Nursing Challenges and Opportunities

Discuss about the Nursing Challenges and Opportunities.

The appendix is located under the liver and lower right abdomen the main store tissue in the human body, which performs numerous serious functions to retain the toxins and material contamination (In Coomarasamy, 2016). The appendix performs it functions as a depot for good microorganisms, “rebooting” the gastric system when diarrheal illnesses occurs. Appendicitis is of problematic to the Ajay Mahajan’s health system and requires some surgery treatment to help rescue his health (Victoria, 2015). The practice of surgery needs to be followed in the right way to ensure that the patient’s health status is reclaimed.

Appendicitis is a swelling of the appendix tissues; it is about a 3.5 -inch-long duct of tissue that covers from the colon. Not everybody is certain about the purpose of the appendix. However, one can live minus it, lacking seeming consequences. Appendicitis is a medicinal crisis that needs quick surgery to eliminate the appendix. Leaving the organ untreated, a swollen appendix may finally burst, or puncture, leaking infectious constituents into the intestinal cavity. This condition can result into peritonitis, a grave swelling of the gut cavities inside layer, which is the peritoneum and can be deadly lest it is cured rapidly with sturdy antibiotic.

Early identification of appendix ailments typically includes a blood examination for irregular appendix role (Yan, 2016). Distinctive checks for the two precise antigens can also show the appendicitis disease in the blood. When the disease is alleged, a surgery can be performed either through examining surgery or through injecting a squeaky needle in the organ (Yan, 2016). The tumour can further be diagnosed through imaging performances like computed tomography scans, ultrasound and magnetic resonance imaging. However, the X-ray technique so-called angiography might also be useful in the examining the blood organs in the appendix (Viana & Gomes-Marcondes, 2015). When appendicitis is diagnosed, the growth stage is examined to show the far the growth has developed. Some cancers established in a cramped part in the appendix can be entirely being removed. Other cancers are not totally detached because the subsequent damage of residual appendix role might be fatal (Wang, Zhou, Zhang & Qiao, 2015). Surgery is shown to be use in the treatment of appendicitis, but on the basis of the cancer location and the resultant performance of the regular functioning of the appendix. Operation is not healing for tumours which would have grown past the appendix and cannot be optional for some patients suffering from cirrhosis. When surgery cannot function, some tumours might be demolished through freezing (Wang, Zhou, Zhang & Qiao, 2015).

Critically discus the assessment of the ventilation, circulation and consciousness prior to the patient discharge from PARU.  Discussion must be related to the effects of the anaesthesia and surgery on these three psychological functions and be directly related to the chosen patient. 

Ajay Mahajan is cleared from the PACU after one meeting the conventional principles for the discharge, which is determined through a scale (Zhong & Zhang, 2014). The Aldrete scale shows the patient's flexibility, respirational status, circulation of the blood, the consciousness of the patient, and the pulse oximetry (Viana & Gomes-Marcondes, 2015). Dependent on the form of operation and on the Ajay Mahajan's state, the one might be admitted back to an overall surgical ground or some time to the intensive care unit. Subsequently the patient might be under the anesthesia conditions (Robotin & University of Sydney 2015); the protection of the patient is the primary goal. The condition done after operation often has effects on the circulation of the blood in the body whereby some patients breathe faster than the normal movement. There is need to provide a conducive environment of the blood the flow (In Morgan, (2016). The Ajay’s body needs to be in the place with good ventilation to supply the required oxygen to the blood to enhance the processes of respiration. The condition of the patient also after operation often makes one to lose the consciousness hence provision of the proper condition to enable the recall the self and realize the. It is therefore certain that the post operation practices need to be carefully managed to ensure the patient reclaims the normal body functioning. The practice need to assess the blood circulation of the patient, the ventilation of the rooms, the consciousness of the patient (In Coomarasamy, 2016). When Ajay's information of pain in surgery and in anesthesia is presented, the surveillance ought to be reduced. The anesthesiologists have to deliberate the option of an incident of consciousness in anesthesia per the patient’s statement. Dynamic ciphers, the cut, breathing status, and aching status some drainage ducts ought to be watched every hour for some major eight hours (In Coomarasamy, 2016). Body fever needs to be checked, as sick are frequently hypothermic subsequently surgery, and might want a blanket that is a warming. Respiratory state has to be measured often, including valuation of lung auscultation and chest jaunt, and existence of a passable cough. Fluid consumption and urine production must be observed at each hour (In Chen, 2016). Therefore, it is necessary that the nurses attending to the patients after surgery need to realize the need to provide care and protection to the patients to effectively enhance the healing process (In Chen, 2016). Monitoring of the health progress is the chief goal at this stage. The Ajay’s room therefore needs to be extraordinarily special to promote the basic body functioning to enhance the healing process (In Carachi & In Grosfeld, 2016).

