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종합실습 주요 시술/수술/침습적 검사 관련 간호활동

"종합실습 주요 시술/수술/침습적 검사 관련 간호활동"에 대한 내용입니다.
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한컴오피스
최초등록일 2024.10.18 최종저작일 2023.09
종합실습 사전 간호 사후 간호
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종합실습 주요 시술/수술/침습적 검사 관련 간호활동
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    • 🏥 간호사를 위한 상세한 시술/수술 간호 가이드라인 제공
    • 📋 각 수술별 구체적인 간호 절차와 주의사항 상세 설명
    • 💡 합병증 예방 및 환자 관리에 대한 실무적 접근 제시
    본 문서(hwp)가 작성된 한글 프로그램 버전보다 낮은 한글 프로그램에서 열람할 경우 문서가 올바르게 표시되지 않을 수 있습니다. 이 경우에는 최신패치가 되어 있는 2010 이상 버전이나 한글뷰어에서 확인해 주시기 바랍니다.

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    소개

    "종합실습 주요 시술/수술/침습적 검사 관련 간호활동"에 대한 내용입니다.

    목차

    없음

    본문내용

    시술/수술명
    Total knee replacement
    무릎치환술

    적응증 및 합병증
    ■ 적응증
    - 무릎의 한쪽 구획에 진행된 관절염
    - 염증성 관절염, 관절강직 또는 인대 손상 동반

    ■ 합병증
    - 탈구, 감염, 출혈, 빈혈, 경골 골절, 신경 및 혈관 손상, 지속되는 관절통, 정맥혈전증, 폐색전

    사전 간호
    ■ 수술, 수혈 등 동의서를 받는다.
    ■ 간호사는 대상자가 심리적 두려움과 불안 등을 표현하도록 격려해 준다.
    ■ 수술 전에 대상자를 교육하고 필요한 교육자료를 제공한다.
    - 관절가동범위운동
    - 지속적수동적 운동
    - 기침, 심호흡
    - 수술 후 이동 방법
    - 보행
    - 주의사항

