Post-Operative Care

Post-Operative Care

Post-operative care is the care we receive after surgical procedure. It is the management of a patient after surgery. Importance of postoperative care is to prevent complications, infections, promote healing of surgical incision and return the patient to a state of good health. Post-operative care involves diagnosis, planning, intervention and evaluation.  The type of post-operative care depends upon the health history and the type of surgery, it often includes pain management and wound care. Postoperative care begins immediately after surgery, in duration of hospital stay and may even continue after discharged. During the postoperative care the healthcare provider should teach you about the complications and side effects of surgery. The most common postoperative complications are postoperative fever, wound infection, deep vein thrombosis, atelectasis and embolism. The highest postoperative complication occurs between on to three days after surgery. Depending on the type of surgery there are many complications that can arise, for example bleeding at the surgical side, risk of infection and blood clots. In post-operative care process after completion of surgery the patient is moved to recovery room , he will be there for two hours until wake up from anesthesia. While you are in recovery room staff authorized will monitor blood pressure, temperature, breathing and pulse. They also check the surgical site for signs of bleeding, infection or allergic reaction One example is the Aldreth scale, which scores the patient's mobility, respiratory status, circulation, consciousness, and pulse oximetry. Depending on the type of surgery and the patient’s condition, they may be admitted to general surgical room or the intensive care unit. Patient on the same day of surgery are either discharged from the PACU to the unit, or discharged directly to home, after they urinated, tolerated a small amount of oral intake and got up from bed. Since the patient may still be sedated from anesthesia safety is  a primary goal, after the initial 24 hours vital signs can be monitored for every four to eight hours. The patient in hospital should be sitting up in a chair at the bedside, respiratory exercises are still be performed for every two hours and incentive spirometry values should improve. The incision and dressing should be monitored for the amount of drainage and signs of infection. Surgeon orders the dressing change on the first postoperative day, this should be done using sterile technique, and for patients at home this technique must be emphasized. Bowel sounds are monitored, and the patient’s diet gradually increased as tolerated, depending on the type of surgery and the physicians order. The patient should be monitored for any evidence of potential complications such as leg edema, redness and pain, shortness of breath, dehiscence of the incision or ileus. The patients with any of this complication are addressed than it should be notified immediately to the surgeon. Important of perioperative care is to assist patients in taking responsibility for regaining optimum health. Patient is discharged from the PACU when he/she meets the required criteria for discharge as determined by the scale. Postoperative goal is to ensure patients good outcomes with healthy life after surgical procedures.

Conferences

Conferences