类别 全部 - medical - risks - removal - consent

作者:Reshmi Koikkara 10 年以前

206

Condition3P6

The document outlines the process and consent for a laparoscopic appendectomy, detailing the procedural steps and potential risks involved. It specifies that attachments of the appendix will be cut and sealed, and that nearby structures will be checked.

Condition3P6

Educational purposes

Tube-like structure between small and large intestine

Medical record

Risks

Risks to blood/blood vessels

Embolism

This can lead to stroke, pulmonary embolism (blockage of the main artery of the lung), and injury to organs or extremities
An object that moves through my body in your blood stream. e.g. blood clot, bubble, piece of fat.

Bleeding

I may need blood transfusion or other treatment

Damage, blockage, or sudden closure of blood vessels

Wound infection, poor healing, or reopening

Can lead to collection of blood or other fluids at wound sites

Death

Lighted instrument with camera

A larger cut will be used

Physician

Rupture of my appendix

Risks to lungs/heart

Breathing problems

I may need a breathing tube or other treatment

Rapid or irregular heartbeat

Chest Pressure

Chest pain

Pump CO2 into the abdomen

Appendicitis (Pain/infection in the abdomen)

Alternative treatments

Open procedure

Choosing not to have this procedure

Antibiotics

Incisions on the skin

Stitches, staples, and stripes of tapes after the surgery

Spreading of infection

Scope

Benefits

helps

Symptoms in the abdomen

relieves

Pain

removes

Infected organ

Temporary drain after the surgery

Skin on the abdomen over the appendix

Visibility and more room to work

General Risks

Fistula

Abnormal connection between channels in your body

Burning injuries

Caused by instruments and equipment used to control bleeding

Incisional hernia

Weak scar tissue causing tissue to bulge through the cut

Scar (s)

Unattractive appearance
Limit function or range of motion
Painful

Pain, numbness, swelling, or scarring where tissue is cut

I may not get cured

My condition and symptoms may remain the same or worsen

I may need additional tests or procedures

Another source of my problem may be found

Gas can get trapped in tissues

Can effect blood flow and heart function

My doctor may not complete the procedure using a scope

Risks to urinary tract/bowel/intestines

Damage to the intestines and nearby structures

Bladder problems

Urinary tract problems

Damage to the bowel or nearby structures

Bowel obstruction

Leakage of bowel contents at the procedure site

Illness/medical condition

Laparoscopic surgery

during which

Nearby structures are checked
Attachments of the appendix are cut and sealed

Passing tools

Appendix

Hollow tubes (ports)

My consent

allows the presence of

Vendors/technical representatives of medical products
requested by
necessary for

Knowledge of medical products

to provide

Support services

Medical personnel/trainees
to observe

My procedure

with

My physician's permission

to

Advance medical education

allows to perform

Appendectomy

allows to

Film/videotape
approved by

Hospital

My physician

allows to involve in my care

Medical practitioners other than my doctor
to perform

Implanting devices

Harvesting grafts

Altering tissue

Removing tissue

Dissecting tissue

Opening and closing incision

including

Registered nurses

Physician's assistants

Nurse practitioners

Anesthetists

allows the removal of identification, disposal, and use of removed

specifies that I was informed and I understand that

My physician can perform additional surgery if needed
The surgery may not improve my condition
Typical risks for surgeries
Severe life threatening situation
Severe blood loss
Infection