Clinical reasoning Scenario 9: Consider a male patient's position prior to surgery for bowel cancer. His records indicate that he was still smoking. It is important for this patient to stop smoking to optimise his recovery. You also note his reluctance to use his incentive spirometer post-surgery. What strategies and resources could you suggest to assist him to cease (or reduce) his smoking preoperatively? Consider the advantages and disadvantages of these strategies. How would you manage his reluctance to use his spirometer?

Situation;                                                                                                Post-operatively, Mr. Doe Ege goes to the Post Anesthesia Care Unit (PACU) where he is extubated and begins to awaken from surgery. He is drowsy but arousable; tends to move and restless. His expected blood loss is 800 cc. He has an IV in right arm infusing D5.45%iL at 100 cc/hr. Post operative labs are drawn and sent. His vital signs: BP100/60mmHg, PR-92bpm, RR-22cpm; and his dressing is slightly soaked with blood and with a hemovac drain at the site.  Main Question: Mr. Doe complains of pain and somewhat restless already. Identify 3 priority nursing diagnosis postoperatively for Mr.Doe What post-operative assessments and immediate post-operative interventions should be performed for Mr. Doe?

Develop a searchable clinical question for the topic below using an appropriate framework (question formula) " high prevalance of pressure ulcers in elderly patients admitted to acute care hospitals using" In this section you will develop your question using the elements of an appropriate question framework. From your explanation of the issue in the first section, identify the aspects that you will be exploring in this research task.  You will choose an appropriate question framework (eg PICO(T), PICo, PEO) and explain why this is the best one to use for your area of interest, supporting this with reference to scholarly literature. Identify the individual elements of the framework, with references, and then identify these elements for your own question.  Ensure that each element is as clear and focused as possible; avoid generalisations (such as ‘effective’ outcomes, as these could be anything!).  Refine and narrow where necessary, as this will make choosing search terms much easier…

Make a FDAR Focus Data Action Response