Premium Essay

Essay: Preoperative Fasting

In: Science

Submitted By Norelle5
Words 1844
Pages 8
Trends in healthcare are continually evolving and changing, these fluctuations can oftern have massive implications for nursing practice. How we practice as nurses is often dictated by new policy and guidelines which are brought about by the evolving healthcare system.
For an issue to be contemporary it has to be occurring in the present and in the sense of nursing it would seem that many issues could be deemed as contemporary due to the ever fluctuating nature of our healthcare service.
For the purpose of this assignment I am going to address the issue of pre-operative fasting and the tradition of fasting patients from midnight until surgery the following day. Evidence suggests that this practice is outdated and unnecessary but still the practice occurs on many surgical wards. I aim to explore the reasons why patients are still subjected to unnecessarily long fasting times and how we as nurses can change this outdated practice.

I have chosen to look at this area of contemporary nursing because as a student nurse I have had practice experience in both a surgical ward and general theatre. I feel that having had experience in both of these settings I would be able to link theory to practice experience.

Fasting patients from midnight before day of has long been a time honoured tradition. The main reason for the nil by mouth rule from midnight has been to ensure an empty stomach at time of anaesthesia. If the patient is not fasted, gastric contents could be inhaled by the patient while they are under anaesthetic. Because the contents of the stomach are acidic it is important that regurgitation and inhalation does not occur as this can lead to an inflammatory response within the lungs which can have dire effects for the patient (TUTOR,2006). Although an empty stomach is vital for safe sedation, the time which the patient is fasted for is also of relevance…...

Similar Documents

Premium Essay

Preoperative Skin Preparation Practices

...Preoperative Skin Preparation Practices Michael V. Smith Western Governors University Perioperative Skin Preparation Practices A. Select a perioperative procedure (e.g., routine shaving of the surgical site) that you would commonly find on a surgical floor. 1. Describe the process or procedure you have chosen and why you think it needs change. Surgical site infection accounts for forty percent of all hospital-acquired infection (Griffin, 2005). The Association of Operating Room Nurses (AORN) recommendations provide guidelines for achieving skin preparation of the surgical site. These are practices are achievable and represent what is believed to be an optimal level of practice (Association of Operating Room Nurses, 2002). Variation of the area where the surgical procedure is to be performed may occur, but the recommended procedures for this preoperative skin preparation remains the same. The AORN has recommended seven practices that should be followed for skin preparation prior to surgery. Recommended Practices for Skin Preparation of Patients (Association of Operating Room Nurses, 2002). I. The surgical site should be assessed before skin preparation. II. Whenever possible, hair should be left at the surgical site. I it is determined that hair should be removed; removal should be performed according to policies and procedures in the practice setting. III. The surgical site and surrounding areas should be clean. IV. When indicated, the......

Words: 2710 - Pages: 11

Premium Essay


...Benefits of fasting. 1. What is fasting and can it be beneficial? Many of us know it as a protocol the doctor prescribes before blood testing. 2. For others, it may mean giving up a favorite food for a period of time or not eating food at certain times of the day or year out of respect for various religious holidays. 3. Strictly speaking, fasting is the voluntary absence of food. While the idea of missing even one meal might put most of us in misery, fasting does have many benefits for the body. 4. Fasting has been called the "miracle cure" because the list of physical conditions improved by fasting is long and varied. Cited most often are allergies, arthritis, digestive disorders of all kinds, skin conditions, cardiovascular disease, and asthma. Because fasting initiates the body's own healing mechanisms, any ailment may show improvement. 5. Fasting frees up energy so healing can begin.Fasting is a wonderful antidote for our usual over-indulgences. There's nothing wrong with enjoying our food, but excess food on a continuous basis does create a burden for the body. When it must handle more than is comfortable and appropriate for it, it will suffer. 6. Imagine at work how you feel when you're handed a huge work load--more than you can handle in your 8-10 hour day, more than is comfortable and appropriate for your job title (or salary level). You're under duress. But you will cope. You must cope. You must make decisions. You attend to the most important......

Words: 1104 - Pages: 5

Premium Essay

Is Fasting the Best Way of Diet?

