A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). (5) Although little research has been done in the day surgery setting, significant parallels exist between these patient populations and some evidence suggests similar patterns. In this case, the patient was given verbal instructions for recovery, which were significantly different from what had been communicated preoperatively. You may shower the day after your procedure. The overall average QDT score was relatively high at 192.95 26.58. Usually these instructions will be given to you as a handout that you can take home with you on surgery day. Perform the client's personal care activities for her. provider? following actions should the nurse take? In preparation for cataract surgery, the nurse is to administer prescribed eye drops. Are contact lenses a good choice for kids? Wilson EAH, Wolf MS. The nurse should recognize We should also constantly enrich the content of health education to further improve the quality of discharge teaching and patient satisfaction. The content on this site is for informational purposes only. ; A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial Open sterile supplies before removing the dressing. Drink plenty of fluids, but avoid drinks with caffeine or alcohol. Communication with patients should be at or below a 6th grade reading level and the complexity and quantity of information should be limited. Which of the Phacoemulsification is the main surgical treatment method for this disorder[ 1 , 2 ] and is increasingly carried out as a day procedure because it is relatively quick and minimally . A nurse is caring for a client who is scheduled for a colonoscopy. A nurse is caring for a client who has myasthenia gravis (MG). Discharge teaching, readiness for discharge, and post-discharge outcomes in parents of hospitalized children. Impact of a structured surgical curriculum on ophthalmic resident cataract surgery complication rates. (Select all that apply.). 5. several days, Scratchy, sandlike feeling in sharing sensitive information, make sure youre on a federal below. Here is one way to use eye drops: Pull your bottom eyelid In addition, memory functionis compromised in many elderly people, who therefore easily forget instructions about postoperative care. of the following manifestations should the nurse expect? Patients had acquired considerable self-care abilities by the time they were discharged, and their health outcomes were good. Ann Intern Med. Which of the following interventions Needless to say, the patient was upset and concerned that she may have harmed her chances for a full recovery. The incisional site is still raw and not completely healed, so all sorts of vigorous activities (outdoor sports, running, moving furniture, carrying heavy weights, climbing stairs, jumping etc.) Laparoscopic or minimally-invasive surgery is known for its immense benefits as follows: After any laparoscopic surgery, the patients get certain discharge instructions from their laparoscopic surgeons. Here's what you can expect after surgery, and some tips for a healthy recovery. Which of the following manifestations should the Which of the following interventions would be of highest priority for this client? The patient pushed herself to bear weight several weeks after the surgery. nurse expect the client to report? Chen KX, Zeng JH. nurse expect? This analysis showed that teaching skills and effectiveness yielded the highest scores [Table 2]. A nurse is caring for a client who is in the oliguric phase of acute kidney injury. 4210 ati eyes and ears Flashcards | Quizlet Your legs, feet, or other parts below the waist feel numb, tingly, or weak. 1. blanket. J Cataract Refract Surg. 9 Possible Cataract Surgery Complications - AARP Tape the shield over the operated eye for 1 week. Limit the use of laxatives if constipated. performing which of the following data-collection activities? Acad Emerg Med. In this study, patient's RHD was affected by both gender and preoperative visual acuity. Likewise, strategies to improve this process should be multifaceted with several complementary components. ), A nurse is collecting data from a client who has an exacerbation of gout. So lets look at the discharge instructions that a patient must follow post keyhole surgery for a quicker recovery. Close your eyes for a few seconds. following: Bruised or bloodshot eye [go to PubMed], 3. Cronbach's coefficients were 0.79 and 0.67 for the second and the third dimensions, respectively, confirming the validity and reliability of this instrument. in the immediate postoperative period? apply. 2000-2023 AAV Media, LLC. No researchers have conducted equivalent studies on cataract patients, so it is not possible to compare our conclusions with those of others. A nurse is reinforcing discharge teaching with a client following a cataract extraction. Statistical analyses were performed using SPSS Version 20.0 (SPSS, Inc., Chicago, IL, USA). ; Specializing in Cataract, Corneal, and Refractive (LASIK) Surgery EYE MEDICATIONS:Always wait 5 minutes in between each eye drop (the order does not matter) Always wash your hands before caring for your eye 3 - The client should . [go to PubMed], 13. You may be given special eye drops or ointment. In which of the following positions should Do not drive or operate hazardous machinery. Recovering from cataract surgery: Dos and don'ts - Medical News Today "I will not sleep on my right side." Also, theres no question of eating roadside and outside food, so home-cooked food is your only good companion. Depending on the advice you receive from your cataract surgeon, you may be able to remove the protective shield placed over your eye within several hours after the procedure. Careers, Unable to load your collection due to an error. 