Nursing care of the gallbladder stone surgery patients: a case study comparing 2 cases

Abstract

Gallstones in the gallbladder are diseases that require surgery to prevent complications from the inflammation of the gallbladder. Nurses are responsible for preparing patients both before surgery and after surgery. Responsible for surveillance monitoring and evaluation which is important in patient care for safety and prevention of complications. This study is a comparative descriptive study of 2 cases admitted to the hospital. By studying the history of patients by comparing data analysis based on 11 patterns of Gordon's health treatment through gallbladder surgery, open-abdominal surgery and laparoscopic surgery problems and diagnoses in preoperative and postoperative nursing. Including sales planning

The results Case study of case 1, a Thai female patient aged 66 years, came to the hospital with a right lower cervical pain 2 days before coming to the hospital. Have a history of diabetes high blood pressure and hyperlipidemia. Doctors diagnose gangrenous cholecystitis undergoing open cholecystectomy after surgery, symptoms of wake-up alarm, E2V1M6, 96% oxygen saturation, fingertip ventilation is not possible, mechanical ventilation is required and therefore must be moved into the ICU. Therefore moved to the ward no complications sold back home, stay in hospital for 9 days.

Case study 2 a Thai female patient aged 34 years, came to the hospital with a doctor to make an appointment for gallbladder surgery. Having a history of high blood pressure symtomatic gallstone doctor receives gallbladder surgery through Video (laparoscopic cholecystectomy: LC) no complications were found after surgery can go back home, stay in hospital for 3 days.

Conclusions study shows that the process of caring for patients undergoing gallbladder stone surgery from the beginning to the end of the day. Nursing planning for patients with different surgical methods. Which nurses need to have skills, knowledge, and expertise in nursing for each patient that is complicated With the goal of safety and prevention of complications.