Perioperative, Operating Room and Surgical Nursing Commons^™

The Impact Of Parental Presence On Pediatric Recovery Outcomes Following Invasive Procedures Or Surgery, Jaymie Riza Torres, Franchesca Isabelle Andaya Lazaro

Nursing | Senior Theses

Background: Pediatric patients are severely affected by preoperative anxiety which can lead to postoperative complications and delayed recovery. This could be attributed to their developmental stage which determines their response to stress and fear. Purpose: The purpose of this paper is to evaluate postoperative recovery outcomes in pediatric patients following the implementation of parental presence at the induction of anesthesia and upon first waking up. Method: This proposed research utilizes a mixed-method approach, combining qualitative and quantitative methods through a quasi-experimental study. The target population consists of pediatric patients between the ages of three and eight years …

African-American Perceptions On The Importance Of Racially-Concordant Care, John Moya

Nursing | Senior Theses

Racial concordance is defined as a relationship in which a healthcare provider and patient share the same race. Racially concordant care has been, in previous research, associated with improved health outcomes, particularly in minority populations such as African-Americans Despite this, little is known about how African-American patients perceive racial concordance, and how important it is to their care. The focus of this research proposal is to determine the perceptions of African-American patients on racial concordance and racially concordant care, and how important they deem it to be to their care. The literature review delves into racial concordance and its presence …

Factors Impacting Organ Transplant Outcomes, Katelyn Grubich

Nursing | Senior Theses

Organ transplants are crucial to the survival of those on the receiving end. With medicine advancing, so has transplantation. Health care providers are becoming more aware of the strategies necessary to prolong the transplanted organ and how to obtain better outcomes. Heart, lungs, kidney, liver, pancreas, and some where more than one organ are involved, are the types of organ transplants performed.

Providing patients information will allow them to be a part of their treatment and can help to ease their anxiety knowing what is being performed and what can be expected. Health care providers must ensure that patients and …

The Impact Of Psychological Interventions Given To Icu Patients To Help With Pain Management, Kelly Liu

Nursing | Senior Theses

Pain management among the critically ill population is a significant issue in the intensive care setting. Whether the pain is acute or chronic, nurses tend to be the first-hand responders to help with pain management in the intensive care unit (ICU). With barriers ranging from patients’ inability to verbalize pain to nurses’ experience with obstacles to assessment such as sedation, confusion, or other concerns, pain management is a serious issue. Although pharmacological interventions such as opioids and analgesics help with pain control, in this thesis, we will focus on the impact of nonpharmacological and psychological nursing interventions and how it …

Nonpharmacological Interventions As An Adjunct Therapy For The Treatment Of Elderly Patients With Postoperative Delirium, Lorenzo Garcia

Nursing | Senior Theses

Background: Postoperative delirium is an iatrogenic disease that largely affects older surgical patients. Current treatment relies mostly on pharmacological management. However, this poses a problem due to the age-related changes in elders on drug metabolism. Other comorbidities increase chances of onset of postoperative delirium, and the possibility of unresolved cases. This leads to prolonged hospital stays, decreased quality of life, and overall poorer outcomes in these individuals.

Objective: The purpose of this literature review and proposal is to examine the use of non-pharmacological therapy as an adjunct treatment to improve outcomes in elderly patients diagnosed with postoperative delirium. Non-pharmacological interventions …

Increased Use Of Opioids Perioperatively Leads To Unmanaged Postoperative Pain, Halida Sehic

Nursing | Senior Theses

Background: Total knee and total hip joint arthroplasty are two frequently preformed surgeries, with 5.2 million total knee arthroplasties performed the United States between the year 2000 and 2010 (Williams et al., 2015). Opioids are widely used to manage pain for patients undergoing total joint arthroplasty. However, use of opioids is associated with undesirable adverse effects, such as nausea and respiratory depression, (Johnson et al., 2011). In postoperative patients following total joint replacement, 75 % of the patients complain of inadequately controlled moderate to severe pain (De Luca et al., 2018). Increased use and overprescribing increase tolerance to opioids …