Janet Jackson is a 40 year old woman. She is a single parent with three teenage children. She has been experiencing symptoms which has led to a diagnosis of uterine fibroids (leiomyomas). Janet has a...

Janet Jackson is a 40 year old woman. She is a single parent with three teenage children. She has been experiencing symptoms which has led to a diagnosis of uterine fibroids (leiomyomas). Janet has a history of depression and is a heavy smoker.
Janet was admitted to hospital for a vaginal hysterectomy via spinal anaesthesia. After 2 hours in the post-anaesthetic recovery room (PARU) she was transferred to the ward. She has an indwelling urinary catheter insitu and patient controlled analgesia.
PRESENTATION TO THE WARD:
On return to the ward Janet’s observations are as follows:
• Respiration rate 30 per minute
• BP 90/50mmHg
• Pulse 130bpm
• Temperature 36.5oC
• Pain 0/10
• Indwelling urinary catheter insitu with 10mls of urine output for the last hour
It is planned for Janet to be discharged after two days on the ward.
QUESTIONS TO BE ADDRESSED:
In relation to Janet Jackson:
• Discuss the aetiology and pathophysiology of the patient’s presenting condition (LO1; LO3).
• Critically discuss the underlying pathophysiology of the patient’s post-operative deterioration. Prioritize, outline and justify the appropriate nursing management of the patient during this time (LO1; LO2; LO3; LO5: LO6)
• Identify three (3) members of the interdisciplinary healthcare team, apart from the primary medical and nursing team, who you would involve in the care of the patient before their discharge and provide justification for their involvement. (LO1; LO4: LO5; LO6)