limitations and challenges of clinical practice. Then, as you explore the role of the advanced practice nurse in perioperative settings, you examine strategies for assessing, diagnosing, and treating patients in pre- and post-operative care. NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper

Learning Objectives

By the end of this week, students will:

• Analyze limitations and challenges of clinical practice
• Evaluate pre- and post-operative care patients
• Develop differential diagnoses for pre- and post-operative care patients
• Develop treatment plans for pre- and post-operative care patients

Photo Credit: PhotoAlto/Odilon Dimier/PhotoAlto Agency RF Collections/Getty Images

Learning Resources

Required Readings

Colyar, M. R. (2015). Advanced practice nursing procedures (1st ed.). Philadelphia, PA: F. A. Davis Company.

• Chapter 1, “Punch Biopsy”
• Chapter 2, “Skin Biopsy”
• Chapter 4, “Abscesses—Incision and Drainage Drainage (Furuncle, Felon, Paronychia, Pilonidal Cyst, Perianal Cyst)”
• Chapter 7, “Burns—Debridement”
• Chapter 8, “Digital Nerve Block”
• Chapter 12, “Sebaceous Cyst Removal”
• Chapter 17, “Soft Tissue Aspiration”
• Chapter 21, “Subungual Hematoma Excision”
• Chapter 22, “Suture Insertion”
• Chapter 23, “Suture Selection”
• Chapter 24, “Suture Removal”
• Chapter 26, “Topical Hemostatic Agent Application”
• Chapter 27, “Ulcer Debridement”

Doherty, G. M. (2015). Current diagnosis and treatment: Surgery (14th ed.). New York, NY: McGraw Hill. NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper

• Chapter 6, “Wound Healing”
• Chapter 8, “Inflammation, Infection, & Antimicrobial Therapy in Surgery”
• Chapter 9, “Fluid & Electrolyte Management & Acid-Base Disorders”
• Chapter 10, “Surgical Metabolism & Nutrition”
• Chapter 13, “Management of the Injured Patient”
• Chapter 14, “Burns & Other Thermal Injuries”

Document: i-Human Patients, Inc. (2014). i-Human patients case player student manual.

Throughout this course, you will be required to complete case study assignments within i-Human Patients. This manual provides guidance on accessing and using these simulation. It is highly recommended that you explore the various training resources offered in this manual in preparation for the upcoming Assignments.Throughout this course, you will be required to complete case study assignments within i-Human Patients. This manual provides guidance on accessing and using these simulation. It is highly recommended that you explore the various training resources offered in this manual in preparation for the upcoming Assignments. NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper

Required Media

Note: You should have received an e-mail with your i-Human Patients login and password information. If you have not received this information, please contact your Instructor.

i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in

Vo, H. (2012). Placement of central venous catheter—NEJM [Video file]. Retrieved from https://www.youtube.com/watch?v=HE5QhsPRaPU

Optional Resources

University of Michigan Trauma Burn Center. (2015). Fluid resuscitation. Retrieved from http://www.traumaburn.org/referring/fluid.shtml

U.S. Department of Health & Human Services. (2014). Burn triage and treatment: Thermal injuries. Retrieved from http://www.remm.nlm.gov/burns.htm

Discussion Part I: Limitations and Challenges

From providing ongoing assessments to monitoring for complications and facilitating recovery, advanced practice nurses who care for patients in perioperative environments experience a unique set of limitations and challenges. Reflecting on your experiences in this complex and critical environment will help you develop your professional competency and prepare you for your future role as an advanced practice nurse. In this week’s Discussion, you consider limitations and challenges of clinical practice in perioperative care settings. NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper

To prepare:

• Reflect on this week’s clinical experiences.
• Consider one limitation or challenge you encountered.
• Think about how you overcame this limitation or challenge and how this might affect your future practice in pre- and post-operative care settings.

By Day 3

Post a description of at least one limitation or challenge you encountered during your clinical experience this week. Explain how you overcame this limitation or challenge and how this might affect your future practice.

Note: If you refer to a patient in your Discussions or Assignments, be sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient.

Read a selection of your colleagues’ responses.

By Day 6

Respond to two colleagues by sharing additional insights or alternative perspectives.

