What is the nursing management of surgical repair for umbilical hernia?
1. Preoperative Care:
- Assess the patient's overall health status, medical history, and current medications.
- Obtain informed consent for the surgical procedure.
- 手術の詳細、術後の期待、潜在的なリスクや合併症など、手術について患者に教育を提供します。
- Start mechanical bowel preparation, as ordered, to cleanse the bowel before surgery.
- Administer prophylactic antibiotics, if prescribed.
2. Intraoperative Care:
- 配置、手術部位の滅菌準備、麻酔の投与など、手術の準備をする手術チームを支援します。
- Monitor vital signs, oxygen saturation, and fluid balance throughout the surgery.
- Provide support to the surgical team during the procedure.
3. Postoperative Care:
- Monitor the patient's vital signs, pain level, and fluid balance closely in the recovery room.
- Administer prescribed pain medication to manage discomfort.
- Encourage the patient to breathe deeply and cough to prevent respiratory complications.
- Assess the surgical site for bleeding, infection, or signs of wound dehiscence.
- Provide wound care as per the surgeon's instructions, including dressing changes and monitoring for signs of infection.
4. Ambulation:
Gradually progress the patient's activity level as tolerated, starting with sitting on the edge of the bed and progressing to ambulation.
5. Diet:
- Initially, the patient may be on a clear liquid or restricted diet, as ordered by the surgeon.
- Gradually introduce solid foods as tolerated.
- Encourage a balanced diet rich in fiber to promote bowel regularity and prevent constipation.
Remember that the specific nursing management may vary based on the individual patient's condition and the surgeon's preferences. Collaboration with the surgical team, as well as ongoing patient education and monitoring, is essential to ensure a successful surgical outcome.