NAVENDREN A/L ANNBALAGAN

A168176
1. To perform history and physical examination we should to take at doctor office,
preadmission area, inpatient hospital unit and outpatient surgery facility. Component
inside patient assessment is identification of the patient with two identifiers, mental
and physiological status of the patient, functional status, cardiovascular and
respiratory status, skin condition should be shave, have to nil by mouth before
surgery, should asses range of motion and mobility, pain assessment, should take
previous surgeries and anesthesia experience, and should asses for any prosthetics
or corrective devices.
2. To reduce the anxiety in this patient we have to provide psychosocial support.
Nurse should also increase patient familiarity with the procedure to reduce anxiety.
Nurse should teach about postoperative pain control to decrease anxiety. Then
nurse should be a good listener, be empathetic, and provide information that helps
alleviate concerns. During preliminary contacts, give the patient opportunities to ask
questions and to become acquainted with those who might be providing care during
and after surgery. Nurse should be able to recognise its signs; these may be
physical, such as raised vital signs, sweating, nausea and heightened senses, or
psychological, such as behaviour change, aggression, wanting constant attention, or
becoming withdrawn or uncharacteristically emotional. We also have to teach patient
cognitive strategies that may be useful for relieving tension, overcoming anxiety, and
achieving relaxation, including imagery, distraction, or optimistic affirmations. Last
we can give premedication given to reduce anxiety.