Instructing and demonstrating exercises that will benefit the patient postoperatively. (Most common practice: 0.45% Normal Saline in 5% Dextrose 10hourly, and actrapid pump according to the BGM value). Move patient slowly and protectbony prominences from prolonged pressure. It is important that preoperative nurses have an understanding of and are competent in delivering evidence-based health education and other anxiety-relieving interventions relevant to their patients' specific needs. Education can be provided by a videotape, over the telephone, or during a groupmeeting, night classes, preadmission testing, or the preoperative interview. Initiate protective measures for the older patient with arthritis, which may affect mobility and comfort. to your patient and while you are there, check that your patient has: Make sure that your patients file contains: Pro-Tip: Do not forget the surgery specific protocols. Apply knowledge of the purpose and components of a preoperative nursing assessment. Inform the patient when family and friends will be able tovisit after surgery and that a spiritual advisor will be available if desired. Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. Perioperative nursingdescribes the wide variety of nursing functions associated with the patients surgical management. Maintain a safe environment for the older patient with sensory limitations such as impaired vision or hearing andreduced tactile sensitivity. During the last preoperative phone call, remind the patientnot to eat or drink as directed; brushing teeth is permitted,but no fluids should be swallowed. Monitor also elderly patients for dehydration, hypovolemia, and electrolyte imbalances. Preoperative care begins when the decision to have surgery is first considered and ends when the patient is transferred onto the operating table and the intraoperative period beings. Preoperative nursing intervention with the patient for surgery: outcomes of three alternative approaches Int J Nurs Stud. So just like everything else in nursing, you need to look at the bigger picture. Instruct patient in exercises of the extremities, includingextension and flexion of the knee and hip joints (similar tobicycle riding while lying on the side); foot rotation (tracing the largest possible circle with the great toe); and rangeof motion of the elbow and shoulder. If ordered preoperatively, administer or instruct the patientto take the antibiotic and a cleansing enema or laxativethe evening before surgery and repeat it the morning ofsurgery. For incompetent subjects, those who are NOT autonomous and cannot give or withhold consent, permission is required from a responsible family member who could either be apparent or a legal guardian. ), What to expect after waking up from surgery, What the plan is now, before the surgery (tests, diets etc. It is a specialized nursing area wherein a registered nurseworks as a team member of other surgical health care professionals. Planning for discharge and any projected changes in lifestyle due to the surgery. Phenothiazines these medications may increase the hypotensive action of anesthetics. Perioperative nursing describes the wide variety of nursing functions associated with the patients surgical management.It has three phases of the surgical experience namely: Preoperative phase. Nutritional status and needs determined by measuring the patients height and weight, triceps skinfold, upper arm circumference, serum protein levels and nitrogen balance. Teach patient breathing exercises and how to use an incentive spirometer if indicated. The best way to identify any gaps in their knowledge is by asking the patients to explain what they understood.