The Surgical Patient Chapter 3 - Nicola
Surgical Technologist primary role is to:
Assist the surgeon during the surgical procedure Establishment and protection of a sterile field
Care and handling of surgical instrumentation
Assistance with technical tasks throughout the surgical procedure
What are the components that make up an individual
Physical, psychological, social, and spiritual
Any need or activity related to genetics, physiology, or anatomy
Any need, or activity, related to the identification and understanding of oneself
Any need, or activity, related to one's identification and understanding of one's place in an organized universe
Any need, or activity, related to identification in one's identification or interaction with another individual or group
A means of prioritizing needs effective for basic understanding of individuals and for quick recognition of patient concerns
Maslow’s hierarchy of needs
Views patient as a biopsychosocial individual
Constantly interacting with the environment with the ability to adapt by using coping skills
Roy Adaptation Model (Sister Callista Roy)
Patient does not want to accept the truth
Patient attempt to rationalize his/her illness - diabetes runs on my side of the family
Patient exhibits behaviors such as assuming a fetal position, excessive crying, pouting, and dependency on others.
Patient represses thoughts and feelings about his/her illness and does not want to hold any discussion cornering what is happening
It cant be happening to me - 1st temporary defense
Resentment, envy Why Me? - when the 1st stage cannot continue
Just let me live to see my son graduate - 3rd stage
Please don't take me away from my family - 4th stage when the patient can no longer deny the illness
I know I will be in a better place - 5th state when the patient has had enough time to work through the first 4 stages
Religion - turn body to east to face Mecca
Religion - Dying patient cannot be left alone, and cannot be touched until been offered last rites
Religion - believe in reincarnation and that the last thoughts of a person before death determine the rebirth condition
Religion - feel cremation is the best way for the soul to begin its journey
A patient suffering from a disease that is progressive and incurable. Palliative treatment is often prescribed.
Long lasting condition, more than 4-6 weeks. Asthma, high blood pressure etc
Greek: “good death”
American: “easy death” or “painless inducement of quick death”
When the physician does nothing to preserve life
Be it voluntary or involuntary both involve the administration of a drug to speed up the dying process
Allows patients the right to refuse treatment
AHA Patient Care Partnership
Requires medical facilities to inform patients of their right to choose the type and extent of medical care
Requires patients be provided with information concerning living wills and powers of attorney
Patient Self-Determination Act
Do not intubate, do not resuscitate
Hospital's can rescind during surgery therefore patients need to be specific if this is to carry over into surgery also
Part of a living will
When did organ transplantation begin
Physiological, safety, love and belonging, esteem, and self-actualization
Prioritizing Needs: Maslow’s Hierarch
Developmental stages for human progression expressed in terms of a hierarchy
Maslow’s Hierarchy: Prioritizing Needs
The most basic needs are biological needs, such as the need for water, oxygen, food, and temperature regulation.
Survival or physiological
This level of need refers to a positive evaluation of oneself and others, a need to be respected and to respect others.
Prestige & Esteem needs
These needs refer to the perception on the part of the individual that his or her environment is safe.
These are basic social needs—to be known and cared for as an individual and to care for another.
Love and belonging
A “nonspecific response of the body to a demand”
Fulfil what one believes is one's purpose
1st - top
The most commonly referred to type of stress—the type that has negative implications
What means “well” or “good,” is the term for the positive, desirable form of stress.
Which patients feel much more threatened...
Who introduced the Five Stages of Grief
The irreversible loss of all functions of the entire brain
This is the irreversible loss of higher-brain function. The lower brain stem continues to provide respiration, blood pressure, and a heartbeat without the assistance of a respirator.
The irreversible loss of cardiac and respiratory function. This is the permanent absence of heartbeat and respiration
Legal documents used to speak for patients in the event that they cannot make decisions for themselves
A patient suffering from a disease that is progressive and incurable
These patients are much more conscious about their bodies and privacy
Which religion performs Anointing of the Sick on a seriously ill person
No blood transfusion, and no abortions.
Birth controlled allowed
This is the need to fulfill what one believes is one’s purpose.
Who views the patient as a biopsychosocial individual that is constantly interacting with the environment with the ability to adapt by using coping skills in dealing with internal and external stressors