Anxiety of a Preoperative Patient Essay Example | Topics and Well Written Essays - 1500 words

Anxiety of a Preoperative Patient - Essay Example Extensive surgery or surgery with uncertain outcomes also generates more anxiety than any surgery with a predictable course of events. Ambiguity about the outcome and unpredictability about the course, although depend on the type of the surgery and the indication for which it is done. Therefore the nursing staff that is usually in contact with such patients in the immediate preoperative period in the preoperative area has a chance to intervene provided they can assess these patients in a systematic manner for the experienced perioperative stress leading to elevated anxiety scores of these patients. Perioperative nurses are specially trained to do so, and they must find out time to intervene in these patients even in the preoperative area to deal with these patients' emotional distress. If the positive outcome of the care is the goal of care delivery, these interventions can change the emotional status of these patients in such a manner that the relationship between preoperative psych ological status and postoperative recovery of these patients is positively influenced (Stirling, 2006). The most common nursing diagnoses that require intervention from the nurses in this period are anxiety that may be partly related to knowledge deficit, but also partly contributed by the context and the environment. Therefore, the knowledge about the surgical procedure and the patient assessment findings can be combined to make an appropriate plan of care in such situations. It is to be remembered that every patient have their own perspectives of anxiety, and hence assessment and consequent plan of care should be individualized based on specific patient needs. A patient who needs surgery and is waiting for the in preoperative area may be surrounded by a sense of impending doom for the imminent surgery, and a nursing diagnosis of preoperative anxiety needs nursing intervention in that period only. Many of the incidents of anxiety result from patient knowledge deficits related to perioperative routine, surgical interventions, or outcome expectations (Stirling, 2006). Contextual assessment process would examine and assess the patient's knowledge about the surgery. Thus, the assessment must include the status and quality of communication the patient has already received, the patient's possible language barrier, assessment of sufficiency of the patient's mental capacity, extent of information received by the patient regarding the surgical procedure and why it is needed. Since most of the anxiety in this phase id related to the ignorance about the details of the surgical intervention and outcome expectations, the patient's level knowledge regarding those must be assessed in simple questions, so the nurse can design a customized intervention strategy and create the baseline communication link for future interventions before the surgery following this contextual assessment. This assessment should ultimately be able to determine the patient's learning needs and based on these needs, to design an intervention to fulfill the patient's knowledge deficits a ppropriate to the etiology of it (Mitchell, 2000). The environment plays a significant role in perioperative nursing, and the operating area environment has significant impact on all such patients. The perioperative nurse also is a part of the environment, and she can indeed catalyze a positive environment that can influence the patient's anxiety. While assessing anxiety,

Chesapeake and New England Colonies Term Paper Example | Topics and Well Written Essays - 1500 words

Chesapeake and New England Colonies - Term Paper Example Chesapeake and New England Colonies Early lifestyles of native Chesapeake inhabitants were affected by both geography and climate while social structure was imbalanced, especially that they had a shorter life expectancy. When Chesapeake became a British colony, there was no difference in terms of population growth. If it did, then it would be a lower life expectancy rate than those who were native settlers. The immigrants' life span was lowered to five years compared to that of the immigrants settling in Northern colonies. This is attributed to the immigrants' lack of immunity of the place's diseases such as malaria (Foner 16). Family life is well instilled in the early Chesapeake community. Children are trained to handle the family at an early age because parents die young. It is said that when a child turns 5, there is a 50 percent chance of losing a parent, or both parents (J. Volo and D. Volo). They were taught how to deal with familial responsibility such as taking care of their brothers and sisters and doing hous ehold chores. Their strong attachment to nature also influenced the natives’ belief system. As expected, they believe in supernatural and complex gods of nature. They attribute the weather, their harvest, and other natural events in general as the gods' reaction to their doings (Mountford). For example, if there is a storm, they would assume that the gods are not pleased with what they are doing. Another region in the colonial America is the New England colonies. While Chesapeake’s settlers had been living in the place ages before the formation of New England Colonies, the latter has a greater number of populations probably because they constitute more land area than the other or active economic ventures of the place. New England colonies include Maine, New Hampshire, Vermont, Massachusetts, Rhode Islands, and Connecticut. New England colonies were more improved compared to the Chesapeake region. They make use of land and aquatic agriculture and sell its products to ot her people. In the farming area however, they are not as blessed as Chesapeake of having fertile soil. Farmers are able to plant only one kind of crop because the climate is cold and the soil freezes at certain points of the year. When this time of the year comes, they would shift their means of living to fishing. Being near the Atlantic is advantageous for the people's sustenance because of abundant fish supply. Women are even part of the active economic cycle as merchants, selling home made goods such as soaps, candles and garments (â€Å"The New England†). The religious activities of the people in the New England Colonies are very formal and institutionalized. Unlike in Chesapeake, religious institutions such as the Quaker, Puritan, Baptist, Anglican, Jewish, Catholic, and Congregationalist were beginning to grow, influencing much of the social norms in that society (â€Å"Life in the 13 Colonies†). Like the Chesapeake family life, families in colonial New England a re tight-knit and interdependent to each other. Parents follow a traditional child-rearing strategy, which was to give corporal punishment for children who disobey. Children are also expected to have "unquestioned obedience" to their parents (Wright n.pag.). The Chesapeake community and the New England colonies are different in various ways especially in religion, population, and economy. With the description of their