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Essay / Research Paper Abstract
An 8 page research paper that offers a literature review is for a study, which is for a study that deals with how Kolcaba's theory of holistic comfort can provide a framework that facilitates improving patient care and service within an outpatient ambulatory surgical facility, particularly in regards to peri-anesthesia nursing. This also includes a Table of Evidence chart. Bibliography lists 10 sources.
Page Count:
8 pages (~225 words per page)
File: D0_khpacus.rtf
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Unformatted sample text from the term paper:
an outpatient ambulatory surgical facility, particularly in regards to peri-anesthesia nursing. Literature Review The problem : Smith (2004) points out that recovery in the post-anaesthetic care unit is often
taken for granted, even among health professionals. Smith points out that this unit is referred to by staff as "where they wait for the patient to wake up" (p. 26).
However, there is much more involved in peri-anesthesia nursing than simply "waiting." Smith points out that a patient may be breathing well on admission, but can become obstructed and "cease
to breathe quietly and without drama" (2004, p 26). Therefore, meticulous observational skills are involved. The goal of the PACU is to return patients to full consciousness, with vital signs
stable and as nearly pain-free as possible (Smith, 2004). This means that wounds, infusions, drains, catheters and irrigations must also be controlled and monitored. After conducting an extensive meta-analysis of
existing literature on pain reporting after same-day surgery, Coll, Ameen and Moseley (2004) observe that despite technological advancements in anesthesia and analgesia, reported pain levels after day surgery remain high.
While these researchers acknowledge that it is unrealistic to expect patients to report no pain, the level of what should constitute "acceptable" pain still remains unclear due to inconsistencies in
reporting. Lukas (2004) outlines the problems associated with pain well by pointing out that the potential for postoperative pain and the inability to manage pain constitutes one of the greatest
fears of patients and their caregivers. Lukas also indicates, substantiating the findings of Coll, Ameen and Mosley, that studies show that some patients experience more postoperative pain after hospital discharge
than was previously thought (2004). Uncontrolled pain can result in "fears and anxiety associated with pain, mobility problems, and sleep disruption" (Lukas, 2004). Research shows that acute pain management can
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