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The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [1] [2] [8] The length and focus of each component of a SOAP note vary depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status.
Appendectomy may be performed laparoscopically (as minimally invasive surgery) or as an open operation. [2] Over the 2010s, surgical practice has increasingly moved towards routinely offering laparoscopic appendicectomy; for example in the United Kingdom over 95% of adult appendicectomies are planned as laparoscopic procedures. [3]
Preoperative teaching if delivered competently is an important aspect of patient care. Positive effects of preoperative teaching include a reduction in patients’ anxiety levels, healing time, complications post- surgery, pain relief usage and an increase in satisfied and co-operative patient's in regard to their procedure and treatment.
Laparoscopic appendectomy has several advantages over open appendectomy, including a shorter post-operative recovery, less post-operative pain, and a lower superficial surgical site infection rate. However, the occurrence of an intra-abdominal abscess is almost three times more prevalent in laparoscopic appendectomy than open appendectomy.
Prophylactic appendectomy is the removal of the appendix in order to remove the chances of developing appendicitis as the leading cause of acute intra-abdominal disease in more than 50% of all cases. [23] Prophylactic Appendectomy is one of the most common preventive surgeries and is the most common emergency surgery performed in the USA. [24]
Surgery [a] is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery such as gastric bypass), to reconstruct or improve aesthetics and appearance (cosmetic surgery), or to remove unwanted tissues (body fat, glands ...
An appendectomy is considered emergency surgery, but depending upon how early the diagnosis was made, the patient may have more time before the appendix risks rupturing or the infection spreads. Also, in certain emergency conditions, even ones like a heart attack or stroke , surgery may or may not need to be utilized.
The nurse evaluates the progress toward the goals/outcomes identified in the previous phases. If progress towards the goal is slow, or if regression has occurred, the nurse must change the plan of care accordingly. Conversely, if the goal has been achieved then the care can cease.