charting assignment help - cholecystectomy

nurseprnRN, BSN, RN · Mar 10, 2012

take your med/surg textbook and read up on cholecystectomy, and your lab text on what constitutes a focused assessment. that will give you all the direction you need-- and it'll also be good practice for when you are at work and encounter a new situation.

J-NO · Mar 10, 2012

Interesting, Edger Allan Poe mixed with nursing

J-NO · Mar 10, 2012

So green tea you dont have any advice then on what should chart on? You have advice of were I should look for information about gall bladder excision. Thanks but that wasnt really what I was looking for. Med/surg is great for etiology/patho but Im looking for an experienced nurse to give me 'hints' not answers on what I should be focusing on for a preop head to toe concerning a cholecystectomy . Med/surg books give nursing management and surgical interventions but do not really touch on nursing assessment

plasmatix · Mar 10, 2012

J-NO, I'm not sure, but I think that you may have missed half of GrnTea's message/suggestion. Did you see the part about checking your lab text for info on focused assessments? I can certainly appreciate that you're being overloaded with schoolwork, and in all likelihood, you're sleep-deprived also. However, I think GrnTea made an excellent suggestion, one that I'll second: get your nursing assessment lab text and/or a good nursing skills book (i.e., Perry). Read up on abdominal assessment, and integrate it with text info on pre-operative assessment (don't forget GrnTea's advice on reviewing cholecystectomy).

This may seem like an unrealistic and demanding way to deal with your assignment, but if you're at the end of your LPN program, your base of nursing knowledge is well-developed. You should be able to skim the reading, and isolate what you need from each source fairly quickly.

Good luck to you!

p.s. I think it's Alexander Pope's sentiments that are being served up with GrnTea's nursing advice (very appropriately, IMHO).

nurseprnRN, BSN, RN · Mar 10, 2012

op, i am sorry you didn't understand what i meant. however, if your books give you information on nursing management, surely they include information on assessment, and that's what you would be charting. i think it's a good idea to read up on cholecystectomy, by which i mean to include preop assessment and postop care. i appreciate plasmatix's note clarifying above, too.

so, op, what are you considering? since no one has given you the answers yet, you could tell us what you have learned and what you judge to be important, we'll have something to discuss.

ps. and alexander pope it is, too. i like it because it gives the full context to the commonly-used incomplete "a little knowledge is a dangerous thing," as if that gives an excuse for avoiding any knowledge on a given topic. what the full thing says is that a little knowledge is dangerous because it can make one think they know it all, and can then do dangerous or foolish things based on that, in the same way alcohol makes us tipsy. in contrast to the effect of alcoholic spirits, though, knowledge should be drunk deeply, because more is what makes us more reasonable. no extra charge .

plasmatix · Mar 10, 2012

ps. and alexander pope it is, too. i like it because it gives the full context to the commonly-used incomplete "a little knowledge is a dangerous thing," as if that gives an excuse for avoiding any knowledge on a given topic. what the full thing says is that a little knowledge is dangerous because it can make one think they know it all, and can then do dangerous or foolish things based on that, in the same way alcohol makes us tipsy. in contrast to the effect of alcoholic spirits, though, knowledge should be drunk deeply, because more is what makes us more reasonable. no extra charge .

a keen observation and some cautionary advice, wrapped in a lovely quote. alas, it's a message overlooked by increasing numbers of today's "communicators", who seem hell-bent on intentionally limiting their linguistic fluency to twitter-speak.

i do appreciate poe, but i didn't think it quite fair that he receive credit for pope's intellectual property.

psu_213, BSN, RN · Mar 10, 2012

I really do find this discussion interesting....back to the original issue though-- tailor your head to toe assessment to the issues that come along with chole. issues. What would be of the most interest? Where do you want to focus your assessment? Yes, pain in the legs (PVD if your prefer a medical dx.) is important, but maybe less of an issue here than other things.