Pre-Operative Assessment and Post-Operative Care in Elective Shoulder Surgery

Akhtar, Ahsan; Macfarlane, Robert J.; Waseem, Mohammad

doi:10.2174/1874325001307010316

Cited by 15 publications

(9 citation statements)

References 42 publications

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“…This will help to identify patients with a high risk of complications during and after surgery. Akhtar, MacFarlane and Waseem ( 2013 :317) further supported this. Physical assessment preoperatively is important to identify any risk factors for example, patient identification or to alert theatre staff if a patient has allergies and even pacemaker and specific blood results.…”

Section: Discussionmentioning

confidence: 77%

Reaching consensus on factors impacting optimal use of an orthopaedic emergency theatre in a public hospital

Ramokopelwa,

Moeta

2024

Health SA Gesondheid

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Background: The operating theatre (OT) complex of hospitals represents areas of considerable expenditure with regard to costs and requires maximum use to ensure optimum cost benefit for both patients and the hospital. Inefficient use of an operating theatre room (OTR) may result in hospital wasteful expenditure and frustrations for patients owing to surgery delays, cancellations and prolonged hospitalisation while waiting.Aim: The aim of the study was to explore and describe using a consensus method, factors impacting the use of an emergency orthopaedic theatre that can be optimised in a selected public hospital in Gauteng province.Setting: The study was conducted by a professional nurse and orthopaedic surgeon working in the theatre of a selected public hospital in Gauteng province.Method: A qualitative, explorative and descriptive design was adopted. Data were collected using a nominal group technique (NGT) among professional nurses and orthopaedic surgeons. Data analysis was done through cross-analysis where participants reached a consensus on the voted ideas from the group.Results: Consensus was reached and three main themes emerged: (1) inadequate resources; (2) poor organisation and (3) communication.Conclusion: The optimal use of an emergency orthopaedic theatre is influenced by the availability of resources being human and material, good organisation and clear communication.Contribution: The study has demonstrated that a variety of factors needs to be considered to optimise the use of an orthopaedic emergency theatre. The management of an OT requires a concerted effort from the nurses and doctors.

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Section: Discussionmentioning

confidence: 77%

Reaching consensus on factors impacting optimal use of an orthopaedic emergency theatre in a public hospital

Ramokopelwa,

Moeta

2024

Health SA Gesondheid

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“…Study participants acknowledged that they were working in “silos” and not maximizing the use of the information collected throughout the perioperative continuum. This result was surprising given the importance of the information collected as part of the pre‐operative assessment which is known to help establish a baseline for surgical patients by becoming aware of their vulnerabilities (Akhtar et al, 2013) and identifying their needs and risk factors (McShane & Honeysett, 2013). Malley et al (2015) reported similar findings where the urgency to complete tasks and lack of communication when transitioning patients to the next level of care rendered the work of pre‐operative nurses invisible.…”

Section: Discussionmentioning

confidence: 99%

Registered nurses' perceptions of their roles in medical‐surgical units: A qualitative study

2022

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Aim The aim of this study was to gain insight into the perception of nurses about their roles in medical‐surgical units. Background As a result of ever‐changing work environments, medical‐surgical nurses find it difficult to know and practice according to the full scope of their roles. Design A qualitative descriptive study. Methods Semi‐structured individual interviews were conducted with 21 nurses on three campuses of a large tertiary care hospital located in Quebec, Canada. Thematic analysis was used to construe meaning from the interviews. This research adheres to the Standards for Reporting Qualitative Research guidelines and checklist. Results The data analysis resulted in three main themes: (i) confusion in nurses' roles and scope of practice; (ii) challenges in the continuity of care and (iii) factors affecting the roles of nurses in medical‐surgical units. Conclusion Attention must be paid to the care continuum as it represents a critical element for surgical patients' quality and safety of care. Relevance to clinical practice Medical‐surgical nurses should understand their roles and the factors that limit their full scope of practice in order to provide and manage complex care situations. Additionally, an interdisciplinary approach is a strategy that may better respond to patients' clinical needs across the surgical journey.

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“…Subsequent follow-up visits are scheduled from a few weeks to several months during the first year after surgery. These visits allow the surgeon to monitor the patient's progress, assess the surgical site's healing, and address evolving concerns or symptoms [ 33 ].…”

Section: Reviewmentioning

confidence: 99%

Understanding Fibroadenoma of the Breast: A Comprehensive Review of Pre-operative and Post-operative Clinicopathological Correlations

Pandit,

Murkey,

Agarwal

et al. 2023

Cureus

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Fibroadenomas of the breast are common benign lesions that predominantly affect young women. This review provides a comprehensive overview of fibroadenoma management, encompassing their definition, clinical presentation, diagnostic tools, surgical management, clinicopathological correlations, treatment outcomes, complications, and emerging research. Fibroadenomas typically present as palpable breast lumps, often with no associated nipple discharge, and their diagnosis relies on a combination of clinical examination, breast imaging, and pathological confirmation. Surgical interventions, including excisional biopsy and lumpectomy, offer symptom relief and favorable long-term outcomes. Minimally invasive techniques and ongoing research into genomics and molecular aspects hold promise for the future of fibroadenoma management. Multidisciplinary collaboration among healthcare providers is paramount, ensuring accurate diagnosis, personalized treatment decisions, and holistic patient care. As research advances, the management of fibroadenomas is poised to evolve, providing improved diagnostic accuracy, minimally invasive treatments, and enhanced patient outcomes.

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Pre-Operative Assessment and Post-Operative Care in Elective Shoulder Surgery

Cited by 15 publications

References 42 publications

Reaching consensus on factors impacting optimal use of an orthopaedic emergency theatre in a public hospital

Reaching consensus on factors impacting optimal use of an orthopaedic emergency theatre in a public hospital

Registered nurses' perceptions of their roles in medical‐surgical units: A qualitative study

Understanding Fibroadenoma of the Breast: A Comprehensive Review of Pre-operative and Post-operative Clinicopathological Correlations

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