Develop a discharge plan to support your chosen patient on discharge home. Include any education you deem is relevant, any referral to the allied professionals is required and discus your rationale

The condition of Ajay Mahajan needs to be determined and ascertained if the patient is ready for a discharge (In Carachi & In Grosfeld, 2016). The doctors or the nurse in charge must have the facts about the present condition of the patient. The patient must be able to survive under the minimum guidance of the health officers. The patient also has to admit that the condition at the present can allow for a discharge and make agreements to the same practice (In Bozzetti, In Staun & In Gossum, 2015). It is necessary that the health practitioners consult respective departments, which might have handled the patient to be certain that the patient is free to go for the discharge. The patient needs to sign some forms to agree with the condition. the doctor also have to provide a guide on how the patient shall be caring out the duties, this need be a comprehensive summary of the diet and the forms of exercise of the patient (In Bozzetti, In Staun & In Gossum, 2015).

References

In Bozzetti, F., In Staun, M., & In Gossum, A. . (2015). Home parenteral nutrition.

In Carachi, R., & In Grosfeld, J. L. (2016). The surgery of childhood tumors.

In Chen, H. (2016). Illustrative handbook of general surgery.

In Coomarasamy, A. (2016). Gynecologic and obstetric surgery: Challenges and management options.

In Morgan, K. A. (2016). Current controversies in cancer care for the surgeon.

Robotin, M., & University of Sydney. (2015). Appendicitis prevention strategies in high risk Australian populations: Challenges and opportunities : is population-level liver cancer prevention feasible in an Australian setting?.

Viana, L. R., & Gomes-Marcondes, M. C. C. (February 01, 2015). A Leucine-Rich Diet Modulates the Tumor-Induced Down-Regulation of the MAPK/ERK and PI3K/Akt/mTOR Signaling Pathways and Maintains the Expression of the Ubiquitin-Proteasome Pathway in the Placental Tissue of NMRI Mice 1. Biology of Reproduction, 92, 2.)

Victoria. (2015). Optimal cancer care pathway for people with hepatocellular carcinoma.

Wang, Z., Zhou, W., Zhang, H., & Qiao, L. (January 01, 2015). Combination of anti-angiogenesis agents and transarterial embolization: Is it a promising approach for the treatment of liver cancer?. Discovery Medicine, 20, 108.)

Yan, L. (2016). Operative techniques in liver resection. Dordrecht: Springer.

Yang, X., Miao, R., Yang, H., Chi, T., Jiang, C., Wan, X., Xu, Y., ... Sang, X. (January 01, 2015). Retrospective and comparative study of inflammatory myofibroblastic tumor of the liver. Journal of Gastroenterology and Hepatology, 30, 5, 885-90.

Zhong, F., Liu, C., & Zhang, X. (December 01, 2014). Guideline adherence for the treatment of advanced schistosomiasis japonica in Hubei, China. Parasitology Research : Founded As Zeitschrift Fu?r Parasitenkunde, 113, 12, 4535-4541.

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