Introduction
Open mesh inguinal hernia is among the regular illnesses which frequently happen in situations when the delicate tissues distend through an imperfection region or a shortcoming zone on the lower muscular strength of a patient. Much of the time, the delicate tissues projecting happens in the crotch territory or close to the crotch region. It is a typical infection that has a high defenselessness rate of influencing men contrasted with ladies in Australia. In assessing the case exhibited, it is very evident that there are numerous hazard factors that may assume a huge job in setting off the event of open inguinal hernia in different patients. The hazard variables may connect to the patients’ wellbeing foundation and may because of wellbeing hazard factors, for example, corpulence, or on certain occasions individuals who participate in weight lifting (Kulacoglu, Celasin, and Oztuna, 2019). Medical attendants are normally solicited with the sole obligation from obtaining recorded information from the patent to comprehend potential hazard factors which may have prompted the event of Open inguinal hernia among different patients.
For this situation, the report will target assessing the present wellbeing circumstance of the patient through applying clinical thinking to decide the medical problems influencing the patient and recognize an appropriate wellbeing answer to assist the patient. An individual’s circumstance Mr Ling is a patient who has as of now been admitted to the careful ward in the wake of experiencing an open work inguinal hernia fix. Mr Ling and in-depth history of inguinal mass, an R non-reducible tender, and post beginning on a new gym weight lifting routine. In addition, the information offered by the patient indicates that he is suffering from obesity with a high body mass index of 30 and also a former smoker. The patient has also been recently diagnosed with hyperlipidemia and hypertension and has been subjected to strict medication. The other health issues affecting the patient is that he is currently suffering from mild congestive heart failure (Esposito et al., 2018). On health assessment conducted upon the patient, important signs highlighted by the patient is that he had a pain score of 7/10, blood pressure of 17/90, body temperature of 39.30C, RR: 25, SpO2 95% on room air, and HR:100 regular. The physical assessment conducted upon the patient indicated that he was often confused and restless, dry skin, green oozing released by post-op surgical wound which was also tender to touch. The other aspect noticed from the physical assessment was the left calf was red and larger than that of the right. The other significant elements indicated by the patient was that he had an elevated CRP, neutrophils, and WC, open bowels, and haemoglobin rate of 16.5 gm/dl. Patient’s health information In evaluating the information offered by Mr Ling during the health assessment period are vital in providing an overview of the health issue affecting the patient. One of the significant findings offered by the health assessment of Mr Ling is that he has a high body mass index of 30 which is a clear indicator that he is obese. The nursing tool indicates that a male having a BMI of 30.0 and above qualifies to be obese as the standard BMI of males is considered to be 18.2-24.9.
Obesity is one of the noteworthy hazard factors which may prompt patients creating I as corpulence assumes a crucial job in going about as a potential hazard factor that may prompt the advancement of stomach divider hernias (Wheeler et al., 2019). For this situation, weight is answerable for expanding the licenses circulatory strain to 17/90 and influencing strain on the patient’s abs subsequently prompting the muscular strength turning out to be more fragile and bound to create hernia. In addition, an increase in weight over time weight is vital in promoting growth of the hernia on the patient (Dikshit et al., 2018). Health information offered by the patient highlights that he engages in weight lifting which is a potential risk factor. Studies conducted have indicated that if weight lifting is performed an improper manner, there is a high susceptibility rate that might lead to straining of abdominal muscles and thus leading to development of hernia (Molegraaf, Kaufmann, & Lange, 2018). The other primary symptom indicated by the patient is confusion which is likely caused by nausea. Dry skin and swelling are also a clear indicator of its symptoms which the patient is currently facing (Matikainen et al., 2018). The symptoms are due to bleeding which occurs within the incision thus leading to swelling and drying of the skin.
