RESUMO
While not appropriate for all patients, tissue expansion is a popular alternative to using muscle flaps for breast reconstruction. Tissue expansion is a method of breast reconstruction that uses an inflatable expander to stretch the remaining skin and tissue following a mastectomy. The advantages of breast reconstruction via tissue expansion are many. Plastic surgical nurses are key in providing an adequate patient education program that will assist patients to comply with the postoperative expectations. Complications, although uncommon, do occur and usually can be treated for a satisfying result.
Assuntos
Mamoplastia/métodos , Expansão de Tecido/métodos , Feminino , Humanos , Seguro Saúde , Mamoplastia/efeitos adversos , Mamoplastia/enfermagem , Seleção de Pacientes , Expansão de Tecido/efeitos adversos , Expansão de Tecido/enfermagemRESUMO
Postoperative nausea and vomiting are distressing side effects of anesthesia for postoperative patients. Plastic surgery nurses must control nausea and vomiting to prevent the postoperative complications of hematoma and skin slough in their patients. Nurses have the responsibility to identify, implement, and document nursing interventions to prevent or relieve nausea and vomiting.
Assuntos
Náusea/enfermagem , Complicações Pós-Operatórias/enfermagem , Vômito/enfermagem , Humanos , Náusea/fisiopatologia , Complicações Pós-Operatórias/fisiopatologia , Cirurgia Plástica/enfermagem , Vômito/fisiopatologiaRESUMO
The purpose of this study was to identify documented interdependent and independent nursing interventions to prevent or relieve nausea and vomiting during the first 24 hours following uncomplicated cholecystectomy. A systematic sampling method was used to select 40 hospital records from 1986 to 1988. Results showed that nausea and vomiting was documented in only two PACU records and nine postoperative nursing unit records. Documentation was typically brief or absent altogether. There was no way to determine if this meant no occurrence of nausea and vomiting or just that interventions were not documented. Lack of interventions may be due to a fear of potentiating the anesthesia or belief that symptoms would subside with time. Documented interventions included repositioning patients (independent) and administering medications (interdependent). This study illustrates the need for education about nurses' responsibility to prevent or relieve postoperative nausea and vomiting and the importance in documenting the interventions used.
