Surgery may be completed for the following reasons:
- remove a disease or injured body part - remove a tumor - repair an injured body part- make a diagnosis - improve appearance - relieve symptoms - restore or improve functions - replace body part
elective surgery
is done by choice to improve the person's life or well being
Urgent surgery
is done to prevent further damage or disease
emergency surgery
is done at once to save someone's life
name roles of the cna pre and psot op to assist in the person's psychological care
- listen to the person - refer questions about the surgery or results to nurse - explain the care you will give - follow communication rules - use verbal and nonverbal communications - perform procedures and tasks with skill and ease - report verbal and non verbal signs of fear or anxiety - report a request to see a member of the clergy
name personal care task/skills that a cna can help with prior to surgery
- a complete bath, shower, or tub bath - removing make up, nail polish, and fake nails - removing hairpin, clips, combs, wigs, hair pieces, and other items - oral care- removing and storing dentures - removing all jewelry and storing it in safe keeping
the patient should be assisted to the bathroom _________ the nurse gives the pre-op medication
before
who is responsible for completing the pre-op checklist?
the Nurse
3 common types of anesthesia
- general - regional - local
a dr who specializes in giving anesthetics is an anesthesiologist
anesthesiologist
an RN with advanced study in giving anesthetics is known as
anesthetist
task the CNA may complete to prepare the patients room after they have been taken to surgery
-make a surgical bed -place equipment and supplies in the room -move furniture out of the way for stretcher
vital signs are usually measured how often?
- every 15 mins for the first hr- every 30 mins for 1-2 hrs- every hr for 4 hrs- the every 4 hrs
2 skill a cna can help with to prevent a patient form developing electrostatic or pneumonia
deep breathing and incentive spirometer
applying TED hose or ace wraps to the patients legs post op help prevent
blood clots
5 stages of dying and definition
- Denial; "no, not me"- Anger; "why me"- Bargaining; " yes, me, but..." - Depression; "yes me" and very sad - Acceptance; person is calm and at peace
_______ is one of the last functions lost when a person is dying
hearing
2 things a CNA can do to help the dying person with their psychological, social, and spiritual needs?
listen and use touch
who provides services to the dying person and their families while focusing on the physical, emotional, social, and spiritual needs?
Hospice
the __________ and the __________ gives the person the right to accept or refuse medical treatment
Patient self determination and OBRA
when a person is terminally ill the dr may write an order for a ________________ after consulting with the patient and family
DNR" or "No Code
6 signs that occur rapidly or slowly that death is near
-movement, muscle tone, and sensation is lost-peristalsis and other gastrointestinal functions slow down -body temperature rises -circulation fails -respiratory system fails -pain decreases
___________ is the care of the body after death
post mortem care
who is responsible for giving postmortem care
nurse
Why is postmortem care done?
to maintain a good appearance of the body
the signs of death include
No pulse No respirations No blood pressure Pupils are fixed and dilated