Operating Room Observation Paper Essay

forbearing J.D.Age 39 year-old.Gender Female.Marital status Married. political boss complaintLeft tendoachilles pain for 5 years.Patient reats pain to 10/10. Patient utter she had a Platelet-Rich Plasma(PRP) injection 2 years ago as a treatment preventive for this condition and had some relief but over time, the pain came back and got worse.Name of surgical functioningEndoscopic Gastrocnemius Recession.SurgeryLeft microscope stage Gastrocnemius Recession. This procedure is to release a secretive calf muscle that is pulling the heel upward. To improve ROM(Range Of Motion), the tendon connecting to the tight calf muscle will be cut, this will release the heel from the upward pull allowing the patient to stand with foot instantly on ground.Gastrocnemius Recession is commonly performed to correct an equinus contracture of the mortise-and-tenon joint that whitethorn accompany foot and ankle pathology in adults. (An equinus deformity is basically one in which the achilles tendon is bypasser than needed to allow adequate dorsiflexion during the rate cycle.If the foot is perpendicular to the leg and put through a range of motion where the foot send wordnot dorsiflex (move upward) more than than 10 degrees this is thought of as an equinus deformity). The equinus deformity leads to excessive pressure and pain that manifests as plantar fasciitis, metatarsalgia, foot tibial tendon insufficiency, osteoarthritis, and foot ulcers. The procedure is also performed on individuals who have limited ankle dorsiflexion.preoperative phase.In the preoperative phase, many informations atomic number 18 obtained, a full history from the leaf node, including allergies, medication usage, and pre-existing health checkconditions. Any previous experiences with sedation or anesthesia should to be reported, especially any adverse reactions. musical note the last dose of each of the thickenings prescribed medications, especially if it could alter the clients response (diuretic, antihypertensive, narcotic). Provide education about the procedure and the medications to be used. Perform a full perspicacity on the client, including baseline vital signs, cardiac rhythm, and train of thought. Determine the last time the client ate or drank (generally NPO for 6 hrs or more before the procedure).The client may have clear liquids up to 2 hrs before the surgery or procedure. Instruct the client to adhere to the instructions to remain NPO, or the surgery or procedure may be cancelled. Establish IV access and administer fluids as prescribed. Verify that the client signed the informed consent. Attach monitor equipment to the client. Remove dentures (in case intubation would bring forth necessary). Anxiety level is also assessed regarding the procedure, and coping mechanisms.Diagnostic test.Usually many diagnostic test are performed, including Urinalysis, CBC, ECG, chest X-ray for heart and lung status and also for this case since my assignment patient was a female, a pregnancy test was performed, which cameout negative.Informed consent.Usually once surgery has been discussed as treatment with the client and significant other, family member, informed consent is obtained after discussing the risks and benefits of the procedure.To obtain informed consent, the provider must give the client a complete description of the treatment/procedure. A description of the professionals who will be performing and participate in the treatment Information on the risks of anesthesia. A description of the potential harm, pain, and/or discomfort that may occur. Options for other treatments and the right to refuse treatment. The patient must give informed consent voluntarily. And the nurse is to visualize the patient sign the consent papers.The procedure/Intraoperative.The nurse remains with the client at all times. fall by the wayside other staff to assist the provider with the procedure, if indicated. Continually assess and monitor level of consciousness, card iac rhythm, respiratory status, and vital signs.During the procedure, the following equipment must be present within immediate reach for routine monitoring and in case deep sedation with respiratory depression occurs. Fully equipped emergency dredge that includes emergency medications, airway and ventilator equipment, defibrillator, and IV supplies. A 100% oxygen source and administration supplies, airways, manual(a) resuscitation bag, and suction equipment. ECG monitor/display, noninvasive blood pressure monitor, pulse oximeter, thermometer, and stethoscope.The patient is placed in a supine position with leg elevated, and the surgical assistant prepares the surgical site by clean it appropriately. This procedure is performed with general anesthesia. When ready, an incisionis made on the back inside part of the lower leg and the gastrocnemius tendon is exposed. Once the tendon is exposed, the procedure is performed by releasing it as you can soak up it on the monitors. This effe ctively lengthens the calf muscle. Patients will now have the same ankle motion with their stifle straight that they previously had with their knee bent. After the calf muscle is lengthened, the wound is closed up. This was a fairly quick procedure, about 35-40 minutes.Postoperatively, the patient is escorted to the identify anesthesia care unit by the anesthesiologist and the spread nurse who gives a verbal report to the post anesthesia care unit nurse. Initial operative care involves making assessments, administering medications, managing the clients pain, preventing complications, and determining when a client is ready to be discharged from the PACU. During the immediate postoperative stage, maintaining airway patency and ventilation andmonitoring circulatory status are the priorities for care. Since my depute patient was administered general anesthesia, frequent respiratory status was required.The nurse who is monitoring continues to record vital signs and level of consci ousness until the client is fully awake and all assessment criteria return to presedation levels. Only then can the nurse remove the monitor and all emergency equipment from the bedside. Typical discharge criterias are level of consciousness as on admission, vital signs stable for 30 to 90 min, competency to cough and deep breathe, ability to tolerate oral fluids, ability to void, absence of nausea, vomiting, shortness of breath, or dizziness. And the patient is then transferred to a post surgical unit where the patient is still being monitored for any sign of complications.The surgical leg is stabilised and put in a boot that will be in place for about 2-6 weeks. Patient teaching is done including telling the patient to keep leg elevated and keep weight glowering the foot. And pain level is assessed, patient is medicated as needed. Healing time for this procedure can be short or can take longer based on a some factors like nutrition, circulation, health check condition and also lifestyle, per example if you are a smoker, it will takelonger. The patient was discharged to groundwork the same day since it was an outpatient surgical procedure.http//www.footeducation.com/gastrocnemius-slide-strayer-procedurehttp//www.aaos.org/news/bulletin/oct07/clinical4.asphttp//www.instratek.com/userfiles/EGRTechniqueGuide.pdfhttp//www.ankleandfootcare.com/research/japma_vol95_no4.pdfhttp//whymyfoothurts.com/conditions/equinus.html