Pre Operative nursing careAssess patient. The health history and the physical and pelvic examinationsare completed and the laboratory tests are performed.Encourage patient to share details of her menstrual history, the date of her lastmenstrual period, the events leading up to admission and the current degree of vaginal blood loss or discharge.Assess client’s knowledge of her condition and the surgery.Perform skin operation: The lower half of the abdomen and the pubic and perineal area may be shaved and these areas may be cleaned with soap andwater.To prevent contamination and injury to the bladder or intestinal tract, the bladder and intestinal tract need to be empty before the patient is taken intothe OR.The patient who has previously been prescribed with oral contraceptive drugwill have to stop taking the drug 6 weeks prior to operation.Preoperative medications may be administered before surgery to help the patient relax.The patient must be allowed time to talk and ask questions.The nurse must know what information the physician has given the patientabout the surgery.Encourage patient to practice foot and leg exercises before operation tounderstand how to carry out the exercises while in bed after surgery.Let the patient will wear anti-embolism socks to prevent venous stasis duringthe operation.Provide education: Loss of fertility if ovaries are to be removed in conjunctionwith the operation. Discuss surgical menopause.
Discuss how sexual intercourse may change.
Client whose ovaries are removed may complain of a decrease in libido.
Tell the client that once healing has occurred, intercourse should be painfree.Let the patient relax on bed until she leaves the ward escorted by her nursewho completes a safe transfer to the operating theater staff.