patient knowledge before surgery case report

by Dr. Aurore Boyer DVM 10 min read

Surgical Case Reports - Care Guidelines For Writing …

29 hours ago Case reports in surgery describe a patient’s surgical condition and surgical management, and are intended for educational or scientific purposes. These help identify rare or new diseases, assessing the beneficial or adverse effects of interventions, and aiding medical education. Any … >> Go To The Portal


Case reports in surgery describe a patient’s surgical condition and surgical management, and are intended for educational or scientific purposes. These help identify rare or new diseases, assessing the beneficial or adverse effects of interventions, and aiding medical education.

Full Answer

How to write a patient case study?

Writing Your Patient Case Study 1 Work on Your Introduction Select a case. You have to identify your focus and scope for the study. ... 2 Get to Know the Participants You can have one or multiple case participants. ... 3 Perform Data Analyses Method Your results will depend on your interpretation of the raw data. ... 4 Report the Case Study Results

What should be included in a patient case report?

Summary: The format of a patient case report encompasses the following five sections: an abstract, an introduction and objective that contain a literature review, a description of the case report, a discussion that includes a detailed explanation of the literature review, a summary of the case, and a conclusion.

What should be included in the history of a patient?

The history should include a past and current medical history, a surgical history, a family history, a social history (use of tobacco, alcohol and illegal drugs), a history of allergies,current and recent drug therapy, unusual reactions or responses to drugs and any problems or complications associated with previous anesthetics.

How much attention is given to the diagnosis and type of surgery?

Most attention was given to the diagnosis and the type of surgical procedure, which was communicated respectively to 92.8 and 88.2% of the patients. Almost one in two patients believed that the information provided some emotional relief, while 23.2% experienced increased anxiety.

What should a patient know before surgery?

Ask your healthcare provider to outline the possible complications, such as infection and bleeding, and possible side effects that could follow the procedure. Be sure to understand when you should notify your healthcare provider or seek immediate medical attention for complications.

Why is it important to know a patient's history before surgery?

A history and physical, also known as an H&P, is essential for a complete preoperative evaluation. The H&P gives the surgical team a snapshot of the patient, pointing out preexisting conditions (such as cardiac complications) that may put the patient at risk for operative or postoperative complications.

What questions do you ask a patient before surgery?

10 Questions to Ask before Having an OperationWhy do I need this operation?How will the operation be performed?Are there other treatment options, and is this operation the best option for me?What are the risks, benefits, and possible complications for this operation? ... What are my anesthesia options?More items...

What are the main topics in preoperative information?

Information usually involves verifying that the surgeon explained (and the patient understood) the surgical procedure, perioperative policy and procedure, and the medications that will be used during and after the surgery, including potential adverse reactions.

Why is it important to know patient history?

Knowing your medical history gives your primary care physician a better understanding of your overall health. An accurate medical history can also improve the quality of health care that you receive.

What are the important components of preoperative patient evaluation?

A history and physical examination, focusing on risk factors for cardiac and pulmonary complications and a determination of the patient's functional capacity, are essential to any preoperative evaluation.

What are the questions doctors ask?

Terms in this set (12)What brings you in today? Why are you here?What hurts? The part of your body.What are your symptoms? Describe the problem.How long has this been going on? ... Has the pain been getting better or worse? ... Do you smoke? ... Do you have a family history of this? ... Do you take any medicines or supplements?More items...

What happens before surgery?

You will meet your anesthesia provider, and other members of the team, before you go into the operating room. The anesthesia provider will examine you, review your medical and anesthesia history and the results of any tests you may have had done.

How do you prepare your body for surgery?

Prepare PhysicallyStick to healthy foods. Your body needs good nutrition to fight infection and heal following surgery. ... Avoid dehydration. ... Practice the post-operative exercises your doctor recommends. ... Avoid shaving or waxing. ... Prevention of DVT/PE before surgery.

Why do we need to educate patient pre operatively for surgical patient?

The education that patients receive before surgery has significant positive effects on surgery outcomes, Gallup's analysis shows. These results include increased overall patient satisfaction, reduced problem incidence and improved quality of life.

What are some identified patient safety concerns in the pre op phase?

We received 3,137 usable responses and identified the 10 highest priority safety issues, including wrong site/procedure/patient surgery, retained surgical items, medication errors, failures in instrument reprocessing, pressure injuries, specimen management errors, surgical fires, perioperative hypothermia, burns from ...

What is preoperative assessment in nursing?

The nursing preoperative assessment assists with defining patients’ vulnerabilities or risk factors for poor surgical outcomes. If patients’ vulnerabilities cannot be lessened, they need to at least be identified so they can be managed in the complexity of the perioperative environment. The preoperative assessment, ...

What is the perioperative environment?

The perioperative environment is dominated by competing tasks being carried out by multiple disciplines that rely on how well information is communicated among and between them.

What is the goal of preoperative medical assessment?

The ultimate goals of preoperative medical assessment are to reduce the patient’s surgical and anesthetic perioperative morbidity or mortality, and to return him to desirable functioning as quickly as possible. It is imperative to realize that "perioperative" risk is multifactorial and a function of the preoperative medical condition ...

What is preoperative preparation?

The preoperative preparation involves procedures that are implemented based on the nature of the expected operation as well as the findings of the diagnostic workup and the preoperative evaluation. Keywords: preoperative assessment, preoperative preparation, perioperative risk, anesthetic risk.

What should be included in a child's birth history?

