Clinical Client with Abdominal Wall abscess had infected mesh and hernia repair

[Jholt]

Hi there,

so my clinical patient tomorrow has had aprox 16 hernia repairs in his life.

he is on the surgical floor due to having surgery on the 8th to have infected abdominal mesh removed as well as a hernia repair.

He has a drain right now for the abscess. Cultures taken from surgical site have shown infection.

Im wondering what priorities for this client should be all i can seem to come up with are pain and risk for complication of infection. I NEED to finish my concept map fast. Thanks in advance.

[mrsboots87]

How will these surgeries affect his mobility? How will the hospitalization and surgery affect his labs. What other conditions does the patient have. Dont focus just on the primary reason for being in the hospital, focus on your patient as a whole.

[StudentOfHealing]

****He's definitely at risk for sepsis and idk if that's a nursing dx (graduated a few months ago). Watch out for decreased UOP, elevated WBC, chills/fever, diaphoresis, and/or confusion.

**** Risk for post op complications... immobility and everything that comes with it. Can you name a few ill effects of immobility and what we do to prevent them?

What about teaching? Will they be d/c with the drain? (I'm guessing it's either a woundvac or JP).

Pain is a big one ... but not bigger than risk for sepsis... you MUST keep an eye on the UOP. The surgeons will viciously bite your head off if you don't. =)