1. Chapter 17 Nursing Management: Preoperative Care Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved.

2. Surgical Settings

3. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Patient Interview

4. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Assessment of the Preoperative Patient Subjective DataSubjective Data –Psychosocial Assessment AnxietyAnxiety Common fearsCommon fears HopeHope –Past Health History –Medications

5. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Assessment of the Preoperative Patient (cont.) Subjective Data (cont.)Subjective Data (cont.) –Allergies –Review of Systems Cardiovascular systemCardiovascular system Respiratory systemRespiratory system Nervous systemNervous system Urinary systemUrinary system Hepatic systemHepatic system

6. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Assessment of the Preoperative Patient (cont.) –Review of Systems (cont.) Integumentary systemIntegumentary system Musculoskeletal systemMusculoskeletal system Endocrine systemEndocrine system Immune systemImmune system Fluid and electrolyte statusFluid and electrolyte status Nutritional statusNutritional status –Functional Health Patterns

7. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Assessment of the Preoperative Patient (cont.) Objective DataObjective Data –Physical Examination –Laboratory and Diagnostic Testing

8. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Preoperative Patient Preoperative TeachingPreoperative Teaching –General Surgery Information –Ambulatory Surgery Information Legal Preparation for SurgeryLegal Preparation for Surgery –Consent for Surgery

9. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Nursing Management: Preoperative Patient (cont.) Day-of-Surgery PreparationDay-of-Surgery Preparation –Nursing Role –Preoperative Medications Transportation to the Operating RoomTransportation to the Operating Room

10. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Culturally Competent Care

11. Copyright © 2004, 2000, Mosby, Inc. All Rights Reserved. Gerontologic Considerations: Preoperative Patient