Post-operative nursing care for patients undergoing percutaneous nephrostomy for treatment of obstruction uropathy
Keywords:
percutaneous nephrostomy, obstruction uropathy, nursingAbstract
Percutaneous nephrostomy (PCN) is an interventional surgical procedure for treatment ofobstructive uropathy. It is a key treatment to drain urine from the kidney in order to maintain balance of water and minerals in the body. Nurses play an important role in post operative patient care, including close
observation, problem assessment, and complication monitoring. This article presents post-operative nursing care for patients undergoing percutaneous nephrostomy for treatment of obstructive uropathy. A patient received medical care at Siriraj Hospital Thailand was studied during October 2021. Knowledge of post-operative nursing care for patients undergoing percutaneous nephrostomy for treatment of obstructive uropathy was reviewed. Data of the case study was also collected from nurses’ notes, treatment records, interviews, and observation.Data were analyzed and assessed using 11 Gordon’s functional health pattern for nursing diagnosis, nursing intervention, and evaluation.
The findings revealed that the patient had passed through the crisis, restored normal kidney functions, and no development of chronic kidney disease. The study recommended that nurses have to gain ability to assess problems and identify complications after undergoing percutaneous nephrostomy. The harmful complications include post obstructive diuresis, which lead to rapid loss of water and shock. Other complications should be monitored are infection, hematuria, catheter dislocation, and pneumothorax. These incidences cause losses and harm. Nurses should have knowledge and are able to provide standard and proper care to ensure patient’s safety and good quality of life throughout the treatment.
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