Nursing Priority – Person-centred care during the perioperative period
Example (this is for crohn’s disease): Person-centred care throughout the perioperative period includes providing social support, providing education, administrating biologic therapies, managing related incontinence, managing fistulae care, supporting diet and nutrition, managing sexuality concerns and anxiety, managing fatigue, managing pain, providing psychological support, and monitoring blood tests (Crohn’s & Colitis Australia, 2018), all of which are fundamental duties of the perioperative registered nurse. One nursing priority that will now be discussed is the importance of creating and evaluating a patient-centred Crohn’s disease diet plan that includes a dietician referral. Patient education regarding diet is vital in the management of Crohn’s disease as Burch (2021) states that some types of foods can often trigger or exacerbate the symptoms of diarrhoea, abdominal cramping/pain, flatus, and bloating, and therefore should be avoided by the patient. Avoidable foods include butter, mayonnaise, margarine, oils, carbonated beverages, coffee, corn, airy products (if lactose intolerant), fatty foods (fried foods), foods high in fibre, gas-producing foods (lentils, beans, legumes, cabbage, broccoli onions), nuts and seeds (peanut butter, other nut butters), raw fruits, raw vegetables, red meat and pork, spicy foods, whole grains, and bran (Burch, 2021; Crohn’s & Colitis Australia, 2018). A low-residual diet should be organised for the patient with continued monitoring of effectiveness of the dietary changes on their bowel habits, and symptoms should be documented by the registered nurse.
Colorectal Bowel cancer:
Below are the three (3) mandatory references to use for this assessment:
Healthdirect. (2020). Bowel cancer (colon and rectal cancer). https://www.healthdirect.gov.au/bowel-cancer
Nurgali, K., & Wildbore, C. (2019). Alterations of digestive function across the lifespan. In J. Craft, & C. Gordon
(Eds.), Understanding pathophysiology (3rd Australian and New Zealand ed., pp. 798-856). Elsevier Australia.
Pallan, A., Dedelaite, M., Mirajkar, N., Newman, P. A., Plowright, J., & Ashraf, S. (2021). Postoperative complications of colorectal cancer. Clinical Radiology, 76(12), 896-970. (haven’t used yet)
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Person-centered care during the perioperative period is essential for the comprehensive management of various medical conditions, including Crohn’s disease and colorectal bowel cancer. This approach focuses on the individual’s unique needs, preferences, and goals, ensuring that their physical, psychological, and emotional well-being is prioritized throughout the surgical process. By providing social support, education, and personalized interventions, healthcare professionals can optimize patient outcomes and enhance the overall patient experience.
In the case of Crohn’s disease, a nursing priority is to create and evaluate a patient-centered diet plan. This plan should include a referral to a dietician who can provide expert guidance on foods to avoid and recommend dietary modifications. Patient education is crucial as certain foods can trigger or exacerbate symptoms such as diarrhea, abdominal cramping, flatus, and bloating. By avoiding specific foods, such as butter, mayonnaise, oils, carbonated beverages, and high-fiber or gas-producing foods, patients can better manage their symptoms and improve their overall quality of life.
Additionally, for patients with colorectal bowel cancer, perioperative care should address postoperative complications. It is important to refer to reputable sources and evidence-based research to guide nursing interventions. Mandatory references for this assessment include Healthdirect, Nurgali and Wildbore’s publication on digestive function alterations across the lifespan, and Pallan et al.’s study on postoperative complications of colorectal cancer. These references will provide a comprehensive understanding of the condition and its management, enabling nurses to deliver high-quality care.
In conclusion, person-centered care during the perioperative period plays a significant role in optimizing patient outcomes and promoting holistic well-being. By providing support, education, and personalized interventions, healthcare professionals can address the unique needs of patients with Crohn’s disease, colorectal bowel cancer, and other medical conditions. A patient-centered approach, accompanied by evidence-based practice, is essential in delivering effective care and improving patient experiences.