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Title: The home care patient who is scheduled for a laparoscopic cholecystectomy in fou Post by: colleen on Jan 26, 2013 The home care patient who is scheduled for a laparoscopic cholecystectomy in four days asks a nurse, “How can I best promote comfort?” Which of these responses would be most appropriate for the nurse to make?
1. “You will feel better if you sit in a recliner and drink water and try not to eat anything. Do not eat any fat.” 2. “You will feel better if rest in bed and do not eat anything until the procedure. Drink only water and milk.” 3. “You will feel better if alternate lying on your back, then your abdomen. You may eat anything, except fatty food.” 4. “You will feel better if walk as frequently as possible. You may drink coffee, but not soda.” Title: Re: The home care patient who is scheduled for a laparoscopic cholecystectomy in fou Post by: robertling on Jan 27, 2013 1 -- For greatest comfort the patient should sit in the Fowler’s position. Fowler’s position decreases pressure on the inflamed gallbladder. A person in the Fowler’s position is sitting straight up or leaning slightly back. The legs may either be straight or bent. Reduce fat intake to minimize gall ballder contractions and pain. Withhold oral food and fluids during episodes of acute pain. Emptying the stomach reduces the amount of chyme entering the duodenum and the stimulus for gallbladder contractions, thus reducing pain. There is no indication that walking will increase comfort.
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