Introduction

ontrolled or continuous infusion (Kehlet, 2020). These techniques are routinely used in large thoracic and abdominal operations, cesarean sections, and hip or lower extremity surgery.

Nonpharmacologic therapies: The health provider shall use cognitive and mechanical modalities to control pain. Transcutaneous electrical nerve stimulation shall be the preferred option for these therapies.

Miscellaneous Intervention

The nursing staff must be available throughout to be questioned by the patients and families on issues affecting the patient. On the other hand, the carer shall regularly follow up with the patients and family for a feedback loop for improvement. The carer shall consider using mobile applications to follow up with patients’ post-surgery.

IV Fluid Therapy

The nurse shall minimize water and salt overload by the patient. They shall use goal-directed fluid therapy (GDFT) when possible and use the recommended fluid rate for a particular duration (Kehlet, 2020). The nurse shall consider an isotonic buffered solution (D51/2 NS) versus a balanced salt solution and allow PO intake instead of IVF when tolerated (Kaye et al., 2019). This approach shall lead to the comfort of the patient. The appropriate pain scale shall justify each intervention and service to the patient.

Discomfort and Possible Complications

The patient is expected to experience nausea and vomiting due to anesthesia. Nausea and vomiting shall be countered by ensuring the patient receives adequate hydration orally. The IV Fluid Therapy is expected to cause soreness, pain, and swelling around the incision site or minor pain around the IV site (Cheung et al., 2022). The soreness and swelling shall be controlled through heat and cold therapy. The nurse shall put ice or a cold pack on the swollen and painful IV site for 10 to 20 minutes. The nurse is advised to ensure unnecessary medications are not prescribed to the patient for pain control at the IV site.

General Liability

The nurse shall be held responsible for health complications attributable to additional practices not outlined in the nursing plan.

Apex Nursing Care Provider

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