Hi, I need help with essay on Postoperative Nursing Intervention. Paper must be at least 1500 words. Please, no plagiarized work!Download file to see previous pages... However, like any other surgical

Hi, I need help with essay on Postoperative Nursing Intervention. Paper must be at least 1500 words. Please, no plagiarized work!

However, like any other surgical procedure, this advance of operative surgery is not unassociated with deleterious complications, such as, complicated surgery, air entrapment, organ injury including bile duct injury. Colemen (1999) examined the nursing perspectives of laparoscopic cholecystectomy and is of opinion that nurses must have adequate knowledge about the technical steps and the routine perioperative care in order to be able to recognise problems in the postoperative period. The nurse is required to provide symptom management, wound care, and care for respiratory complications that may arise in such patients in the postoperative period (Talamini et al., 1999, p. 333-337). Moreover, it is necessary for them to educate patients, coordinate care, and support patients in all these areas of care (Coleman, 1999, p. 442-454). In this assignment, a case of laparoscopic cholecystectomy will be discussed in terms of postoperative nursing care to explore the knowledge and expertise of the nurses in the areas of acute pain management, risk of wound site infection, and risk of respiratory compromise due to pain (Dalri et al., 2006, 389-396). On examination and assessment of Carolyn, the patient, there were three areas of priority in care. The first was management of postoperative pain, both pharmacologically and non-pharmacologically. The postoperative nursing care of Carolyn who has undergone laparoscopic cholecystectomy may proceed according to the following nursing assessment and care plan.

In the immediate postoperative period, the patient is evaluated for vital signs and level of consciousness as frequently as possible (Bell and Duffy, 2009, p. 153-156). The level of pain must be assessed carefully. Pain after laparoscopic cholecystectomy less with reduced analgesic requirement, but as in this case, the pain may be moderate to severe for some patients needing opioid treatment (Lin et al., 2008, p. 2032-2041). The nursing intervention would comprise of assessment of pain and its location, level, and characteristics. The nursing care also involves administration of prescribed pain medications. There are quite a few recommendations of analgesics for the postoperative pain in laparoscopic cholecystectomy. Different treatments for pain relief have been suggested. In such situations usually Pethidine is used for analgesia, and it has adverse effects such as somnolence, nausea and vomiting, constipation, and respiratory depression (Sloman et al., 2005, p. 125-132). Pethidine is commonly given in a dose of 1 mg/kg up to a dose of 150 mg intramuscularly. The common adverse effects are confusion, loss of control, and sedation. The most important is it causes nausea and vomiting due to reduced gastric emptying time. The patient was observed very minutely for any respiratory depression or hypoventilation since pethidine may cause both. However, since other nonopioid agents such as acetaminophen, NSAIDs, and local anesthetic agents have opioid sparing effects, a combination can be a wise choice.