Problem
In view of Mrs. Giotta's continued slow deterioration, the surgeon met with the patient and her family, and they agreed to surgery. The surgeon released an 18-inch section of the proximal ileum that had been constricted by adhesions. Several areas looked ischemic, so these were excised, and an end-to-end anastomosis was done. Mrs. Giotta tolerated the procedure well and recovered rapidly from the anesthesia in the PACU. Once on the unit, her recovery was slow but steady. Mrs. Giotta went home in the care of her grandson and his wife on the seventh postoperative day. Discharge plans included home health nurse, home health aide, in home physical therapy, and dietitian consults. The grandson was included in any plans.
A. Mrs. Giotta had a conventional open surgical approach. What post-operative nursing care would you expect following this procedure?
B. What would be different if she had a minimally invasive surgical approach?