5.4: Jacklyn Smuth | Post-op Recovery
- Page ID
- 90004
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Concepts
- Culture/Diversity
- Perfusion
- Mood and Affect
Exemplar
- Post-operative heart surgery
AACN Sphere of Care
- Restorative/Regenerative Care
SDOH Domain
- Health Care Access & Quality
- Social & Community Context
- Economic Stability
- Appraise clinical signs and symptoms of post-operative recovery delays.
- Identify cultural/religious impact on healthcare decisions and approaches.
- Describe the effects of mental health on post-operative recovery.
- Appraise how SDOH influence adherence to lifestyle modifications following major surgery.
Scenario Summary
A 46-year-old female, Jehovah’s Witness was brought to the hospital with chest pain and undergoes a cardiac catheterization and off-pump, “Beating Heart,” open heart surgery. Client stays two nights in the cardiac-surgical intensive care unit after surgery and is transferred to the telemetry floor.
Additional Teaching Strategies
Classroom
- Have students practice sternal precautions as an example of protective precautions after surgery. This includes hugging a pillow when standing, sitting, coughing. Not using their arms to assist in pushing/pulling/standing up/etc.… Discuss the difference noted and potential challenges clients face.
- Have students develop a short paper, chart, or presentation on cultural considerations to surgery. Choose specific cultures such as Jehovah’s Witness that are more commonly seen in healthcare that the students would want to be aware of in caring for such clients.
- Have students create an Advanced Health Care Directive for a fictious client.
Clinical
- Create a clinical card using Jacklyn’s surgical information and post-operative cares, have the students compare and contrast different post-operative clients and identify 1-2 significant post-operative concepts for the clients.
Lab
- Create a small post-operative scenario using Jacklyn’s information and have the students relate coughing and deep breathing exercises for post operative clients (splinting, positioning, IS)
- Have the students practice teaching Jacklyn about incentive spirometry and its purpose and importance postoperatively.
Simulation
- Create Jacklyn’s scenario as a post-operative client to focus on s/s of poor oxygenation that is not related to a lung condition.
- Create Jacklyn’s scenario as a post-operative client who is facing depression after the major surgery. Have the focus be on mental stability and mental illness instead of oxygenation recovery.
Across the Curriculum
- Utilize this case study across the curriculum to establish a sense of continuity of care. Introduce Jacklyn in multiple courses and methods of instruction per ideas listed above. Utilize portions of this case study when discussing post-operative cares and considerations. Establish the concept of mental health exhibited in this case study and its resources and relate Jacklyn to multiple care scenarios across the curriculum.