NUR251: Medical Surgical Nursing 2 - Nursing Care of a Patient with a Medical Condition - Nursing Assignment Help

Assignment Task:

Task:

Task 1

Firstly, an initial assessment will be completed including - head-to-toe examination, medical history and vital observations related to gathering comprehensive baseline data (Berman et al., 2018). With consent, privacy and ongoing communication, an inspection of the surgery site inclusive of Ruby’s abdomen will be completed. This assessment is necessary to rule out any signs of infection or abnormalities. A wound care chart, observation chart and entry in Ruby’s progress notes and nursing care plan is necessary.

Secondly, a pain assessment will be conducted using the PQRST algorithm (Berman et al., 2018). This assessment is necessary, as providing adequate pain relief will assist in Ruby’s comfort both physically and emotionally (McCabe, 2017). Negligence of this assessment may result in increased pain, distress and reluctance of future nursing care (McCabe, 2017). This assessment will be recorded within the patient observation chart, progress notes and depending on the outcome, the patient medication chart.

Task 2

Firstly, it is vital that Ruby understands why she had the subtotal vaginal hysterectomy (abnormal uterine bleeding & chronic pelvic pain) and what the surgery involved (removal of the uterus & fallopian tubes, cervix left intact (Coody, Stutzman & Abraham, 2017)). This information will give Ruby a good indication of her recovery. Ruby’s recovery should involve regular light exercise eg - light 20minute walk 2-3 times per day for one week in increasing time intervals while ensuring adequate rest periods are achieved.

Awareness of the normal signs and symptoms of Ruby’s surgery is also vital (minimal blood loss, mild-moderate abdominal pain) and that any abnormal signs (fever, swelling, increased blood loss, severe abdominal pain) require immediate medical attention to reduce chance of future illness’/complications (Berman et al., 2018). The nurse should provide a leaflet thatmcan be placed on Ruby’s fridge outlining the normal versus abnormal signs and symptoms of her surgery. Attendance to follow-up appointments is also essential and organising reminders should be encouraged on Ruby’s calendar/phone with medical details for easy access.

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