Surgical intervention may be needed to diagnose or cure a specific disease process, correct a deformity, restore a functional process or reduce the level of dysfunction. Although surgery is generally elective or pre-planned, potentially life-threatening conditions can arise, requiring emergency intervention.
Nurses have a variety of roles and functions associated with the patient’s surgical management. Nurses provide care of a client before, during, and after surgical operation, this is collectively called as Perioperative Nursing. It is a specialized nursing area wherein a registered nurse works as a team member of other surgical health care professionals. Absence or limitation of preoperative preparation and teaching increases the need for postoperative support in addition to managing underlying medical conditions.
- Deficient Knowledge (Pre-op)
- Risk for Injury
- Risk for Injury (Pre-op)
- Risk for Infection
- Risk for Imbalanced Body Temperature
- Ineffective Breathing Pattern
- Altered Sensory/Thought Perception
- Risk for Deficient Fluid Volume
- Acute Pain
- Impaired Skin Integrity
- Risk for Altered Tissue Perfusion
- Deficient Knowledge (Post-op)
- Other Possible Nursing Care Plans
Deficient Knowledge: Absence or deficiency of cognitive information related to specific topic.
May be related to
- Lack of exposure/recall, information misinterpretation
- Unfamiliarity with information resources
Possibly evidenced by
- Statement of the problem/concerns, misconceptions
- Request for information
- Inappropriate, exaggerated behaviors (e.g., agitated, apathetic, hostile)
- Inaccurate follow-through of instructions/development of preventable complications
- Verbalize understanding of disease process/perioperative process and postoperative expectations.
- Correctly perform necessary procedures and explain reasons for the actions.
- Initiate necessary lifestyle changes and participate in treatment regimen.
|Assess patient’s level of understanding.||Facilitates planning of preoperative teaching program, identifies content needs.|
|Review specific pathology and anticipated surgical procedure. Verify that appropriate consent has been signed.||Provides knowledge base from which patient can make informed therapy choices and consent for procedure, and presents opportunity to clarify misconceptions.|
|Use resource teaching materials, audiovisuals as available.||Specifically designed materials can facilitate the patient’s learning.|
|Implement individualized preoperative teaching program:|
|Preoperative or postoperative procedures and expectations, urinary and bowel changes, dietary considerations, activity levels/ transfers, respiratory/ cardiovascular exercises; anticipated IV lines and tubes (nasogastric [NG] tubes, drains, and catheters).||Enhances patient’s understanding or control and can relieve stress related to the unknown or unexpected.|
|Preoperative instructions: NPO time, shower or skin preparation, which routine medications to take and hold, prophylactic antibiotics, or anticoagulants, anesthesia premedication.||Helps reduce the possibility of postoperative complications and promotes a rapid return to normal body function. Note: In some instances, liquids and medications are allowed up to 2 hr before scheduled procedure.|
|Intraoperative patient safety: not crossing legs during procedures performed under local or light anesthesia.||Reduced risk of complications or untoward outcomes, such as injury to the peroneal and tibial nerves with postoperative pain in the calves and feet.|
|Expected or transient reactions (low backache, localized numbness and reddening or skin indentations).||Minor effects of immobilization and positioning should resolve in 24 hr. If they persist, medical evaluation is required.|
|Inform patient or SO about itinerary, physician/SO communications.||Logistical information about operating room (OR) schedule and locations (recovery room, postoperative room assignment), as well as where and when the surgeon will communicate with SO relieves stress and mis-communications, preventing confusion and doubt over patient’s well-being.|
|Discuss individual postoperative pain management plan. Identify misconceptions patient may have and provide appropriate information.||Increases likelihood of successful pain management. Some patients may expect to be pain-free or fear becoming addicted to narcotic agents.|
|Provide opportunity to practice coughing, deep-breathing, and muscular exercises.||Enhances learning and continuation of activity postoperatively.|
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Basic and General Nursing Care Plans
Miscellaneous nursing care plans that don’t fit other categories:
- Alcohol Withdrawal
- Benign Febrile Convulsions
- End-of-Life Care (Hospice Care or Palliative)
- Geriatric Nursing (Older Adult)
- Substance Dependence and Abuse
- Surgery (Perioperative Client)
- Systemic Lupus Erythematosus
- Total Parenteral Nutrition
Surgery and Perioperative Care Plans
Care plans that involve surgical intervention.
- Amputation | 4 Care Plans
- Appendectomy | 4 Care Plans
- Cholecystectomy | 4 Care Plans
- Cholecystectomy | 8 Care Plans
- Fracture | 8 Care Plans
- Hemorrhoids | 3 Care Plans
- Hysterectomy | 6 Care Plans
- Ileostomy & Colostomy | 10 Care Plan
- Laminectomy (Disc Surgery) | 8 Care Plans
- Mastectomy | 14 Care Plans
- Mastectomy | 6 Care Plans
- Subtotal Gastrectomy | 2 Care Plans
- Surgery (Perioperative Client) | 13 Care Plans
- TAHBSO (Hysterectomy) | 8 Care Plans
- Thyroidectomy | 5 Care Plans
- Total Joint (Knee, Hip) Replacement | 5 Care Plans