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The nursing care of the patient after Arthroscopy of the shoulder
JELÍNKOVÁ, Petra
The theoretical part describes the history of orthopaedics development, the anatomy of the shoulder joint, clinical examination of the shoulder joint, injuries divided into the shoulder joint bones fractures and other injuries of the shoulder joint and the arthroscopy itself. This part is followed by the description of the client's needs in the postoperative period, which include self-sufficiency; furthermore the client's pain and the rehabilitation after surgery. The practical part is focused on clients after arthroscopy of the shoulder joint and nurses attending to clients after the procedure. The thesis was compiled as a qualitative research. The technique of data collection was carried out using a semi-structured interview. The research part included three research questions. Based on these questions, we examined the role of nurses in the care of clients after arthroscopy of the shoulder joint. Furthermore, the negative factors most clients perceive after the surgery and what the specifics of nursing care for clients after arthroscopy of the shoulder joint are analysed. The aim of the thesis was to investigate the role of nurses in the care for clients after arthroscopy of the shoulder joint. The most important tasks include education of clients before the procedure and during the hospitalization. The preoperative preparation consists of the explanation of the informed consent to the client, the preparation of the surgical field, legs bandaging, the management of preoperative examinations and the administration of the prescribed medication Other objectives were to determine the specifics of nursing care for the clients after arthroscopy of the shoulder joint. The specifics of nursing care reported by the nurses themselves including checking the blood circulation and peripheral sensitivity of the operated upper limb, shimming the operated arm, increased need for hygiene in the armpit of the operated extremity. The third objective was to identify the problems perceived by the clients after the arthroscopy of the shoulder joint. The main problems perceived by the clients included pain. Furthermore, they mentioned the lack of privacy, discomfort in association with the selected fixation and the lack of information about the need for the fixation system. The answers from clients and the nurses were divided into individual categories and then compared in the interaction between the nurse and the client.
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