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Syaiful Mukhtar
Preoperative care
Preoperative care involves many
components, and may be done the
day before surgery in the hospital, or
during the weeks before surgery on
an outpatient basis. Many surgical
procedures are now performed in a
day surgery setting, and the patient
is never admitted to the hospital
Preoperative care
Physical preparation may consist of a
complete medical history and
physical exam, including the
patient's surgical and anesthesia
background
Blood exam, urinalysis, chest x rays,
ECG.
Allergy history
Preoperative care
Psychological preparation
Patients are often fearful or anxious about having
surgery. It is often helpful for them to express their
concerns to health care workers. This can be
especially beneficial for patients who are critically
ill, or who are having a high-risk procedure. The
family needs to be included in psychological
preoperative care. Pastoral care is usually offered in
the hospital. If the patient has a fear of dying during
surgery, this concern should be expressed, and the
surgeon notified. In some cases, the procedure may
be postponed until the patient feels more secure.
Preoperative care
Informed consent
The patient's or guardian's written consent for the
surgery is a vital portion of preoperative care. By law,
the physician who will perform the procedure must
explain the risks and benefits of the surgery, along
with other treatment options. However, the nurse is
often the person who actually witnesses the patient's
signature on the consent form. It is important that the
patient understands everything he or she has been
told. Sometimes, patients are asked to explain what
they were told so that the health care professional
can determine how much is understood.
Preoperative care
Preoperative teaching
Preoperative teaching includes
instruction about the preoperative
period, the surgery itself, and the
postoperative period.
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