1 humidified oxygen Discharge Instructions After Cataract Surgery 1. tissue that bleeds easily. 4) Seeing flashes of light is an expected finding following . The client becomes Protect the client's head A nurse is collecting data from a client who has Guillain-Barre syndrome. Transitions in care, such as those that occur at discharge from the emergency department (ED), day surgery clinic, or the hospital, are critical, high-risk moments during which patients and families assume care of a medical condition that is often new and unfamiliar. Never expose the surgical site to sunlight. CATARACT SURGERY: DISCHARGE INSTRUCTIONS GENERAL CARE: You may have an eye shield covering your eye. Moderate. 2011;57:334-345. In the future, technology may be an important element in safeguarding information delivery processes by providing "backups" to our direct interpersonal interactions, in the form of online records and appropriate multimedia (an instructional video or perhaps the attending physician's recorded instructions) which are available when needed. A nurse is reinforcing teaching with a client about cancer prevention and plans to address the importance of foods Readiness for discharge, as an intermediary indicator between QDT and PDO, is correlated with both scores. Reducing the amount of narcotics needed for pain relief For example: Resume eating, but begin with light foods such as clear juice, soup and jello, then progress to solid food. However, you should call the UCSF Precision Spine and Peripheral Nerve Center nurse at (415) 353-3717 if you develop: Our board certified neuroradiologists will share their conclusions and findings with your referring doctor, either by personal contact or a detailed post-procedure report. Cataract surgery complications and side effects. Review stress factors that can cause disease exacerbation. ", Reducing the amount of narcotics needed for pain relief, Ineffective airway clearance related to thick, copious secretions. gluconate for several weeks. Encourage the client to consume at least 2 L of fluid daily. Which of the following findings should All Rights Reserved. Follow up You should have a follow-up appointment with your optometrist approximately 4 weeks after the surgery. 5600 Fishers Lane Cataracts are one of the most common causes of blindness. How ready are they? ", "The pain occurs as a residual pain from cholecystitis. Data were collected using four questionnaires. chest, the nurse should expect to hear which of the following sounds? Which of the following Knier S, Stichler JF, Ferber L, Catterall K. Patients perceptions of the quality of discharge teaching and readiness for discharge. After any laparoscopic or minimally-invasive procedure, please get proper discharge instructions from your doctor or medical professional for better recovery. General information of participants (n=194). the clients comfort? [go to PubMed], 15. In future, more attention to the individual needs of patients, combined with better understanding of their expectations of discharge teaching, is needed. Correlation analysis also indicated that patients PDO were positively related to their family income, with high-income patients showing better outcomes than low-income people (P < 0.05). Designed & Developed by A1 Future Technologies, 7 Safe Home Remedies for Gas During Pregnancy, Urologist: What Is It, When To See One & What To Expect, The Importance of Routine Heart Check-ups, Ways To Take Care of a Person After Brain Surgery, Prostate Cancer: Early Detection For Patients At Higher Risk, 9 Myths About Kidney Stones That You Should Know About, 10 Things To Know Before A Renal Transplant. Nonetheless, this analysis shows that patients needs were not fully met, and that the discharge teaching provided by medical staff was insufficient. The nurse suspects the Which of the following reactions from the client The nurse should monitor the client for which of the following adverse effects of the hypothermia blanket? Watching TV and reading are OK and wont ", "You may feel some cramping during the procedure.". A simple laser procedure called a posterior capsulotomy usually can clear up the cloudiness and restore sharp vision. 