About
Surgical interruption of the vas deferens to promote male sterilization.
Assess
Bleeding, incision, vital signs, lung sounds, bowel sounds, knowledge related to procedure and post-operative care
Complications
Post-operative complications including atelectasis, pneumonia, DVT, PE, infection, hemorrhage, paralytic ileus, bowel obstruction.
Diagnosis
- Knowledge deficit related to possible surgical intervention
- Acute pain related to surgical procedure
- Ineffective health maintenance related to care after surgery
- Sexual dysfunction related to perceived body changes
- Risk for infection
- Sexual dysfunction related to perceived body changes
Goals
- The client will understand pre-, intra-, and post-operative instructions.
- The client will be free from infection.
- The client will be able to normally eliminate urine and have positive bowel sounds.
- The client will demonstrate effective coughing and deep breathing and incentive spirometry post-operatively.
- The client will ambulate at least three times daily after post-op day 1.
- The client will identify signs and symptoms that require follow-up or indicate infection.
- The client will have a pain of less than 4 on a VAS 0-10 pain scale.
- The client will verbalize concerns and fears related to change in body image and sexual functioning.
Interventions
- Teach client what to expect prior to, during, and after procedures.
- Teach client coughing and deep breathing exercises to minimize risk of pneumonia.
- Post-operatively, monitor VS every 15 minutes X 2, every 30 Minutes X 2, every 1 hour X 2, than every 4 hours ( may have different guidelines for each clinical agency).
- Monitor voiding amount, color and clarity.
- Elevate scrotum and apply ice intermittently to perineal area for several hours post-operatively
- Initiate early ambulation to minimize risks of complications.
- Administer medicines ( analgesics, stool softeners, etc.) as ordered.
- Teach client signs and symptoms of infection that should be reported to physician.
- Monitor for signs/ symptoms of complications.
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