Postoperative

 

 

Patient Profile

C.H. is a very active 64-year-old white woman. She volunteers several days a week at the local senior center. She has recently developed increasing abdominal pain, accompanied by a 25-pound weight loss. A magnetic resonance image (MRI) scan showed a large mass in the fundal area of the stomach. A subtotal gastrectomy was performed. She is now day 1 into her postoperative recovery.

Subjective Data

States her abdominal pain is a level 8, on a 1 to 10 scale
Objective Data

Physical Examination

Blood pressure 155/74, pulse 104, temperature 100° F, respirations 20
Alert and oriented to person, place, and time
Diminished breath sounds and crackles in bilateral lower lobes
Oxygen saturation 93% on room air
Skin is warm and dry
Bowel sounds absent in all four quadrants
Abdomen tender and slightly distended
Nasogastric tube to low continuous wall suction draining brownish-green drainage
Lactated Ringer’s solution infusing at 100 mL/hr
Abdominal wound is clean and dry, dressing is intact
Diagnostic Studies

Preoperative chest x-ray was clear, free of any infiltrates or fluid
Discussion Questions

1. What are some possible postoperative complications that C.H. could experience?

2. From the data given, which postoperative complication is C.H. likely experiencing?

3. What assessment data led the nurse to make this decision?

4. What are the priority nursing interventions that the nurse should implement to address this postoperative complication?

5. What diagnostic test might be indicated and why?

6. Identify three outcomes that would indicate that C.H.’s condition is improved as a result of the interventions.

Sample Solution

her patient lives, regardless of whether saving five patients brings about greatest great. Else nobody would trust specialists or the advantages of clinical treatment.

With regards to manage utility, Brak Hooker called attention to the various settings in which the job of prejudice and unprejudiced nature can be applied. Legitimization of moral standards must be fair-minded. While concluding which rules to apply its critical to consider the effect of the standard and measure the interests of individuals included.

The materialness of fractional worries with the what are the guidelines and how they ought to be applied in genuine cases. For instance, prejudice in situations where providing care for youngsters is concerned, even rule utility would give space to this. It would be legitimate to focus on your own childrens close to home prosperity over your grown-up family members since youngsters are obviously the obligation of their folks. This sort of favoritism, for example towards explicit youngsters can be legitimate and is acknowledged in rule utility according to certain masterminds.

J.J.C Smart said act consequentialists reprimand rule consequentialists for unreasonably supporting principle utility in situations where all the more great should be possible by abusing the standard than adhering to it. Act consequentialists recognize that rules can have esteem. For instance, rules give a premise to acting when there perhaps no chance to work out and gauge the results. However, in situations when individuals understand that all the more great should be possible by abusing the standard then they ought to settle on different choices.

Rule consequentialism can go against the idea of consequentialism while keeping the guidelines doesn’t bring about boosting great. For example, instructors are expected to give genuine examinations of the kids. Yet, some dont have confidence in doing as such as now and again that could cause more damage than great to the youngster’s resolve.

End

Both rule and act-consequentialism have their own assets and shortcomings.

Pundits like Mackie deny the qualification among rule and act consequentialism.

In their view, both have similar issues. Pundits like David Lyons guarantee that standard utilitarianism and act utilitarianism are similar.

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