...» April 22, 2011 — Ritual fasting has been part of religious traditions for thousands of years, from Muslims who fast during daylight hours in the month of Ramadan to Mormons who take a regular break from food the first Sunday of each month. But a recent growing body of research shows that abstaining from food intermittently may have physical as well as spiritual benefits — the latest, a study from Utah researchers that found that occasional fasts (defined as extended periods of time in which people generally abstain from all food and drink except for water) may reduce the risk of heart disease and diabetes. Google “fasting for health” and you’ll get more than 7 million hits, ranging from doctors who recommend it in their practices to treat a range of diseases, spas that promise detoxifying food-free vacations, and message board postings from devotees who say that fasting makes them feel clearer mentally and more fit. “I fast whenever my body feels like it needs a reboot,” says Yoli Ouiya, 31, a New York City blogger who writes about eco-friendly living. She fasts once every few months. But is fasting a good idea for your health? Possibly, says David Katz, MD, MPH, director of the Prevention Research Center at Yale University. Every day, organs such as the liver, kidney, and spleen work to remove and neutralize toxins from the body to keep our cells healthy. “When you fast, you eliminate input of additional toxins from food,” says Dr. Katz, “and there is a potential......

Words: 3269 - Pages: 14

Premium Essay

Managing Anxiety in Parents of Preoperative Children Ages Birth to Three

...Management of Parental Preoperative Anxiety Walden University NURS4000, Section 01, Research and Scholarship for Evidence-Based Practice October 6, 2013 Management of Parental Preoperative Anxiety When a child requires surgical intervention, the process can be a stressful and frightening experience for the entire family. Some parents express feelings of guilt along with anxiety over having to subject their child to invasive procedures. Though our facility offers a preoperative program for families, it is limited in age for those 4 – 12 years old and healthy. The purpose of this assignment is to give information on a change in practice aimed at adequately managing preoperative anxiety of patients and families not eligible for the traditional preoperative preparation offered. The Problem As part of preoperative preparation in the pediatric population, healthy children ages 4 - 12 and their families are offered a developmentally appropriate Child Life preparation class. Given by the certified Child Life Specialist, this is an interactive program aimed at helping children and families understand what to expect during the preoperative, operative and postoperative periods, it consists of hands-on medical play, educational games, and a tour of the operating and recovery rooms. A week before the scheduled surgery, a Registered Nurse will contact the all families via telephone and conduct a health review along with giving preoperative and arrival instructions....

Words: 1591 - Pages: 7

Premium Essay

Preoperative Fasting

...Preoperative fasting: Is it based on evidence? The rule ‘Nil by Mouth’ from midnight is used traditionally to ensure that the stomach is empty prior to induction of anaesthesia. It is clearly stated that during induction of anaesthesia, the protective laryngeal reflex is diminished, which maximises the risk of pulmonary aspiration. Even in the early days of the anaesthetic era, most people understood that prior to surgery, no intake of solid food was to be consumed. (Ljunggvist&Soreide, 2003) Ljungvvist&Soreide (2003) explains that surgical authorities recommended that patients have fluids containing carbohydrates, for example, beef tea, during the preoperative period. In spite of this, later studies revealed anaesthetic related aspiration. This resulted in progressively firmer rules for preoperative fasting, in which case patients were informed not to consume solids and liquids prior to sugery- ‘Nil by Mouth’ from midnight. (Ljunggvist&Soreide, 2003) Over the past two decades, authors have questioned the need for such intense fasting regimes. Following this, studies have been completed, which showed that guidelines which are less intense can be used to benefit the patient. (Ljunggvist&Soreide, 2003)Ljunggvist&soreide (2003) explain that following the studies, healthy adults who are undergoing surgery, can consume clear fluids up to two hours prior to surgery. However, this does not apply to people who have got gastrointestinal deficiencies or diabetes.......