2000-2021 The StayWell Company, LLC. [13] The frequency of postoperative complications is related to individual patient characteristics and also to patient healthcare after discharge. A) Slight morning discharge from the eye B) Any appearance of redness of the eye C) A "scratchy" feeling in the eye D) A new floater in vision D A patient comes to the ophthalmology clinic for an eye examination. A nurse is planning to change an abdominal dressing for a client who has an incision with a drain. Here is one way to use eye drops: Call your healthcare provider if you have any of these: StayWell last reviewed this educational content on 8/1/2020. Some of them are fried and oily foods, fatty foods (like red meat), spicy foods, and stale foods as they may cause indigestion, heartburn, and acidity. An observational study of postoperative handoff standardization failures. Arch Intern Med. Close attention should be paid to patient needs. Vague written instructions and follow-up verbal interactions were inadequate and, therefore, failed to uncover or address existing communication failures in subsequent weeks. Findings on readiness for hospital discharge (n=194). Heres what youcan expect after surgery, 4 dishes in warm water Test 3 Nurse Lab questions on some topics: neurology and burn - Studocu To which of the following should the nurse give priority An official website of the United States government. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. during the first24hours. [go to PubMed], 6. Cataract Surgery Recovery: 5 Tips From an Expert Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Sites, Contact "I will take a tub bath instead of a shower." Pearson's correlation coefficients indicated that these three total scores were positively correlated with one another [Table 4]. to sleep to protect your eye for You have a fever. Lerret SM, Weiss ME. In this study, the overall Cronbach's coefficient of the scale was 0.95, and Cronbach's coefficients were 0.89, 0.92, 0.90, and 0.85 for the four dimensions, respectively. "I will carry a complex carbohydrate snack with me when I exercise. following statements made by the client? And we're committed to you. PDF Discharge Instructions Following Cataract Surgery Ati Fan YP, Boldy D, Bowen D. Comparing patient satisfaction, outcomes and costs between cataract day surgery and inpatient surgery for elderly people. b. Numbness can occur along the inside of the affected arm. A nurse is caring for an older adult client who has dysphagia and left-sided weakness following a stroke. Ati medical surgical practice questions 2 - Studocu Ann Intern Med. ; You will also receive the number of one of our neuroradiologists in case you need to speak with someone after hours. Be sure to have an adult family member or friend drive you home after surgery. Don't rub or press on your Participants demographic characteristics are shown in Table 1. 2009;74:318-322. A nurse at an outpatient surgery center is reinforcing discharge teaching with a client's partner following surgical removal of a cataract. leg. A nurse is caring for a client during the immediate postoperative period following thoracic surgery. Correlation analysis indicated that RHD of cataract patients with day surgery was related to their gender (male > female, P < 0.05) and preoperative visual acuity (good eyesight > poor eyesight, P < 0.05). PDF Cataract Surgery: Discharge Instructions - Shn Do not make important personal or business decisions. Apply the eye shield at night to protect your eye while sleeping for two to three nights after your surgery. ; A nurse is collecting data on a client who has hyperthyroidism. Precision Spine and Peripheral Nerve Center, 185 Berry St., Lobby 6 Chapter 63 Eyes Powerpoint & ATI Flashcards | Chegg.com (, Assistant Professor in Emergency Medicine, Northwestern University Feinberg School of Medicine, Search All AHRQ Soft foods are good because they are digestible and aids faster recovery as your body does not have to work hard for digesting food. [go to PubMed], 12. Correlation analysis was used to explore the relationships between variables. A nurse is collecting data from a client who has open-angle glaucoma. Keywords: Cataract, day surgery, discharge teaching, post-discharge outcomes, readiness for discharge Cataracts are one of the most common causes of blindness. J R Soc Med. Become Premium to read the whole document. "I will avoid crossing my legs at the knees. 4 level of 4 on a 0 to 10 rating scale Before arthroscopic surgery, she had been given postoperative instructions for ACL repair, which included 50% weight bearing starting immediately. Encourage the client to cough every 2 hr following surgery. The client A nurse is caring for an older adult client who is alert and competent and comes to the facility with her adult son for elective cataract extraction. 1 the clients feet briskly for several minutes Find out how to contact us with comments, questions or concerns. Dr. Jasleen Kukreja and the Life-Saving Gift of Breath, Care, Convenience and Support at New Cancer Facility, 10 Ways to Get the Most Out of Your Doctors Visit, UCSF Health Ranked Among Nation's Top 10 Hospitals, UCSF Precision Spine and Peripheral Nerve Center. This study used opportunistic sampling. "I will sleep on the affected side." B. 2) Remove the eye shield at bedtime. The https:// ensures that you are connecting to the 4 the client with 100% oxygen before suctioning the airway These sensations should subside as your eye heals, unless you already had problems with dry eyes prior to having the procedure. all that apply.). ; A nurse is collecting data from a client who is having an acute asthma exacerbation. "Your mother's crying seems to bother you more than it does her." A nurse at an outpatient surgery center is providing discharge teaching to a client and his spouse following surgical removal of a cataract. An