Nursing Care for Patient with Abdominal Injury with Shock and Receiving an Emergency Surgery Chiangrai Prachanukroh Hospital: A Comparison 2 Case Studies
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Abstract
Nursing Care for Patient with Abdominal Injury with Shock and Receiving an Emergency Surgery
Chiangrai Prachanukroh Hospital: A Comparison 2 Case Studies
Sophit Wiangosot, M.N.S
Department of Emergency Medicine, Chiangrai Prachanukroh Hospital
Corresponding Author: Sophit Wiangosot Email: so.mam109@gmail.com
Abstract
Background: Abdominal Injury is one of the several reasons causing blood loss and shock if it is not diagnosed and received proper treatment. This could eventually lead to death within the first 24 hours. Nurses working in the emergency room have a significant role in assisting injured patients to transit from this crisis to recovery phrase safely.
Objectives: To study a comparison of 2 cases and provide suggestion on an emergency nursing care plan for abdominal injured patients with shock who must receive an emergency surgery.
Research Methodology: The selection of the samples was conducted during 2019 to 2020 from a medical record under the following criteria; was at age 21 years old or more, was having abdominal injured with shock, was admitting for treatment at Chiangrai Prachanukroh’s emergency department and got an emergency surgery.
Results: Both patients experiencing abdominal injury with shock received treatment at the emergency department according to Advanced Trauma Life Support which later underwent surgeries. Health condition was assessed and analyzed in both cases utilizing 11 Gordon Functional Health Patterns and the nursing diagnosis found in both cases were as follow; inadequate tissue perfusion resulting from severe blood loss from abdominal trauma; risk for continuous water loss from body resulting from bleeding from coagulopathy abnormality, severe pain establishes resulting from soft tissue injury; risk of infection takes place as a result of soft tissue injury and intra-abdominal organ laceration, increase in an inappropriate health behavior due to the lack of self-care awareness, and lastly, anxiety and stress toward acute illness.
Conclusion and Discussion: Both case studies were taken care according to the Trauma Fast Trak standard, received the emergency surgeries and were treated in the Trauma Intensive Care Unit. The Information collected from these compared cases could be applied as a guideline for nurses working in the emergency department in order to provide holistic nursing. Moreover, it could be used to further plan the development of nursing quality which could be highly beneficial to the health service system.
Keywords: Emergency Nursing, Abdominal Injury, Shock, Emergency surgery, Case Study
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References
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