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CUES/ EVIDENCES S>pila mana ka oras mahuman dai? Sakit na nig human?. O Patient keeps on asking about the operatio n, how its going to be done, how long it would take, and would it cure her NURSING DIAGNOS IS Deficient knowledg e of the perioperati ve aspects of hysterecto my and postoperat ive self care. SCIENTIFIC BASIS Undoubtly, a patient about to undergo surgery is faced with the various fears, including fear of the unknown due to unfamiliarity with operative routines. The extent of the patients reaction is based on many factors and changes anticipated whether physical, psychological and surgical outcome. Source: Medical Surgical Nursing, Bruner & Bare, pg 319. GOALS & OUTCOME CRITERIA After 2hours of rendering nursing interventions, the patient will be able to gain knowledge about the proposed operation and self care requirements Specific the patient will be able to: 1. Verbalize understanding of the condition, and operation. 2. Identify importance of self care. 3.Enumerate and demonstrate at least 3 effective techniques of self care. 4. appreciate and adheres to the therapeutic program b. Assessed current level of knowledge a. Assessed motivation and willingness of the patient and significant others to learn. > adults must see a need or purpose of learning. (Gullanick/ Myers, 2007; 117). . > this allows the nurse to prioritize teaching provide new information and reinforce knowledge about surgical procedure and post operative course of treatment . ( Burke,2004;133 ). NSG. ACTION/ NSG. ORDERS Render nursing measures helpful in increasing patients knowledge of the operation and self care requirements. RATIONALE Appropriate measures will be implemented. EVALUATION Goal met: Patient was able to gain knowledge about the operation and self care requirements.

Nursing Orders:

c Assisted client to obtain information about expectations during the intraoperative and post operative phase. Refer the client to detailed information about the surgical procedure.

> the surgeon provides information so that client can make an informed decision about care. ( Burke,2004;133 ).

d. Provided an atmosphere of respect, openness, trust, and collaboration.

>This is important when providing education to patients with different values and beliefs about health and illnesses. (Gullanick/ Myers, 2007; 118).

e. Established objectives and goals for learning at the beginning of the session.

> This clarifies learner expectations and helps the nurse match the information to be presented to the individuals needs. (Gullanick/Myers, 2007; 118).

f. give the client the opportunity to ask questions and to discuss concerns

> in some cases the client may want to discuss alternative treatment or options that are available. ( Burke,2004;133 ).

g. explained the specific surgical and any anticipated

> this knowledge helps prevent post-

alterations to clients body and post-op self care.

operative complication ( Burke,2004;133 ).

h. discussed necessity of planning for follow-up care after discharge

> To ensure that nutritional needs are met. (Gullanick/ Myers, 2007; 111).

h. collaborated with physician concerning post operative pain control.

> this assures the client that pain will be managed. (Burke,2004;133 ).