Nursing Intervention plans for Acute care patient

Nursing Intervention plans for Acute care patient
 
Executive Summary
This report is based on a case study of Mrs Eleanor, who has passed through the hemicolectomy and midline incision surgery. According to her past life history, due to the reason of several health complications like hypertension, high blood pressure, and hypercholesterolemia, she may experience various co-morbid conditions during the 24-hour post-operative stage. Therefore, in order to reduce the level of adverse conditions, assessment is required for identifying the clinical complications, like diarrhoea, septicaemia, and constipation. Nursing intervention planning is also required for reducing the occurrence percentage. Besides this, a complete discharge planning can be performed for delivering the optimum health care level.  
Table of Contents

Introduction	4
Plan A: Nursing Intervention Plan	4
Plan B: Analysis of identified clinical issues	8
Co-morbidity of Mrs Eleanor according to her health condition	8
Potential clinical complications	8
Nursing interventions for clinical complications	9
Analysis of case study with the interventions	11
Part C: Discharge Planning	11
Conclusion	15
Reference List	16
Appendix	20


 
Introduction
Acute care patients mostly require excessive support during the pre-operative and post-operative stage apart from the time of surgeries, for coping with their acute health conditions raised by their acute diseases. In order to assist the acute care patients, nurses need to play the most considerable role for managing their health requirements and providing the opportunity of quick recovery. Besides their physical status, acute care nurses also need to focus on their mental stability as most of the acute care patients undergo a phase of mental trauma after completion of surgical processes. This assignment highlights the potential issues after hemicolectomy surgery, process of assessment, nursing role in intervention planning, rationale behind intervention, and a brief discussion plan.
Plan A: Nursing Intervention Plan
Through analysing the given data and information about the pre-operative history and postoperative condition of Eleanor, nursing intervention plan can be developed by focusing on the associated risk factors and their likelihoods. According to the statement of Santana et al. (2018), nursing intervention plans can support the nurses in following a regulatory process for delivering best care to the acute care patients. 
Assessments	Problems or Issues	Interventions	Rationale
Diarrhoea and constipation are the two most common post-operative issues occurred among the patients having colectomy or midline incision surgery. Both of the diseases can be assessed through blood testing, stool testing, and colonoscopy or sigmoidoscopy procedures. The further risk factor associated with this is enhancement of malnourishment condition or poor water balance level. Besides this, in many cases, the diarrhoea and constipation level has been diagnosed as constant in nature.	Associated risk of Diarrhoea and constipation	•	Nurses need to review the dietary pattern of the patient, amount of food and liquid intake and compare this information with the standard amounts. 	•	Proper amount of roughage and fibre intake can assist Mrs Eleanor to overcomes the issue of dietary inefficiency. Besides this, adequate amount of fluid can support in retaining the consistent nature of stool, thus help in avoiding constipation (Williams et al. 2017).
After every surgical procedure, acute pain in some parts of the body, especially at the area of surgery, is a common problem. In this case, the acute pain happened after hemicolectomy can spread into the surrounded area along with increasing the level of discomfort. Assessing the condition of Mrs Eleanor reveals her pain score as 6 out of 10. In case of hemicolectomy, patient may sometimes feel excessive vomiting and nauseating conditions. 	Acute pain	•	Nurse can focus on investigation and reporting of the pain area surrounded the area of surgery, especially in the abdominal part, for measuring the presence of abdominal rigidity, rebound tenderness, and involuntary guarding. 
•	Administration of medication and supportive relaxation techniques can be taught by nurses. 	•	Peritoneal inflammation is required to diagnose for delivering proper medical interventions.
•	The second intervention technique can support Mrs Eleanor in taking rest with proper way, thereby refocusing their attention from pain and discomfort level. 
In case of hemicolectomy, patients sometimes face skin impairment, such as rashes, puss erection from the place of surgery, or infection. As opined by Wick et al. (2015), surgical wound may sometimes help in spreading the infection throughout the entire blood of body, causing septicaemia, and ultimately death. Assessment of skin impairment can be performed through blood testing and wound observation.	Irritation around the place of surgery	•	In order to 


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