Words: 1647 - Pages: 7

Premium Essay

Screening and Decolonization of Mrsa in the Preoperative Patient

...Screening and Decolonization of MRSA in the Preoperative Patient Suzanne Miller Aspen University HUM410 Abstract Staphylococcus aureus is the most common organism responsible for surgical site infections. The colonization of Methicillin-resistant staphylococcus aureus (MRSA) has been identified as a significant risk factor for patients undergoing orthopedic surgery, putting this patient at a higher risk of developing a surgical site infection. Screening preoperatively and treating colonization is a tool to aid in the prevention of surgical site infections in patients undergoing elective joint surgery. Results of various studies of patients undergoing elective joint replacement surgery have been reviewed. A nasal swab was obtained and cultured during preadmission testing. If the culture showed that the patient was positive for MRSA colonization they were treated with nasal mupirocin. They also were instructed to bathe with surgical wipes containing chlorhexidine prior to the procedure. The results of the research suggest that the use of a screening protocol prior to surgery can decrease the risk of MRSA in the postoperative patient. Table of Contents 1. Literature Review........................................................................................................................4 2. Discussion....................................................................................................................................7 3. Conclusion................

Words: 2617 - Pages: 11

Premium Essay


...Committing to a Fast Beginning a Fast Prayer: Father, I consecrate this fast to You and set my mind to gain understanding in these matters for which I am concerned. (Write your concerns out and keep them before your eyes. Do not lose sight of the reason for your fast). I humble myself before You, Most High God. In accordance with Daniel 10:1-3, I will eat no _________________ for the period of _________________________. I obey the words of Jesus by putting on festive clothing, so that no one will suspect that I am fasting. Father, You know every secret, and I look to You for my reward. I am assured that You hear me when I pray according to You will, and I know that I shall have the petitions that I desire of You. Father, I delight myself in You, and You cause my desire to be agreeable with Your will. I choose the fast You have chosen: to loose the chains of injustice and untie the cords of the yoke, to set the oppressed free and break every yoke. I share my food with the hungry and provide the poor wanderer with shelter. When I see the naked, I will clothe him, and I will not turn away from my own flesh and blood. Then my light will break forth like the dawn, and my healing will quickly appear, then my righteousness will go before me, and Your glory, Lord, will be my rear guard. Father, thank You for cleansing me - spirit, soul, and body. All my ways seem innocent to me, but my motives are weighed by You, my Lord and my Master. I commit this fast to You, and my......

Words: 522 - Pages: 3

Free Essay

Perioperative Fasting

...Introduction Preoperative fasting is an experience which each individual must endure before entering the operating theatre. Fasting is an essential step. The purpose of fasting is to empty the stomach to reduce the risk of aspiration (Hamlin et al, 2009). Even though I am just a first year student with very little experience, I have already seen some conflicting recommendations regarding this subject. While working in the ward, nurses encouraged preoperative fasting to start at midnight which was different to what we learnt in our lectures, in which a preoperative fast of 4-6hrs was recommended. Guidelines for Preoperative Fasting. In 1999, the American Society of Anaesthesiologists (ASA) implemented preoperative fasting guidelines to help develop a high standard of patient care. These Guidelines propose that healthy patients have to fast six hours from solids and two hours from liquids. The current outstanding guidelines for elective patients and their Minimum fasting period in hours are: Clear liquids 2 hours, Breast milk 4 hours, Infant formula 6 hours, Non-human milk 6 hours, light meal 6 hours and regular meals 8 hours ( Blanchard, 2012). Even though these guidelines are in place, many studies have shown that hospitals are still using “NPO after midnight” without taking into consideration a patients characteristics, the procedure they are getting done or even the time the procedure is taking place. The guidelines for preoperative fasting in elective patients do not......

Words: 1540 - Pages: 7

Free Essay

Media Fasting

...Major Kennedy Professor Tucker HMXP 102 Media Fasting Essay #3 Fasting from social media or any type of media for a whole twenty four hours is pretty hard. During this time of pure meditation from the digital world was a good way for me to understand, why we need media and why it’s also not needed. Since I was born, I’ve always been surrounded by technology, even the earliest stages of the internet. Most of us today use social media, television, or even our phones to obtain news and information around us. Personally I couldn’t tell you the last time I read a newspaper to know what’s going on in my community. Media is making our lifestyles a microwavable generation where everything is quick and handed to us. Not knocking technology or social media because I feel like it’s much easier to get information in the palm of your hand. But one thing I notice about using too much technology is that we are slowly losing face to face communication skills. More people use texting as a main source of communication and I’ve seen my peers write essay papers like the way they text which isn’t a good trait to obtain. By doing this fasting from technology, I felt at peace for a while, felt like I didn’t have worry about people or the world. Sometimes we don’t even realize how stuck on our phones we be or even the fact that we check our phones even when no one has called or text us. Media is influencing us in our everyday lives, by commercials, reality shows, and even game shows.......

