Myrtle, age 75, is 5′ 1″ and

Myrtle, age 75, is 5′ 1″ and weighs 180 lb. In addition, she has generalized degenerative arthritis. She is admitted for a lumbar laminectomy tomorrow. Her vitals are: T=97.8, P=90, R=18, P/P 166/94. She takes Atenolol100 mg bid. She is divorced and has no insurance. She lives alone in a 2 bedroom apartment. She no longer is able to drive because of her macular degeneration. Her children live in California. For Patient education please include: activity with laminectomy immediately post-op and at discharge Non-pharmacologic pain management- meditation. Presentation Instructions Type the scenario on the first slide List the surgery – describe and explain (briefly) Pre-op teaching What should the patient expect immediately post-op? (equipment, tubes, lines, drains, braces, discomfort, etc.) What should you teach the patient pre-op that they will need to know post-op? (think preventing post-op complications) Diet – pre-op and post-op Medications – pain meds, antiemetics, current meds Anesthesia Patient education Special teaching considerations – see your scenario, also include age specific and cultural considerations. Non-pharmacologic pain management technique Anything else you think you should teach this patient Discharge teaching What will you need to reinforce? What will be different upon discharge? Are there activity restrictions? What signs/symptoms should they expect and what should they report to their physician? Be specific. SCIENCE HEALTH SCIENCE NURSING PNN 624

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