    참고자료

    · 없음

  • AI와 토픽 톺아보기

    • 1. Total knee replacement
      Total knee replacement is a common and effective surgical procedure used to treat severe arthritis or injury in the knee joint. The surgery involves removing the damaged or worn-out parts of the knee and replacing them with an artificial joint, called a prosthesis. This can significantly improve a patient's mobility, reduce pain, and enhance their quality of life. The procedure is generally safe and has a high success rate, with most patients experiencing significant improvements in their knee function and ability to perform daily activities. However, as with any major surgery, there are risks involved, such as infection, blood clots, and implant failure. Careful patient selection, meticulous surgical technique, and proper post-operative rehabilitation are crucial for achieving optimal outcomes. Overall, total knee replacement is a valuable treatment option for individuals with severe knee arthritis or injury who have exhausted conservative management options.
    • 2. Open reduction and internal fixation
      Open reduction and internal fixation (ORIF) is a surgical procedure used to treat fractures by restoring the normal alignment and stability of the broken bone. This technique involves making an incision to expose the fracture site, reducing the fragments to their anatomical position, and then securing them in place using various internal fixation devices such as plates, screws, or intramedullary nails. ORIF is often used for complex or displaced fractures that cannot be adequately treated with closed reduction and immobilization alone. The primary goals of ORIF are to achieve anatomic reduction, stable fixation, and early mobilization of the affected limb, which can facilitate faster healing and better functional outcomes for the patient. However, ORIF is a more invasive procedure and carries a higher risk of complications, such as infection, bleeding, and damage to surrounding tissues. Careful patient selection, meticulous surgical technique, and appropriate post-operative management are crucial for successful outcomes. Overall, ORIF is an important surgical option for the treatment of complex fractures, but it should be considered in the context of the individual patient's needs and the surgeon's expertise.
    • 3. Knee ligament reconstruction
      Knee ligament reconstruction is a surgical procedure used to repair or replace damaged ligaments in the knee joint, such as the anterior cruciate ligament (ACL) or the posterior cruciate ligament (PCL). This type of surgery is often performed to restore knee stability and function after a significant ligament injury, such as a complete tear or rupture. The goal of the procedure is to reconstruct the damaged ligament using a graft, which can be taken from the patient's own tissue (autograft) or from a donor (allograft). The graft is then secured in place using various fixation methods, such as screws or sutures. Knee ligament reconstruction can be an effective treatment option for individuals with persistent instability or functional limitations due to a ligament injury. However, the surgery is not without risks, including infection, graft failure, and the potential for long-term osteoarthritis development. Careful patient selection, meticulous surgical technique, and a comprehensive rehabilitation program are essential for achieving optimal outcomes. Overall, knee ligament reconstruction can be a valuable intervention for restoring knee stability and function, but it should be considered in the context of the individual patient's needs and the surgeon's expertise.
    • 4. Spinal fusion
      Spinal fusion is a surgical procedure that involves permanently connecting two or more vertebrae in the spine, eliminating motion between them. This procedure is often used to treat a variety of spinal conditions, such as degenerative disc disease, spinal instability, scoliosis, or vertebral fractures. The goal of spinal fusion is to alleviate pain, improve spinal alignment, and restore stability to the affected segment of the spine. During the surgery, the surgeon removes the damaged disc or vertebra and replaces it with a bone graft, which can be taken from the patient's own body (autograft) or from a donor (allograft). The surgeon may also use additional hardware, such as screws, rods, or cages, to help stabilize the spine and promote fusion. While spinal fusion can be an effective treatment option for many patients, it is a major surgical procedure with potential risks, including infection, bleeding, nerve damage, and failure of the fusion to occur. Careful patient selection, meticulous surgical technique, and a comprehensive rehabilitation program are essential for achieving successful outcomes. Additionally, the long-term effects of spinal fusion, such as the development of adjacent segment disease, should be considered when evaluating this treatment option.
    • 5. Arthroscopy
      Arthroscopy is a minimally invasive surgical procedure used to diagnose and treat various joint problems, particularly in the knee, shoulder, and other major joints. During an arthroscopic procedure, the surgeon makes small incisions and inserts a tiny camera (arthroscope) into the joint, allowing them to visualize the internal structures and identify any issues. Based on the findings, the surgeon can then use specialized instruments to repair or remove damaged tissue, such as torn ligaments, cartilage, or bone. Arthroscopy is often preferred over traditional open surgery because it is less invasive, has a shorter recovery time, and carries a lower risk of complications. However, it is still a surgical procedure and carries some risks, such as infection, bleeding, and nerve damage. Careful patient selection, meticulous surgical technique, and appropriate post-operative management are crucial for achieving successful outcomes. Overall, arthroscopy is a valuable tool in the diagnosis and treatment of joint problems, offering patients a minimally invasive option that can help alleviate pain, restore function, and improve their quality of life.
    • 6. Epidural block
      An epidural block is a type of regional anesthesia that involves the injection of a local anesthetic and/or other medications into the epidural space, which is the area just outside the dura mater (the outermost layer of the spinal cord). Epidural blocks are commonly used for pain management during and after various medical procedures, such as childbirth, major surgery, and chronic pain conditions. The primary benefits of an epidural block include effective pain relief, reduced need for systemic pain medications, and the ability to maintain sensation and motor function in the affected area. However, epidural blocks are not without risks, which can include headache, hypotension, urinary retention, and in rare cases, more serious complications such as spinal cord injury or epidural hematoma. Careful patient selection, proper technique, and close monitoring by experienced healthcare providers are essential for the safe and effective use of epidural blocks. Overall, epidural blocks can be a valuable tool in the management of acute and chronic pain, but they should be considered in the context of the individual patient's needs and the provider's expertise.
    • 7. Microdiskectomy
      Microdiskectomy is a minimally invasive surgical procedure used to treat a herniated or ruptured intervertebral disc in the spine, particularly in the lumbar (lower back) region. During the procedure, the surgeon makes a small incision and uses specialized instruments to remove a portion of the damaged disc that is pressing on the spinal nerve, causing pain, numbness, or weakness. Microdiskectomy is often preferred over traditional open discectomy because it is less invasive, has a shorter recovery time, and carries a lower risk of complications. The primary goals of microdiskectomy are to relieve the patient's symptoms, restore spinal function, and prevent further nerve damage or disability. While microdiskectomy can be an effective treatment option for many patients with a herniated disc, it is still a surgical procedure and carries some risks, such as infection, bleeding, and the potential for recurrence of the disc herniation. Careful patient selection, meticulous surgical technique, and appropriate post-operative management are crucial for achieving successful outcomes. Overall, microdiskectomy can be a valuable intervention for the treatment of a herniated disc, but it should be considered in the context of the individual patient's needs and the surgeon's expertise.

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