Nursing care of kidney cancer patients who have atherosclerosis and are receiving general anesthesia for endoscopic kidney surgery. (Laparoscopic radical nephrectomy) :case study

Abstract

     The case study analysis here aims to applying the concept and healthcare practices based on Gordon’s nursing theory and Orem’s nursing theory to the nursing care of patient with kidney cancer, who have atherosclerosis aorta and receiving the general anesthesia for the laparoscopic radical nephrectomy. The method is the investigation of a case that admitted to the male surgical ward of Somdetpraputthalerdla hospital and had undergone the laparoscopic radical nephrectomy. The internal patient medical record was used as a tool for investigating general information, nursing diagnosis, nursing outcome. The results were carried out from the datasets that recorded before medication, during medication, recovering medication, and after medication of anesthesia drug. 
     The results revealed that the patient had discomfort pain in the left side of his ribcage radiating to the back of his waist before receiving the anesthesia, as well as anxiety about the surgery. If there is an injury in the pleural space during anesthesia medication, a patient was at risk to the key complications which is the life-threatening condition. There are also risks during the recovery period, including breathing difficulties, oxygen depletion, and the re-intubation may needed. Post anesthesia, a patient was discomfort able from the wound pain, risk to infection in the abdominal cavity, and he lacks the knowledge in selfcare practices at home. However, these concerns and risks were taken and solved. The surgery went smoothly without any complications; therefore, a patient was gradually improved and allowed to returning home. He was appointed the 2 weeks later to follow up. In total, he was treated at the hospital for 9 days.