In children, the history should also include birth history, focusing on risk factors such as prematurity at birth, perinatal complications and congenital chromosomal or anatomic malformations and history of recent infections, particularly upper and lower respiratory tract infections.

Is perioperative risk multifactorial?

It is imperative to realize that "perioperative" risk is multifactorial and a function of the preoperative medical condition of the patient, the invasiveness of the surgical procedure and the type of anesthetic administered.

Is perioperative morbidity greater in diabetics than non diabetics?

Perioperative morbidity and mortality are greater in diabetic than in non-diabetic patients. When a diabetic patient needs surgery, it is important to remember that he or she is more likely to be harmed by neglect of the long term complications of diabetes than from the short term control of blood glucose levels.

What is the diagnosis of ineffective breathing clearance?

Nursing Diagnosis: Ineffective breathing clearance related to excessive mucus production and bronchospasm due to anaesthesia drugs and Jane’s past medical history of asthma evidenced by inability to raise secretions, cough and abnormal breathing sounds.

Why is bowel preparation necessary for Jane?

As Jane is undergoing a general anaesthesia, bowel preparation is needed because the anesthetic’s act slow or stop peristaltic waves movement; also to maintain her normal pattern of bowel movement even after surgery (Crisp & Taylor 2009, p. 1230).

Why is Jane's breathing clearance ineffective?

Ineffective breathing clearance related to excessive mucus production and bronchospasm due to anesthesia drugs and Jane’s past medical history of asthma evidenced by inability to raise secretions, cough and abnormal breathing sounds.

What is CBC test?

Complete blood count (CBC) is tested for anemia, dehydration status, infection, polycythemia and blood type ABO incompatibility and as well it’s give diagnostic result about hematologic, recovery, other body systems, prediction and treatment response (Malarkey & McMarrow 2005, p. 223).

How to identify preoperative patient outcomes?

1. Identify desired patient outcomes related to the preoperative phase. 2. Describe the critical factors included in a preoperative patient assessment. 3. Recognize nursing diagnoses common to the surgical patient in the preoperative phase. 4.

What is perioperative nursing?

The perioperative nurse combines unique knowledge of the surgical procedure with patient assessment data and formulates nursing diagnoses that serve as the basis for the patient’s plan of care. 2. The Perioperative Nursing Data Set(PNDS) developed by the Association of periOpera- tive Registered Nurses ...

What is intervention in nursing?

Interventions are directed toward treating or minimizing preexisting medical conditions, and providing informa- tion and support for the patient through the surgical experience. 11. Nursing activities are planned to achieve positive patient outcomes.

What is a patient case study?

Writing Your Patient Case Study. Since patient case studies are generally descriptive, they are under the a phenomenological principle. This means that subjectivity is entertained and allowed in research design. The medical scenarios are open to the researcher’s interpretation and input of insights.

How do case studies make a difference in the medical arena?

Patient case studies make a difference in the medical arena by reporting clinical interactions that can improve medical practices, suggest new health projects, as well as provide a new research direction. By looking at an event as it exists in the natural setting, case studies shed understanding on a complex medical phenomenon.

What is a case study?

Case studies are a qualitative research method that offers a complete and in-depth look into some of the situations that baffled medical science. They document the cases that escape the ordinary in a hospital that has seen a manifold of plights. They serve as cautionary tales of the intricacy in dealing with human health.

Why do medical practitioners use case studies?

Medical practitioners use case studies to examine a medical condition in the context of a research question. They perform research and analyses that adhere to the scientific method of investigation and abide by ethical research protocols. The following are case study samples and guides on case presentation.

Why should you indicate the general scope and limitation of your work?

Because you are studying a case valid only for some people as of the moment, you should indicate the general scope and limitation of your work. The scenario might be different when placed in a different context. You should be honest in reporting the information about your study. Disclose the limits of your findings.

Can you generalize a population using one case study?

You cannot generalize a population using one case study. However, multiple case study contains two or more cases under the point of interest can give you a replicated result. When the findings remain true for several cases under this research method, your case study’s results become more reliable.

Should you look into all possible explanations for a medical condition?

You should look into all of the possible explanations for the medical condition at hand. If a plight can be explained by more than one reason , then you have to look into the less obvious but similarly compelling explanations. Make your case study as informative as possible.

Abstract

Informed consent (IC) is an essential step in helping patients be aware of consequences of their treatment decisions. With surgery, it is vitally important for patients to understand the risks and benefits of the procedure and decide accordingly.

Background

Informed consent (IC) is a process by which a physician interacts with a patient, enabling the latter to make a knowledgeable decision regarding the treatment of his or her disease.

Methods

An epidemiological cross-sectional study was conducted between January 2016 to June 2016 to assess the quality of the IC process at nine general hospitals within Italy’s Campania Region.

Results

Among the 632 patients enrolled from the various hospitals, 72 (11.4%) did not adhere to the survey. Among the remaining 560 participants, 65.2% were female and 96.2% were Italian.

Discussion

Complete information before an invasive procedure is an ethical requirement, and it is very important to involve the patient in decision-making regarding the treatment. Well-informed patients are generally more satisfied and file fewer legal claims [ 17, 18, 19, 20, 21 ].

Conclusion

Written IC is essential in medicine in order to ensure that patients have the needed information to make an aware choice and consenting to treatment.

Ethics declarations

Approved by Ethics Commettee of "Seconda Università degli Studi di Napoli" Prot. 1116 -30 July 2015.