Learn more Check out. Abstract Abstract Most patients consider breast reconstruction an essential part of total breast cancer management. Citing Literature.
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Volume 60 , Issue 2 August Pages Related Information. Close Figure Viewer. Browse All Figures Return to Figure. Previous Figure Next Figure. Email or Customer ID. Returning user. Forgot your password? Forgot password? Old Password. New Password. The student will recognize, evaluate and describe the management of traumatic and non-traumatic surgical emergencies, such as acute trauma, acute abdomen, acute arterial insufficiency, ruptured aneurysm, acute bleeding, acute severe surgical infections and abscesses and other similar surgical emergencies. The student will demonstrate a basic working knowledge of surgical emergencies commonly seen in infants and children, such as pyloric stenosis and malrotation.
The student will successfully demonstrate directed history and physical examinations on the surgical patient, with emphasis on preoperative planning and decision-making. This will include specialized examinations related to surgical disease, such as breast examinations and vascular examinations. The student will discuss the indications and techniques of basic surgery-related invasive procedures including surgical airway control, CVL placement, needle and tube thoracostomy, suturing of minor wounds, placement of nasogastric and urinary drainage tubes and venous cutdown.
The student will perform basic preoperative and postoperative care of uncomplicated surgical patients under appropriate resident or faculty supervision.
Plastic and Reconstructive Surgery, An Issue of Perioperative Nursing Clinics, Volume 6-2
This includes fluid and medication management, wound and drain management and nutritional support. The student will recognize postoperative emergencies and complications, including wound infection, wound disruption, atelectasis, uncontrolled postoperative pain, analgesic overdose, severe electrolyte abnormalities, postoperative renal or pulmonary failure, pulmonary embolus and postoperative bleeding. The student will describe the applied anatomy, pathophysiology and treatment of common surgical diseases, such as cholecystitis and other biliary tract disorders, appendicitis, diverticulitis, solid-tumor malignancy, atherosclerotic cardiovascular and peripheral vascular disease, hernia, gastroesophageal reflux and bowel obstruction.
The student will scrub in surgery and assist in surgical cases and surgical endoscopy as directed ordinarily at the second assistant level. The student will demonstrate conduct appropriate for a medical professional, including appropriate interaction with other health care team members, patients and families.
This includes appropriate dress, punctuality and responsible conduct on the clinical service and in conference. The student will describe disparities in health care delivery and specific health care system and delivery issues related to surgery, such as disparity in care between insured and uninsured, cancer screening, regional differences in cancer care, management of the non-English speaking patient and trauma care systems issues. The student will present surgical patients in a forum of other physicians, utilizing appropriate evidence-based medicine techniques.
By initiating the discussion, clinicians have the potential to detect sexual dysfunction and to refer adequately when necessary, thereby improving overall quality of life of their patients [ 3 , 26 , 32 ]. The strength of this study includes the fact that it is the first nationwide survey on this subject and that we have reached a significant number of plastic surgeons from different fields. Limitations include the moderate response rate and number of missing data. The national plastic surgeons society permitted us to send only a single mail, which may partly explain the moderate response rate.
Still, the response rate is comparable to other survey studies [ 10 ]. Therefore, plastic surgeons without interest in sexuality may not have responded, possibly making our findings less generalizable. In-depth interviews could help gaining a better understanding of the difficulties plastic surgeons encounter when they start talking about sexuality. An example of such a study could be a pan-European study. At the end of the present survey, the proportion of missing data increased, most likely caused by the length of the survey and the detailed questions.
Surgeons who do not integrate sexuality in their professional practice may have been less likely to complete the survey. Based on the present findings, a future survey should be shorter and cover the main topics only. In plastic surgery practice, sexuality appears to be a rarely discussed subject with gender and genital surgery subspecialties as the exception. Although scholars and patients emphasize the importance of sexuality in postoperative quality of life, plastic surgeons express limited urge to be trained in this subject and prefer patient information and referrals.
To improve early detection of sexual issues and create a safe space for patients to discuss the topic with their surgeons, the authors stimulate more education on sexuality during plastic surgery training. Rieky E.
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Krouwel, Mahsa Ghasemi, Tim C. Ritt, Henk W. Elzevier, and Margriet G.
Mullender declare that they have no conflict of interest. Skip to main content Skip to sections. Advertisement Hide. Download PDF. Discussing sexuality in the field of plastic and reconstructive surgery: a national survey of current practice in the Netherlands.
Open Access. First Online: 18 August Background Patient-reported outcomes have become increasingly important to assess the value of surgical procedures.go to link
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Methods We developed a survey to assess whether topics pertaining to sexual function were discussed during plastic surgical consultations. Results We received completed surveys Conclusions In plastic surgery practice, sexuality appears to be a rarely discussed subject, with the gender and genital surgery subspecialties as the exception. Level of Evidence: Not ratable. Introduction Health care is increasingly being assessed by the outcomes as experienced by patients.
Development of the survey The authors developed the survey in line with a previously developed instrument of similar kind [ 10 ].
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The survey comprised 34 items, which focused on the background and experience of the plastic surgeon, as well as their practice related to discussing sexual functioning with their patients, their preferences with regard to sexuality training, and their interest in other sexuality support. The final survey included the following sections: 1 A demographic sheet assessing professional background including interest areas within plastic surgery, clinical setting , years of experience in plastic surgical practice, gender, and age.
Participants From a total of members of the Dutch Society of Plastic Surgery, plastic surgeons and residents returned a completed survey Two responding plastic surgeons stated they did not complete the survey because they considered the subject not applicable to their practice. The median age of the participants was 44 range 29—66 years and Areas of interest and clinical settings are displayed in Table 1. Most respondents Both during preoperative informed consent consults as well as during clinical follow-up visits after surgery, sexual function was rarely or never being discussed When looking per subspecialty, plastic surgeons specializing in genital or gender surgery stated that they discussed sexuality with almost all patients.
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When focusing on breast surgery specifically, cosmetic surgeons stated they rarely or never discussed sexuality with patients opting for breast reduction In addition, More than half of the respondents Twenty-six of the respondents mentioned they had referred at least one patient to a specialized sexuality care professional. Table 2 Discussing sexuality with patients. Table 3 In the past year, with which percentage of your patients did you discuss topics related to sexuality per subspecialty.
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Table 4 Discussing sexuality with breast surgery patients. Open image in new window. Almost half of the respondents Although not applicable to all patient groups, oncological nurses and the oncological surgeon were also thought to have a responsibility to discuss the topic with the patient Fig. Only 6.
The majority of the respondents