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Post Operative Recovery Care "Recovery Room"

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Introduction

University of Portsmouth Portsmouth Institute of Medicine, Health & Social Care Diploma in Higher Education Operating Department Practice / Registered ODP 2001 - 2003 Unit: Post Operative Recovery Care Title: Recovery Room Diploma in Higher Education Operating Department Practice/RODP UNIT NO: PRC NAME: Post Operative Recovery Care TITLE OF ASSIGNMENT: Recovery Room YEAR: Year 2 DATE: 4th July 2003 I affirm that this Assignment together with any supporting artefact is offered for assessment as my original and unaided work, except in so far as any advice and/or assistance from any other named person in preparing it, and any quotation used from written sources are duly and appropriately acknowledged. Signature of course member:.................................................. Date:.......................................... Contents Introduction...............................................................................Page 1 Background................................................................................Page 2 Recovery Room Preparation............................................................Page 3 Care Study.................................................................................Page 4 Possible Complications................................................................Page 10 * Compromised Patient Airway......................................Page 10 * Cardiac Arrest.........................................................Page 11 * Haemodynamically Compromised.................................Page 12 * Pain / PONV..........................................................Page 13 Conclusion...............................................................................Page 14 References...............................................................................Page 15 Appendix One...........................................................................Page 16 Appendix Two...........................................................................Page 17 Appendix Three.........................................................................Page 18 Appendix Four...........................................................................Page 19 Appendix Five.............................................................................Page 20 Appendix Six..............................................................................Page 21 Word Count: 2347 Recovery Room Introduction This assignment is written by a student operating department practitioner (ODP) based in a hospital on the south coast of Britain. The purpose of this assignment is to carry out a care study. ODP's, should be concerned with the physiological and physical status of the patient, through the assessment, planning and delivery of individualised care; as described by Mallet and Bailey (1996). ...read more.

Middle

Once Mr Smith consciousness had returned the ODP still had to closely observe him, as a range of other complications may still befall Mr Smith, such as that described by Wicker & Woodhead (2000). * Cardiovascular insult * Hypoxia * Hypothermia * Wound haemorrhage * Pain * PONV The most common serious problems are those related to airway obstruction and respiratory or cardiovascular depression (Adams & Cashman 1991). When Mr Smith came around from the anaesthetic and Mr Smith could maintain his own airway the ODP began to document the observations. One of the main observations to do was Mr Smith's pain score. Pain is unique and measurement is tricky many things control the our understanding of pain including fear, anxiety which can make pain worse, in spite of these problems it is very important to assess a patients pain in order to determine the efficiency of any analgesia given (Davey & Ince, 2000). One of the easiest assessments utilizes descriptive categories, where the patient is asked to assess the pain as described by Davey & Ince (2000) as: 1 = No Pain 2 = Mild Pain 3 = Moderate Pain 4 = Severe Pain which the recovery room examined in this case study uses. Mr Smith was asked if he had any pain and asked to give it a rating from one to four. He described it as one as it was only a dull ache. ...read more.

Conclusion

There is a need to start analgesia and anti-emetics before the pain or PONV becomes established (Hatfield & Tronson, 2001), in the ODP's opinion the best way off controlling pain if there is not an epidural of spinal anaesthetic in place is by the means of Patient Controlled Analgesia (PCA). PCA's are the only way of patients being able to deliver drugs into there own bloodstream, giving them control of there own pain relief although Woodhouse & Mather (1997) state that it is common that patients experience more nausea and vomiting when using PCA, and whether this is true merits further investigating. (P.772) Conclusion In this assignment the ODP looked at the care provided in the post operative recovery room through the assessment, planning and delivery of individualised care; as described by Mallet and Bailey (1996). In conclusion the author has learnt that the care of the post-operative patient is individualized and is never the same. One case can be really easy and one case can throw everything under the roof at you. In this assignment the author has demonstrated their understanding of the care needed in the post-operative period they have shown their understanding of the individualized care needed for patients that have suffered from pain and post operative nausea and vomiting. The author has also looked at the care needed for people that are Haemodynamically unstable and patients that go into cardiac arrest, and all the technology needed. From writing this assignment the author has gained knowledge from reading evidence that can be put back into practice to help break the theory practice gap. ...read more.

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