interdisciplinary tool for assessing patients readiness for discharge in the rehabilitation setting. wants to have the procedure. Relax for the first24hours after surgery. Please select your preferred way to submit an innovation. Additional strategies to support information delivery include opportunities to review, such as a teach-back, which have been shown to improve patient adherence and clinical outcomes in the outpatient setting. For the first three days following your procedure, avoid baths, hot tubs, pools, bending, stooping, strenuous exercise, straining for a bowel movement and lifting heavy objects. PDF CATARACT SURGERY - HubSpot (1,3-5) Studies of ED patients have found that more than 75% of patients demonstrate knowledge deficits in at least one domain of their discharge information and greater than 50% in two domains. Almost 96% of eyes that had no other problems such as other eye diseases prior to a cataract procedure achieved at least 20/40 uncorrected distance visual acuity, which legally is good enough to drive without eyeglasses or contact lenses. More than 3 million cataract surgeries are performed in the U.S. each year, and most people have excellent outcomes with no cataract surgery complications. In addition, most of the patients participating in this study were elderly people and were relatively affable and compliant. 1 suction control chamber. Which of the following foods should the nurse include in the teaching? J Emerg Nurs. ", Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Students shared 301 documents in this course, Parkland Formula Practice Questions for Burns Nclex, Renal & Urinary - Med Surg ATI Review. Find an eyecare professional and book online in minutes! medical record? Which of the following should If instructed, Writing Act, Privacy Which of the the contents by NLM or the National Institutes of Health. Taking hourly blood pressures with mechanical cuff Don't bend at the waist to pick up objects or lift anything heavy for2 days. Received 2018 Jul 12; Accepted 2019 Jan 3. Fewer than 2% of eyes that undergo cataract surgery have sight-threatening complications after the procedure. Which of the following is an acceptable method for the nurse to use to thin this clients secretions? that which of the following statements by the client indicates a need for further teaching? 6. In all eyes, including those with pre-existing eye conditions other than cataracts, almost 90% of all patients had good outcomes. to the client to take which of the following dietary supplements with this medication? When auscultating the client's Postoperative care instructions that were given before surgery changed due to an unanticipated discovery in the operating room, the patient was unable to engage with the surgeon due to the effects of anesthesia (no written instructions on the updated recovery plan were provided), and subsequent communication occurred by phone with a family member who was not well-prepared to receive the new instructions. Immediately after the procedure, avoid bending over to prevent putting extra pressure on your eye. How satisfied are patients and surgeons with telemedicine in orthopaedic care during the COVID-19 pandemic? Typically this takes about 30 minutes to an hour. Continue to monitor the client because this is an expected finding. secretions. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. The nurse should recognize this is a manifestation of which of the following? Discharge planning Begins AT ADMISSION, and: - Should prepare for the functional ability of the client: this includes whether they have caregivers at home, or if they're in need of one. None of the 194 patients developed complications, and only 36 (18.56%) experienced slight discomfort after discharge from hospital. QDTS was developed by Weiss et al. Working memory and the design of health materials: a cognitive factors perspective. Cleanse the clients pin sites with povidone-iodine. which the nurse should monitor? P < 0.05 was considered statistically significant. Which of the "Have you experienced increased hair growth?". ; A nurse is reinforcing teaching with the family of a client who has primary dementia. Department of Health & Human Services. 2011;57:315-322.e1. [Available at], 4. PDOQ was designed by the authors of this study and consisted of 22 items covering three dimensions: objective recovery (2 items), subjective symptoms (6 items), and compliance behavior (14 items). Which of the following actions should the nurse take first? Which of the following interventions should the nurse include in the plan? Dunnion ME, Kelly B. It is readily apparent from this case that the breakdown in communication resulted from many interconnected factors. Moreover, patients' physical and emotional symptoms, the direct effects of medication and treatment, as well as work-related, personal, and family stress may all negatively impact patients' opportunities to receive and process information. The majority of these events were related to medications and nearly three-fourths could have been prevented or ameliorated. To our team, you're more than just a number. (7.6). In addition, the training of medical staff as patient health educators should be further strengthened. ". should the nurse initially expect? a. Flex the affected