Surgical Site Infection Following Operative -Myassignmenthelp.Com

Question: Discuss About The Surgical Site Infection Following Operative? Answer Introducation The first patient problem is laparotomy wound care for Mr. Peter as the patient has recently undergone the surgical procedure for the resection of the recto-sigmoid tumour in the abdomen. The patient has a stoma and a large dressing over the wound. This is the first priority since there are chances of wound infection if proper care is not taken that might lead to further complications for the patient. Risk factors include broken skin, stasis of body fluid and presence of contaminants and pathogens in addition to invasive procedure. Infection at the would site would delay the wound healing time and the desirable recovery would not be achieved (Lewis et al., 2014). The second patient problem is that Mr. Peter is overweight and has a sedentary lifestyle. At the age of 62 years he weighs 84 kgs. He is a retired truck driver and has minimal psychology activity on a regular basis. In addition, he is a regular smoker and drinker. The patient is suffering from imbalanced nutrition: more than body requirements that is intake of food excess than the metabolic needs. Obesity is the cause of a number of health complications that interfere with the recovery process of a patient post surgery. The patient has been suffering from hypertension for eight years. The patient needs to have a healthy nutrition consumption in order to achieve speedy recovery post surgery (Landsberg et al., 2013). The third patient problem is insufficient patient education. Mrs. Jones has requested to be educated on the surgical procedure the patient had gone through. This reflects that she has insufficitn knowledge of the implications of the surgery and the consecuitive care that has to be provided. Firstly, it is the right of the patient family member to gain information from the health care professional about the surgical procedure that the patient has undergone. In addition, educating the family memebrs about surgery would reduce the chances of complications and support the recovery process (Kuhns, 2017). Nursing diagnosis (from NANDA-I) Goal Nursing interventions Rationale Evaluation/ expected outcome Risk for infection To eliminate the chances of infection at the wound site and promote complete recovery Infection control and aseptic procedures are to be adhered to Review of laboratory studies are required for chances of systematic infections Carry out dressing under aspectic techniques and use of proper dressing materials for the process Examination of the skin for signs of infection and irritation Identification of signs of scratching and itching Antibiotics might be applied as indicated Identification of a plan for debridement in case of necrotic tissue is present Teach patient about skin assessment and how to monitor for signs and symptoms of infection Mechanisms for preventing infection at surgery site Increased count of WBC indicates an ongoing infection that could be due to infection at the wound site (Nettina et al., 2013) Chances of getting infected are high at the time of wound dressing Disruption of skin integrity near or at the surgery site are major sources of inection. Clipping to shaving with care is needed for preventing nicks and abrasions in the skin Itching and scratching alleviate chances of infection (Ovaska et al., 2013) Suspected infection can be treated Healing is not appropriate if there is necrotic tissue Early identification and intervention prevents severe complications ( Zaccagnini White, 2015) Maintainence of aseptic and safe environment Absence of infection or complications at the surgery site Imbalanced nutrition: more than body requirements To promote functional and healthy eating patterns as per body requirement Carry out and review the daily food intake Exploration and discussion of emotions of the patient associated with eating Formulation of eating plan with engagement of the patient. Knowledge of the patients details and nutritional needs is necessary. The preferences of the patient is to be known The significance of consuming a healthy diet is to be emphasised onto Strategies are to be developed to deal with binge eating Determination of the present activity level of the patient and plan an exercise program Development of an appetite reduction plan in collaboration with the patient Create a safe and soothing environment at meal time Identifies the patterns of eating on the basis of which dietary program can be outlined Points out difference between eating due to body needs and emotional needs A plan that is outlined keeping the preferences of the patient into consideration is more successful Balanced diet leads to metabolic balances and reduces chances of headache, fatigue and weakness that are common after surgery ( Ceccarelli et al., 2017) The patient is feeling guilty about binge eating would not do it further Exercises would help in weight loss and increase energy, enhance body functioning and promote overall well being Signs of fullness to be recognised Appropriate environment while eating promotes good eating habits (Chism, 2015) Appropriate eating behaviours Patient education To educate patient and his family member about the implications of laparotomy Explain about the procedure of laparotomy and the patient benefit drawn from it Conduct one-on-one session with Mrs. Jones to communicate the details of the surgery An informal environment is to be created for this purpose Communication needs to be clear and transparent and language must be that for a layman Possible complications of laparotomy to be informed, such as haemorrhage and bowel blockages The patient to be advised rest The patient to be taught self-care strategies involving prevention of constipation Dressing techniques to be taught to Mrs. Jones Mrs. Jones to be encouraged to motivate the patient to quit smoking and drinking through providing education on cessation strategies Inform the patient and family member about what the surgery as about Communication on a one-on-one process is useful in imparting education Informal environment fosters patient education Patient able to connect to what is being communicated to him Early detection of complications and subsequent interventions reduce the chances of further adverse events Adequate rest proves speedy patient recovery Constipation increases the chances of post-surgical complications (Potter et al., 2017) She would be responsible for caring for the patient once he is discharged from the hospital Smoking and drinking cessation would promote overall health (Kleinpell, 2013) Mr. and Mrs. Jones well informed about the surgical procedure and the implications References Ceccarelli, L., Franceschi, M., Bertani, L., Nieri, C., de Bortoli, N., Mumolo, G., ... 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