Anxiety Management in Adult Day Surgery A Nursing Perspective PDF EBOOK

This book is centrally concerned with the formal management of preoperative
anxiety. The vast majority of patients experience varying degrees
of anxiety when entering hospital for surgery and yet little formal intervention
is commonly provided. This is the first book of its kind to be
written for nurses exclusively concerning the complete formal pre- and
postoperative management of anxiety in relation to modern, elective,
adult day surgery. During the early 1970s classic nursing studies suggested
information provision to be crucial for effective inpatient preoperative
anxiety management. However, following such early recommendations
no other formal aspects of psychoeducational care have impacted on
mainstream surgical nursing intervention. Physical aspects of care have
dominated proceedings for the last three decades or more, whereas psychoeducational
aspects have largely remained informal, marginal issues.
Both surgery and anaesthesia have changed dramatically during this period
and nursing intervention must now do likewise.
The domination of physical nursing intervention is, however, slowly
changing as the continuous global rise in elective ambulatory surgery has
highlighted the need for more structured psychoeducational approaches
to patient care. The psychological theories to aid preoperative anxiety
management have been available for many years. However, they have not
succeeded in making an impact within the clinical surgical setting,
because they have not previously been constructed into a coherent, clinically
realistic plan of care. The purpose of this book is therefore (1) to
consider the relevant psychological concepts that can inform and guide
modern surgical nursing practices, (2) to provide a comprehensive map of
the wider evidence available and (3) to introduce clinically realistic nursing
interventions necessary for the complete psychoeducational
management of adult patients undergoing elective, ambulatory surgery.
nurses working in the field of adult ambulatory surgery or studying
modern surgical nursing practices. We need to re-evaluate nursing
knowledge for this new surgical era so that compelling nursing evidence
can help to guide practice and not remain in the shadows of medical
advances. This book is intended to provoke debate within the profession,
present the case for change and, above all, demonstrate the ability of
nursing knowledge to make a significant contribution to the care required
by patients experiencing modern ambulatory surgery. Much evidence,
within the nursing domain, is widely available to help guide important
global nursing issues in ambulatory surgery.



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