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Thesis (M. Med.(Anaesthesiology))--University of Limpopo (Medunsa Campus), 2010. / In surgical practice, preoperative testing involves a certain number of routine tests, among them chest X-rays, electrocardiography, urine analysis and blood tests. This study sought to characterize routine preoperative blood tests performed at DGMH. This was a descriptive cross-sectional prospective study of preoperative blood tests conducted at the Medical Laboratory of DGMH. Patient files and their laboratory reports of tests performed during a 2-month period were examined for the extraction and collation of data. Of the 246 patients’ records included in the analysis, there were 130 male and 116 female patients but the distribution differed based on the age, since in female patients, the majority of them were older than 40 years. The main findings were that the most commonly done tests at DGMH are hemoglobin, FBC electrolytes, creatinine, glucose and partial prothrombin test. The average number of tests per patient was 3 and their cost on average was R224 per patient. The results of these tests impacted on the management of patients in that 11.4% of elective surgeries were postponed. The tests that were associated with postponement were low values of HB. In conclusion, hemoglobin was the common laboratory test and the only one that had significant impact as it led to the postponement of planned surgical procedures. This test may be recommended for routine testing before surgical operations.

Pagrindinis darbo tikslas buvo ištirti ir palyginti pacientų priešoperacinį stresą. Tyrime dalyvavo 139 tiriamieji iš jų: 53% moterų ir 47% vyrų. Tiriamųjų amžius: 18-74 metai, amžiaus vidurkis 43 ±11 metų. Tyrimas atliktas Vilniaus miesto ligoninėje. Tiriamąją grupę sudarė atsitiktine tvarka atrinkti chirurginiuose skyriuose gydomi pacientai. Kontrolinę grupę sudarė terapinio pobūdžio skyriuje gydomi pacientai. Tyrimas atliktas naudojant empirinį metodą – anketinę apklausą ir interviu. Klausimyno dalys: 1.Paciento demografiniai duomenys bei papildomi klausimai informacijai apie priešoperacinį stresą, gauti. 2.Hospitalinė nerimo ir depresijos skalė (HAD). 3.Nerimo lygio apklausos klausimynas. (Č.Spielberger‘io apklausa). Chirurginių skyrių pacientai patiria didesnį stresą negu terapinio pobūdžio skyriuose gydomi pacientai.Moterys patiria didesnį stresą prieš operaciją negu vyrai. Skiriasi moterų ir vyrų priešoperacinį stresą sukeliantys veiksniai, priešoperacinės paramos poreikis ir jos šaltiniai. Operacijos laiko derinimo galimybė sukelia stresą. Priešoperacinio laikotarpio trukmė įtakos stresui neturėjo. / The aim of this paper is to research and investigate a patient preoperative stress. 139 cases have been investigated, 53% of that were females and 47% were males. Patients’ age varied between 18 to 74 years, with an average mean of 43 ±11 years. The research was carried out at hospital in Vilnius. A random sample group was drawn from the patients of various surgical departments. A group of medical patients was taken as a comparative reference. The data was captured by using empirical methods, such as questionnaires and interviews. The questionnaire was designed to include the following topics: 1.Demographic information and additional questions about information on preoperative stress 2.Hospital Anxiety and Depression Scale (HAD) 3.Spielberg’s State – Trait Anxiety Inventory (S.T.A.I.) Conclusions: -Surgical patients suffer more extreme stress than medical patients. -Females suffer a higher-level stress than males. The source of stress and the ways of coping are also significantly different for each sex. -A chance to choose a surgical date is a source of stress. -A timing of surgery has no influence on the preoperative stress.

Thesis (M.S.)--University of Michigan, 1990.

Thesis (M.S.)--University of Michigan, 1990.

published_or_final_version / Nursing Studies / Master / Master of Nursing

published_or_final_version / Nursing Studies / Master / Master of Nursing

Research shows that an important component to successful adjustment and improved quality of life following a laryngectomy is comprehensive preoperative counseling. However, evidence indicates that preoperative counseling in its current form is inadequate. Additionally, due to a small percentage of speech language pathologists having clinical experience working with this population, SLPs may be unsure of what to include in counseling sessions if presented with a laryngectomee. This report serves as a guide to assist SLPs in preoperative counseling sessions. It contains information regarding laryngeal cancer, treatment options, alaryngeal speech options, and additional postoperative considerations to include in preoperative counseling. Illustrations and tables are included within the report so that the practicing clinician has access to user-friendly information to provide to his or her patients. By spending extra time consulting with the patient and his or her family during the preoperative sessions, the SLP can make a vast difference in the patient’s overall quality of life after surgery. / text

Thesis (Anaesthesiology)) -- University of Limpopo, 2010. / ABSTRACT INTRODUCTION: Preoperative evaluation of a patient is the fundamental component of anaesthetic practice. Poor documentation and record keeping on the preoperative evaluation (PEF) form is a big obstacle in attaining good practice and hence improving patient outcome following operative procedures. The aim of the study was to conduct an audit of the anaesthetic preoperative evaluation of general surgery patients at Dr George Mukhari hospital (DGMH), Garankuwa. METHODS: A sample size of 88 record files of general surgery patients who underwent elective surgery during 2008 at DGMH was analysed. The proportion of completeness of information recorded on the PEF used at DGMH was compared with a standardized PEF which uses the global quality index (GQI). RESULTS: Only 75 out of88 patients had PEF in their files. The Modified GQI scores for the sample of75 patients ranged between 33.3% and 100%. The mean Modified GQI score was 72.2 +/- SD 13.9%. The median was 73.3 %, while the lower quartile was 60% and the upper quartile was 80%. The GQI scores were low for the following criteria; 'preoperative diagnostic procedure' (46.7%), 'medications prescribed by surgeons' (46.7%), 'preoperative fasting status' (32%), and deficiency in 'patient's weight' (34.7%) and 'allergies' (34.7%) during the preoperative assessment. Only in 1.3% was the PEF filled completely in accordance with the Modified GQI score. CONCLUSION: The overall quality of the preoperative assessment was inadequate in a number of the ModifiedGQI scores criteria suggesting the need for improvement in preoperative assessment of patients by anaesthetists at this hospital to improve patient outcome.

Thesis (M. Nurs.)--University of Hong Kong, 2009. / Includes bibliographical references (p. 151-162).