Minimizing the Perils of Appendicitis, Research Proposal

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Patients need to be taught how to use a pain intensity rating scale and encouraged to ask for medication before the pain becomes too intense. Nurses must also discuss non-drug pain management techniques such as repositioning and avoiding quick movements. Pain medication should be administered as ordered, and monitor for its effectiveness. Patient's vital signs should be monitored with special attention given to signs of perforation. I.V fluids and antibiotics should be administered as prescribed. Applying heat to the abdomen or administering cathartic medications or enemas, which could trigger perloration, should b e avoided. Patient's should be taught what the surgery entails and what to expect afterwards, such as early ambulation, coughing and deep breathing with wound splinting, and the use of incentive spirometry (Rocca, 2007).

During postoperative care patients should be assessed for complications and prepared for discharge. Nurses should monitor vital signs, pulse oximetry readings, and lab results, especially the WBC count. The incision site should be checked for signs of infection. It should be intact with no evidence of bleeding or dehiscence.

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A head-to-toe physical assessment should be performed with a special focus on the abdomen, including bowel sounds and the presence of distension. Findings should be documented in the patient's records. The patient should be assessed for nausea or vomiting and antiemetics should be administered as ordered. The Nurse should continue assessing the patient's pain, using the same pain scale that was used before surgery. The patients should be helped to walk as ordered to prevent deep vein thrombosis and other complications. They should be shown how to splint their wound and encouraged to cough and deep-breathe while silting on the side of the bed. When a patients bowel function returns, they can gradually start taking food and fluids by mouth. A patient who's had an uncomplicated laparoscopy to remove a non-perforated appendix is usually discharged from the hospital within 24 hours. This rapid recovery is due to the care that the nurse gives the patient while they are in the hospital (Rocca, 2007)......

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