外科见习（Surgical Probation）.docVIP

外科见习（Surgical Probation） Journal of surgical nursing practice 1 In the Department of urology ward today, and with the teaching of nursing care of a child after urethral cleft surgery, focused on learning and implementation of pressure sores care, now the trainee record as follows: First, the reasons for admission: children, male, 2 years old, 8 months, two years ago, parents found that their penis short, urethral position is abnormal in the local hospital, diagnosed with urethral crack. Now the children urinate 5-10 times a day, the urine line is sporadic, urine volume. For surgical treatment, admitted to our department of Urology ward. Two, physical assessment: temperature: 37oC heart rate: 100 beats per minute breathing: 28 weight: 13.5 kg / min. Children have a good mental response, moderate nutritional development, mental and physical development with normal children of the same age, natural expression and independent posture. No body rash, no bruises, no bleeding, no yellow dye. Superficial lymph nodes without palpable swelling. The neck is soft and the trachea is centered. The respiratory movement, lung breath sounds clear, not rales. There is no apophysis in the precordial region, and the heart sounds are vigorous and irregular, with no murmur. The abdomen was soft, no tenderness, no obvious mass, bowel sounds 4-5 times / min. The liver and spleen were not palpable under the rib. Limb muscle strength and normal muscle tone. Physiological reflex exists, pathological reflex not elicited. Three, the treatment principle: (1) perfect preoperative examination (2) selective surgery (3), postoperative anti-inflammatory Four 、 nursing plan Preoperative (I) nursing diagnosis 1. lack of knowledge: (parents) lack of preoperative preparation knowledge 2. anxiety: (parents) anxiety, worry about postoperative correction effect. (two) nursing measures 1. assess the degree of lack of parental knowledge. 2., encourage children to drink more water, daily urination or defecation