Please respond to each post with One Reference and a question is possible
Post 1 Dr.S
Your post provided information that listed how nurses make a significant impact on outcomes for patients undergoing surgery. You primarily addressed the post-operative stage of the perioperative experience related to a deep vein thrombosis (DVT). However, you did not touch upon the preoperative period and items that should be taught before surgery. As we know when a patient undergoes surgery, nurses take on the responsibility of managing their pain, monitoring their recovery, and preventing complications with interventions and medications. Mobility assistance is crucial for preventing complications like deep vein thrombosis (DVT) and pneumonia. Your focus was related to medications to address a DVT. Nurses assist with the prevention of complications by also teaching safe self-mobility techniques (Hinkle et al., 2022). Consider how prevention would impact a patient and if your understanding has grown related to an operative patient and prevention of a deep vein thrombosis. I realize prior to completing this module your knowledge base and applied experiences may have been different. How has your understanding of this topic evolved throughout this unit?
Post 2 Eva
Hello Mr. Smith, my name is Eva and I will be your nurse caring for you today. I understand you recently had an unfortunate incident involving your surgical wound. As your physician mentioned to you, you experienced a wound dehiscence. After surgery, the wound is either closed with sutures or staples and when that wound re-opens, it is called a wound dehiscence. There are two kinds of wound dehiscence that we typically see. An accidental wound dehiscence, typically seen with abdominal surgical wounds, as in your case is one or an intentional wound dehiscence is the other. In those cases, if there is an infection in the wound, it is re-opened by the surgeon to clean out and help eliminate the infection. You experienced pain along with a feeling of something popping when you attempted to get out of bed on your own today. Those are common reported signs of this issue. You did the right thing in using your call bell immediately to notify the nurse caring for you. Based on the notes I see here, they found some bleeding in your wound dressings and upon removal, they noticed your stiches had broken and the wound had partially re-opened (Althoff et al, 2023).
Post 3
I’m sure you noticed a lot of movement from the nursing staff because we take wound dehiscence extremely seriously. The nurse immediately covered it with a sterile gauze that was moistened with sterile saline. This was done to avoid any bacteria entering the wound and to avoid a more serious complication called wound evisceration. In those cases, your abdominal organs can begin to protrude from the wound which you would need to undergo surgery again for repair. The nurse also placed you as NPO as a safety precaution, which means no eating or drinking. This is done in case you did need surgery. Just like your first procedure, you were instructed not to eat or drink after a certain time to keep your stomach empty. That’s put in place so that in the event you have nausea and vomit, you won’t have stomach contents enter your lungs. Now that your wound has been cared for, and you don’t need surgery, I will see what dietary orders are in place and will see what we can start you off with if you are hungry.