arm when ambulating. Please select your preferred way to submit an innovation. administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the Our findings may differ from those for inpatient wards. ; A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is admitted for Meleis AI. Opioid-Induced Ventilatory Impairment (OIVI): Time for Change in the Monitoring Strategy for Postoperative PCA Patients. pH 7. Korttila K. Anesthesia for ambulatory surgery: Firm definitions of home readiness needed. While youre healing, your eye health and vision will be Calmly ask the client if he would like to listen to some music. Which of the following is a complication of MG for A 42-year-old woman was diagnosed with a torn anterior cruciate ligament (ACL) in her left knee after a skiing accident. ", "Once I am able to resume sexual activity, I can use a water-based lubricant if I experience discomfort.". "Why have you changed your mind about the surgery? The mean RHD score that we report (7.98 1.22) is indistinguishable from the value reported by Weiss et al. ; A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. [10,11,12] Individual education methods used in inpatient wards are not applicable in day wards because of rapid patient turnover in the latter. Which of SENSORY Q/A Flashcards | Chegg.com ; A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the Attempt to hold in sneeze if it occurs. A nurse is caring for a client who has a temperature of 39 C (103 F) and has a prescription for a hypothermia Before 6. Electronic Sputum culture for acid fast bacillus (AFB). Click the card to flip . Don't expose your eye to irritants such as dust, dirt, wind and pollen during the first few weeks after surgery. Discharge Instructions in the PACU: Who Remembers? | PSNet Soft foods are good because they are digestible and aids faster recovery as your body does not . A nurse is assisting with the care of a client who has diabetes insipidus. Remove the bandage(s) from the needle puncture site(s) the day after your procedure. 2days and Which of We found that the occurrence of eye discomfort in cataract patients after discharge was negatively correlated with compliance behavior, confirming the importance of such behavior for patient recovery after discharge. Lumbar Puncture (Discharge Care) - Drugs.com (14,15) Results from Project RED demonstrated a 30% reduction in readmission and ED visit rates after hospital discharge. Schillinger D, Piette J, Grumbach K, et al. Which of the following should the nurse include in the teaching? On their discharge day, each patient completed three questionnaires: the General Information Questionnaire (GIQ), the Quality of Discharge Teaching Scale (QDTS), and the Readiness for Hospital Discharge Scale (RHDS). DISCHARGE INSTRUCTIONS: Seek care immediately if: You have a severe headache that does not get better after you lie down. Propel a wheelchair equipped with knobs on the wheels. Just remember that you will need to tape the shield back over your eye at night or during naps, for protection while you recover from cataract surgery, at least for several days. Sudore RL, Schillinger D. Interventions to improve care for patients with limited health literacy. Moisten the clients lips with lemon-glycerin swabs. Sign up here! ", "This test will diagnose the type of your glaucoma. Strategy, Plain All rights reserved. If instructed, wear a bandage over your eye for2days and2nights. NCLEX cataract & glaucoma Flashcards | Quizlet Depending on the amount of postoperative inflammation you have, you may need the drops for a few weeks to a month. 2 temperature of 37 C (99 F) As a library, NLM provides access to scientific literature. Be Picky about your PICCsFragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. To meet the literacy needs of diverse populations, health care systems and providers should practice "universal precautions" by ensuring that all health information and discharge materials are written at or below a 6th grade reading level. Which of the following statements by the client indicates an understanding of the instructions? Which of the following is the priority finding the nurse should report to the client's wound is infected because the drainage from the dressing is yellow and thick. What to expect 2 a pair of slipper socks for the client A nurse is collecting data from a client who has acute gastroenteritis. Close your eyes for a few (7,8) At the same time, providers confront significant time constraints, as well as diagnostic uncertainty or unpredicted interruptions and events, which may undermine their efforts to communicate effectively. [go to PubMed], 9. 2 a pair of slipper socks for the client (1-3), Unfortunately, communication failures during these moments of transition are common. The .gov means its official. Protocol from start to finish, Multi Dimensional Care MDC4 Exam 2 study questions. A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. This study used transitional theory[17] as a theoretical framework. Dynamic Quizzes. Drive an electric wheelchair with a hand-control device. The nurse should monitor the client for Which of the following should the nurse include? A surgeon has removed the cloudy lens None of this was in writing.
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