Thesis on "Stress Prior to Surgery a Concept Analysis"

Thesis 3 pages (1092 words) Sources: 10 Style: APA

[EXCERPT] . . . .

Stress prior to surgery: A Concept Analysis

Identity goals as they relate to nursing practice

Nursing goals related to the concept "stress prior to surgery" should ultimately be associated with alleviating as much of such stress as possible. The elimination of stress could be done through offering the patient more time and calm education regarding the procedure. Answering any questions that have not been answered by the patient's surgeon or other health care providers, or asking the surgeon to see the patient to clarify fears and needs associated with their care. The nurse might intervene additionally by walking the patient through a mental checklist of the procedure, they are about to have, as well as offering additional sedation options, allowing them to meet and possibly spend time with any other individuals who might be involved in their care before, during and after the procedure. The nurse might also do a mental double check of the preparations for the procedure, ensuring the patient that all the preparations have been done for their safety and a positive outcome. (Bradley, 1994, p. 22) (King, 1991, p. 129) Lastly, it is the responsibility of the nurse to identify when stress prior to surgery becomes abnormal and will therefore increase risk during and after the procedure.

2. Assumptions: Identify assumptions about the concept

Assumptions regarding the concept "stress prior to surgery" are associated with the fact that stress is a psychological and physical response to fear that can alter the patient's physical well being with regard to outcomes of the surgery, including but not limited to vital sign alterations, i.e. increased pulse rate, increased blood pressure both of which can interfere with bleeding and other physical outcomes of the procedure. (Thomas, 1985, p. 30) Additionally, undue, abnormal stress, pre-surgically can effect post surgical pain and therefore recovery time. (King, 1991, p. 127) Finally, when a patient enters a procedure, i.e. anesthesia in a state of increased stress they will be more likely to awake, post-op in a state of increased stress, which can interfere with immediate and long-term post-op recovery. (Lewis, 1998, p. 26)

3. Definitions: Define the concept using a variety of sources

Stress prior to surgery comes with a long list of possible known and unknown side effects, yet it is commonly known that such stress is both normal and problematic, as it could have an adverse outcome with regard to patient recovery but is also a normal aspect of someone facing the unknown. (Lewis, 1998, p. 26) "The body responds to stress through a hormone system called the hypothalamic-pituitary-adrenal (HPA) axis. Stimulation of this system results in the secretion of stress hormones (i.e., glucocorticoids). Chronic excessive glucocorticoid secretion can have adverse health effects..." (Spencer & Hutchison, 1999, p. 272) Stress or anxiety alleviation through greater investment in education and self-efficacy support is a great predictor of rapid recovery of patient from surgery. (Mahler, Kulik & Hill, 1993, p. 437) Eliminating pre-surgical anxiety through psychological techniques, such as guided imagery also seems to assist patients with alleviation of anxiety as well as reduced recovery time. ("Guided Imagery Speeds Surgical," 1996, p. 8)

4. Related Concepts: Define those concepts that may be used interchangeably with the title of this concept (stress prior to surgery), or that are closely related

Anxiety… READ MORE

How to Reference "Stress Prior to Surgery a Concept Analysis" Thesis in a Bibliography

Related Thesis Papers:

Nursing Is a Rewarding, but Challenging Research Paper

nursing is a rewarding, but challenging, career choice. The modern nurse's role is not limited only to assist the doctor in procedures, however. Instead, the contemporary nursing professional takes on… read more

Research Paper 6 pages (2016 words) Sources: 0 Topic: Nursing / Doctor / Physician

---

Military Employee Stress Thesis

Military Employee Stress

The objective of this work is to compare, contrast and synthesize and evaluate the principles of societal development including an evaluation of the workplace and resulting family… read more

Thesis 66 pages (18029 words) Sources: 56 Style: APA Topic: Military / Army / Navy / Marines

---

Women and Feminist Studies A-Level Coursework

women studies at a time when the interdisciplinary willpower and its concepts were getting institutional identification. Women's studies provided me with an exclusive place to take up the positions of… read more

A-Level Coursework 6 pages (2564 words) Sources: 7 Topic: Women / Feminism

---

Imagery Literature Review Guided Imagery and Pain Literature Review

Imagery Literature Review

Guided Imagery and Pain Management

Ferrell, Betty R., et al. "Pain management for elderly patients with cancer at home." CANCER-PHILADELPHIA- 74 (1994): 2139-2139.

The first study to… read more

Literature Review 3 pages (1189 words) Sources: 3 Topic: Medicine / Pharmacy

---

Perioperative Serum Glucose Control in Patients Undergoing Coronary Artery Bypass Graft Surgery Essay

Medical and Medicine

Perioperative Serum Glucose Control in Patients Undergoing Coronary Artery Bypass Graft Surgery

Hyperglycemia is a condition that occurs frequently in patients during cardiac surgery. This condition can… read more

Essay 9 pages (2831 words) Sources: 5 Topic: Nursing / Doctor / Physician

---

View 100+ more related papers  >>