Question

Styles - Aav A À AL 1 Font Paragraph Swer dir ques THE TUTTOFON di dr kidprl. FTITUTE TeTerence HAPA TO 1. You are a nurse preparing a 56-year-old telephone linesman for surgery to repair a torn left rotator cuff. He has an unremarkable medical history, and denies smoking or consuming alcohol. He has never been hospitalized and asks many questions regarding what to expect from his first surgical experience. His wife is continually at his bedside and is very supportive. (Learning Objectives 1, 3, and 5) a. Your patient indicates serious concern regarding medications used perioperatively. How would you outline the uses of various medications? b. After a complete description of the surgery, your patient indicates that he is ready to sign consent forms. How would you respond? c. Which conditions would invalidate this patient's ability to sign consent? d. Develop appropriate postoperative patient goals that you might include in this patient's care plan. Focus D

Answer 1

            Surgery to repair a torn rotator cuff most often involves re-attaching the tendon to the head of humerus (upper arm bone).

1. About pre-operative medications

· Medications cannot help a torn tendon heal. However, mild pain-relieving medications may make shoulders with rotator cuff tears more comfortable.

· Cortisone (steroid) injections may lessen the discomfort from the cuff problem by reducing the inflammatory response.

· It may also weaken the tendon tissue. Multiple injections of steroids are discouraged for this reason.

2. consent form

          It should contain the details of procedure, benefits, expected risk and patient assurance /willingness statement. Tell the patient to read thoroughly and put signature. It contains patient signature, witness signature and nurse and physician signature.

3. Conditions invalidate to sing consent form

· Any Emergency

· Pre-operative duration is less

· Educational status of patient and family

4. Post-operative goals

· Post-operative exercises

· Post-operative medications

· Diet

· Period of resting

· Period of beginning physiotherapy

· Prevention of complications