Words: 1237 - Pages: 5

Free Essay


...Intermittent Fasting Martin Kajtazi UWRT 150 – Writing Seminar, Rochester Institute of Technology Croatia Abstract Lately, people have been talking more and more about trying to live a healthier life. Majority of people are trying to be more productive in their business carriers and life in general. That’s where the Intermittent Fasting comes in, or the eating method which restricts the eating window to 8 hours per day. Many scientists and well recognized nutritionists have researched this method and came up with great results. They discovered that fasting promotes not just the fat loss, as other “diets”, but also improves physical performance and psychological processes such as memory and focus, all while providing better protection to the brain. Fasting lifestyle has been proved successful and implemented in many top athletes’ lives throughout the world. Other than biological benefits, fasting showed how well it could be incorporated with time management of someone who is trying to be more productive and efficient in every day life. Intermittent Fasting “Breakfast is the most important meal of the day” – statement claimed by the majority of doctors today, but I’m afraid, not everyone understands the meaning of the word “Breakfast”. The word literally represents the meal by which you break your current fast, or a not eating period. It doesn’t say anywhere when it should happen. People are, not knowingly, fasting every day, usually when they are asleep – since......

Words: 2342 - Pages: 10

Free Essay

Ramadan, the Month of Fasting

...Ramadan, The Month of Fasting Islam has relatively few holidays compared to most other religions, nevertheless, their sacred days and times are very important to Muslims. One of the most important and honorable holiday for all the faithful Muslims all over the world is Ramadan. It is a holy month of fasting. In Islam, all adult Muslims must fast in this month. During Ramadan, Muslims fast from dawn to dusk each day. They are supposed to avoid eating, drinking, smoking and sexual activity, as well as unkind or impure thoughts and words, and immoral behavior. Fasting for Muslims during Ramadan typically includes the increased offering of prayers and recitation of the Quran. The meaning of fasting is spiritual growth of the person, rethinking all the actions, the choice of priorities of the life. It is very important for them, because they believe that during this month, their sins are forgiven by God. Anyway, fasting for Muslims is, first and foremost, the opportunity to remove from the forbidden things and determine the true values of life. Even if the Muslim is unable to fast for valid reasons, he can compensate it. He should feed the poor or help the needy for each day of fasting. The sick and elderly, along with travelers, pregnant women and those who are nursing are exempt, although they are supposed to make up for the missed fast days sometime in the future or help feed the poor. The conclusion of Ramadan is marked with a major celebration, its name is the holiday......

Words: 315 - Pages: 2

Premium Essay

Essay Advantages of Fasting

...1. ------------------------------------------------- Question quizzes of history Malaysian 1 -It is a kind of net like folded pancake served with a thin chicken curry. Much loved and enjoyed by young and old usually at breakfast. Do you know what it is? ------------------------------------------------- A Roti jala B Dhal C Nasi Goreng D Mee Goreng 2- It was once ruled by a white rajah. It is also on Borneo Island. It is the largest state in Malaysia. A Kelantan B Terangganu C Sarawak D Brunei 3-The King of Malaysia is known in Malaysia as: A The grand sultan B The perdana menteri C The grand emir D The yang dipertuan agong 4- This is the only state established after independence. Its name in English means 'Federal Territory'. It is the home of both Kuala Lumpur and Putrajaya. A Terengganu B Negeri Sembilan C Wilayah Persekutuan D Malacca 5-What nation’s flag does the Malaysian flag design resembles most closely? A United states B Indonesia C United Kingdom D Saudi Arabia 6-The highest mountain in Malaysia is ________. A Mount Mulu B Mount Jambul C Mount Titiwangsa D Mount Kinabalu 7-This is the southernmost state in Malaysia. During World War II, the Japanese launched their invasion of Singapore across the straits which also carries the state's name. A Malacca B Johore C Negeri Sembilan D Selangor 8- What are the four colours that appear on a Malaysia's......