Nursing problems/issues
There are noteworthy nursing issues dependent on data offered by the wellbeing appraisal methodology. One of the nursing issues featured by the patient recorded information is the issue of heftiness which is distinctively demonstrated by the high BMI of 30 of Mr. Ling. Stoutness is a nursing issue connected to the condition as it will expand the patients’ circulatory strain to 17/90 and influencing strain on the patient’s muscular strength accordingly prompting the abs getting flimsier and prompting the potential improvement of hernia. Moreover, an expansion in weight after some time weight is indispensable in advancing the development of the hernia on the patient (Rausa et al., 2019). The other nursing issue showed by Mr. Ling relates to his weightlifting practices which happen to be a noteworthy hazard factor. Weight lifting as mentioned, will play a vital role in causing the straining of abdominal muscles and thus leading to the development of hernia (Elkhateeb et al., 2019). The other major health issue indicated by the patient is the presence of dry skin and swelling releasing a green oozing and pain of the swollen area. Goals There will be the need for establishing nursing goals which will be associated with reducing or eliminating the nursing problems identified on the patient. One of the nursing goals will be to ensure that the swollen area and the green oozing being extracted and dry skin is included in the nursing care goals (Sultan et al., 2018). The other issue that will be required to be dealt with by the patient is through dealing with nausea affecting the patient’s well-being. The other nursing issue affecting the patient that will be needed to be handled with byte nursing care and high blood pressure.
The nursing care of the person
The nursing care assists that with willing to be exposed to the patient will be connected to the patient’s authentic information. One of the nursing systems which will be coordinated into the consideration will be founded on managing the issue of stoutness. Stoutness, as demonstrated, is connected to the hypertension levels influencing the patients that have driven its advancement (Perez, and Krpata, 2018). The nursing procedure will be crucial in guaranteeing that the patient is limited to pursue a severe eating regimen routine with the center point of diminishing the BMI of the patient into a standard level (Huerta et al., 2018). The other nursing care procedure which will be viewed as will target offering Mr. Ling a sheltered exercise plan that will guarantee that his working out exercises neglect to trigger the improvement of hernia of the patient (Morrison, 2018). The other appropriate treatment method which can be administrated to the patient is through administration of an appropriate analgesic due to the severity of pain caused by the incision (Pavlosky et al., 2019). Application of ice to the incision will also be beneficial to the patient as it will lead to creating comfort towards by dealing with the green oozing being ejected by the wound.
Nursing Strategies
Lichtenstein’s fix is among the main nursing techniques, which can be applied while managing torment and inconvenience on the patient. For this situation, laparoscopic strategies will lessen the danger of interminable torment, which is causing inconvenience to the patient (Sereysky et al., 2019). For this situation, the most appropriate lattices which will be relevant to the patient will be the lightweight cross-sections which will be helpful in decreasing interminable agony (Melkemichel, Bringman, and Widhe, B. 2019), (Vuille-dit-Bille et al., 2018). In addition, the nursing strategy will also have to take into consideration fixation technique of handling the chronic pain, and in this case glue will be more considerable in reducing discomfort caused by chronic pain in the patient. Surgery is also the other option that can be considered in the removal of mesh and triple neurectomy through application of a posterior strategy (Tan, & Blatnik, 2018). Personal outcome Based on the nursing strategies applied to the patient, the learning outcome of the procedure will be to identify a suitable nursing care method that will assist in eliminating the symptoms which the patient is currently facing (Van Hessen et al., 2018). The nursing strategies will play a significant function in offering guidelines for dealing with these patients.
Reflection
All things considered, open work inguinal hernia is a typical ailment that happens in situations when the delicate tissues distend through a deformity zone or a shortcoming zone on the lower stomach muscles of a patient. The report applied clinical thinking to decide the medical problems influencing the patient and distinguish an appropriate wellbeing answer to help the patient. It has a high weakness pace of influencing men contrasted with ladies in Australia. In assessing the case, it is very clear various hazard components may trigger the event of open inguinal hernia (Jacobsen, and Reynolds, 2018). Historical data acquired from the patients can be used by nurses to understand potential risk factors which might have led to the occurrence of the health condition. In this case, Lichtenstein repair, laparoscopic methods, and surgery can be applied in dealing with various symptoms correlating to open mesh inguinal hernia.
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