Author Archives: «Gerald M»

Pain is frequently experienced post-operatively, after cardiothoracic surgery, and is thus a core component of nursing practice (Kalso, Perttunen, and Kaasinen, 2002). This assignment introduces the concept of pain and highlights the importance of the accurate assessment of pain in terms of the Nursing and Midwifery (NMC, 2008) Code of Practice and recommended guidelines. This…

Various gastrointestinal and genitourinary etiologies may need the creation of urinary or fecal diversion. These may include inflammatory bowel disease, diverticular disease, intestinal obstruction, colon-rectal cancer, gynecological cancers and gastrointestinal trauma (Beitz, 2004). Indications for coming up with the urinary stoma include; neurogenic bladder, bladder cancer, refractory radiation cystitis and interstitial cystitis. The cause of…

Every nurse has the responsibility to safeguard their patients from harm and the NMC (2009a, p.14), states that “it is every adult’s right to live in safety and be free from fear and abuse”. There are a number of individuals who can be classed as a vulnerable person, these individuals can be either children or…

Jane was instructed nil by mouth from fluid and food. Fasting is important and to prevent pulmonary aspiration of stomach contents during anesthesia (Crisp & Taylor 2009, p. 1437). A fluid balance chart is total measured output, minus from the total measured intake and the output called the fluid balance. Fluid balance chart for Jane…

Abstract Study Objective: Goal of this study is to present a cases series endorsing same-day discharge after minimally invasive robotic surgery for endometrial cancer and to determine factors that affect the length of hospital stay. Design: Retrospective study is comprised of all cases (N = 78) by a single gynecologic oncologist (July 2017 to July…

The primary focus of this paper is to create, implement, and review a teaching plan to be provided to a patient who has recently undergone surgery and subsequently entered the recovery phase. The patient subject of this paper, who will be referred to as ‘GW’, is a 48-year-old male who has recently undergone major spinal…

Case Presentation Mr. AS is a 68 y/o AAM who presents to his primary care physician (PCP) for his annual routine checkup. He has a past medical history (PMH) of HTN, HLD, and a 50-pack year of tobacco smoking. He drinks a couple of times a week, especially when he “plays poker with the fellas”,…

RESEARCH PROJECT INTRODUCTION “From silicone implants and fat transfers to bubble butts and a high mortality rate, we investigate whether the BBL is the most dangerous cosmetic surgery of all” (Gold, 2019a). Other than inside the cosmetic surgery industry, the procedure known as Brazilian Butt Lift (BBL) has vastly become one of the most scandalous surgeries…

CLINICAL SCENARIO: PERSON CENTRED CARE Introduction Patients who are undergoing operative procedures are required the delivery of ongoing care to optimize their recovery and prevent complications. This delivery of care will enable early identification of circumstances surrounding surgery that may put patients at risk of harm (Williams & Hopper, 2011). Mr Timoti Whakaana is a…

The current worldwide opioid ‘crisis’ has been well described. Deaths from opioid misuse are now the number one cause of unintentional deaths in the US(1). Doctors have been central to the development of the problem through the overprescribing of opioid medications. Post-surgical discharge overprescribing has been identified as a contributor to the opioid ‘crisis’ and…