Words: 300 - Pages: 2

Free Essay


...The "key" of fasting to receive God's authority in His kingdom, will be covered in this teaching. The Lord said He would give us the "keys to the kingdom." What did He mean by that statement? Keys to the kingdom are actually keys of authority. Matthew 16:19, "And I will give unto thee the keys of the kingdom of heaven..." KEYS OF AUTHORITY When Jesus becomes our Lord, we are automatically transferred from the kingdom of darkness into the kingdom of light. Colossians 1:12-13 says, "Giving thanks unto the Father, which hath made us meet to be partakers of the inheritance of the saints in light: Who hath delivered us from the power of darkness, and hath translated us into the kingdom of his dear son." Now that we have a new king and live in a new kingdom, we must understand "kingdom principles" if we are to be victorious Christians. We cannot overcome until we have the keys that unlock the kingdom of heaven. The Lord never meant for us to wait until we die to experience heaven but purposed for us to bring heaven to the earth through the power of His Spirit. "Fear not, little flock; for it is your Father's good pleasure to give you the kingdom" (Luke 12:32). We are unable to receive God's healing, provision and blessing if we do not know the keys the Lord has given us to accomplish kingdom living. Keys represent authority in the Kingdom of God, and authority is gained by using them. Fasting is only one of the keys to the kingdom; others are prayer, praise, worship,......

Words: 4456 - Pages: 18

Premium Essay

Pre-Op Fasting

...Abstract This paper examines and analyzes optimal fasting before elective surgery by examining clinical study information to determine if optimal fasting is necessary and, if so, what effect this has had on patient risk and morbidity. Research is obtained from sources and studies that have collected data from observation and surveys, and fieldwork studies are also included. Information is also taken from various specialists in the field of anaesthesiology. The primary objectives of the data-gathering throughout the course of the paper will be to obtain information that can determine if optimal fasting is the best standard to implement, whether there are any correlations between pulmonary aspiration and optimal fasting, and if a new standard should be implemented that lessens fasting time. Outline Introduction Problem Statement Purpose of Research Research Objectives Research Methodology Research Design Data Collection Sample Design Field Work Data Analysis Limitations of Research Literature Review Application of Findings Implementation Conclusions Bibliography Appendices From the Paper "During a study conducted in 2002 (Crenshaw & Winslow), surgical patients revealed that they were thirsty and hungry after having fasted for 12-14 hours prior to surgery. However, guidelines issued in 1999 by the American Society of Anesthesiology (ASA) ( allow for the consumption of liquids as close as two hours before surgery and a......

Words: 267 - Pages: 2

Premium Essay

Benefits of Fasting

...Benefits of Fasting Fasting is a period of absentness from all food and drinks. Many people around the world have their own reasons on why they are fasting. Some of them fast because it’s a must according to their religions, while some of them fast because they want to have better health. Fasting can give a lot of benefits to individuals such as a great physical health, reduces stress, improves mental clarity and focus and also cure diabetes. One of the benefits of fasting is fasting can improve one’s physical health. According to Allan Cott, M.D an expert from the United States, fasting can help people look and feel younger. This is because fasting helps in detoxification to removes waste, toxins or poisons from the body, rejuvenate the body’s cells and replace cells that have been damaged with the new ones to make the skin look younger. Besides , fasting can improve the function of hormones, making the skin healthier and decrease the aging of the skin (M.Elson, 1984). Fasting can also improve one’s physical health by give out energy so the healing process can begin. This process happen because when we fast, we stop taking glucose and give our digestive system some rest so that it can produce more energy to heal our body. Alvenia M.Fulton, Director of the Institute for Health Body states that, by digesting, assimilating and metabolizing, our body system require a great deal of energy. Therefore, by fasting, we rest our digestive system because the food we take...

Words: 787 - Pages: 4

Car Rear Back Seat Cover Pet Dog Cat Auto Protector Waterproof Hammock Mat UK | Switch - Ein mörderischer Tausch | For Fujifilm Instax Mini 8 9 50 70 90 Camera Fuji Instant Color Film Photo Sheet