Discussion Part II: Pharmacology

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

To prepare:

Read the following articles to enhance your knowledge of commonly prescribed medications:

Ando, S., Yasugi, D., Matsumoto, T., Kanata, S., & Kasai, K. (2014). Serious outcomes associated with overdose of medicines containing barbiturates for treatment of insomnia. Psychiatry Clinical Neuroscience, 68(9), 721.

Serious outcomes associated with overdose of medicines containing barbiturates for treatment of insomnia by Ando, S., et al in Psychiatry Clinical Neuroscience, 68(9). Copyright 2014 by John Wiley & Sons, Inc. Reprinted by permission of John Wiley & Sons, Inc., via the Copyright Clearance Center.

Dassanayake, T. L., Jones, A. L., Michie, P. T., Carter, G. L., McElduff, P., Stokes, B. J., & Whyte, I. M. (2012). Risk of road traffic accidents in patients discharged following treatment for psychotropic drug overdose: A self-controlled case series study in Australia. CNS Drugs 26(3), 269–276. NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper

Note: Retrieved from the Walden Library databases.

Kulick, D., & Deen, D. (2011). Specialized nutrition support. American Family Physician, 83(2), 173–183. Retrieved from http://www.aafp.org/afp/2011/0115/p173.html

Martini, D. I., Nacca, N., Haswell, D., Cobb, T., & Hodgman, M. (2015). Serotonin syndrome following metaxalone overdose and therapeutic use of a selective serotonin reuptake inhibitor. Clinical Toxicology 53(3), 185–187.

Serotonin syndrome following metaxalone overdose and therapeutic use of a selective serotonin reuptake inhibitor by Martini, D., in Clinical Toxicology, 53(3). Copyright 2015 by Informa Healthcare. Reprinted by permission of Informa Healthcare via the Copyright Clearance Center.

Robinson, A., & Wermeling, D. P. (2014). Intranasal naloxone administration for treatment of opioid overdose. American Journal of Health-System Pharmacy, 71(24), 2129–2135.

Note: Retrieved from the Walden Library databases. NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper

Thomas, D. R. (2013). Total parenteral nutrition (TPN). In The Merck Manual Professional Edition. Retrieved from http://www.merckmanuals.com/professional/nutritional_disorders/nutritional_support/total_parenteral_

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way for you to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.

1. KPhos, bicarb, calcium, magnesium
2. Iron, folic acid, B12
3. Diamox
4. Macrolides
5. Muinolones/mluoroquinolone
6. Cephalosporins, 4th and 5th generation
7. Aminoglycosides
8. Carbapenems
9. Lipopeptide
10. Tigecycline

Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group. NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper

By Day 3

For this Discussion, address 1 of the following options:

Option 1

Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.

Option 2

Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?

Option 3

Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Discuss a patient to whom you would prescribe this medication.

Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper

Submission and Grading Information

Grading Criteria

Week 2 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 2 Discussion

Assignment: Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients

The perioperative period is critical for surgical patients. Whether patients require fluid and electrolyte management, pain management, or treatment for infections or surgical complications, advanced practice nurses must be able to provide safe and effective care. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat patients who require pre- and post-operative care. NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper

To prepare:

• Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients in pre- and post-operative care.
• Review this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from the patient.
• Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis. NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper
• Identify three to five possible conditions to consider in a differential diagnosis for the patient.
• Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
• Develop a treatment plan for each patient that includes health promotion and patient education strategies for pre- and post-operative care patients.

To complete:

As you interact with this week’s i-Human patient, complete the assigned case study. As you interact with this week’s i-Human patients, complete the assigned case studies. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Week 2 Learning Resources.

By Day 7

This Assignment is due.

Grading Information

Week 2 i-Human Rubric

ORDER SHADOW HEALTH ASSESSMENT HELP HERE

Week in Review

This week you analyzed the unique set of limitations and challenges when providing safe and effective care in perioperative environments for pre-and-post operative patients. You also developed differential diagnoses and treatment plans for these patients. NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper

Next week you will explore the assessment and care of pre- and post-operative patients with conditions specifically related to the head, neck, esophagus, and diaphragm, and examine strategies for assessment, diagnosis, and treatment.

NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper

NURS 6560 – Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients Essay Assignment Paper