Gilang Guswara

ENGLISH

Before the surgery begins, the role of

nurses perform the initial preoperative
assessment, counseling plan with methods
appropriate to the needs of the patient,
family or significant others involved in
the
interview,
ensure
complete
preoperative examination, assessing client
needs in order to postoperative care.

Assessment
Before the operation carried out assessments
collected regarding medical history, physical
examination performed, vital signs are recorded
and enforced baseline data for future comparisons.
Diagnostic tests may be performed such as blood
analysis, endoscopy, x-rays, endoscopy, tissue
biopsy, and examination of feces and urine.
Nurses contribute to explain the importance of the
physical examination diagnostic.

 In addition to general physical assessment needs to be

examined various organ functions such as assessment
of respiratory status, liver and kidney function,
endocrine function, and immunological functions.
Preoperative nutritional status of the client needs to
be studied in order to repair tissue post surgery,
wound healing will be influenced nutritional status of
the client. Similarly, the condition of obesity, obese
clients will receive postoperative problems due to a
thick layer of fat will increase the risk of wound
infection, also the engineering and mechanical
difficulties during and after surgery.

Informed Consent
The nurse's responsibility in relation to
informed consent is to ensure that the informed
consent that is given in the doctors can
voluntarily from a client, previously given clear
and straightforward explanation of the surgery
and the possible risks.

Patient Education Pre surgery

Preoperative counseling is defined as an
educational
and
supportive
measures
undertaken surgical nurses to assist patients in
improving their own health before and after
surgery. Demands of clients will help nursing
lies in the area of decision making, additional
knowledge, skills, and behavior change.

In providing preoperative counseling

clients to consider a matter of time, if the
extension is given too long before surgery
allows the client to forget, as well as when
it is too close to the time of surgery clients
can not concentrate on studying because
of anxiety or medication before the
anesthetic effect.

Other Information
Patients may need to be given an
explanation when family or significant others
can accompany after surgery. Patients are
encouraged berdo'a.Pasien given explanation
is likely to be mounted tool post operations
such as ventilators, drainage hose or other
means for the patient is ready to receive
postoperative state.