Nursing Simulator Choices You Can Go for

 

The diagnostic value of colonoscopy largely depends on the quality of the bowel preparation, which is associated with many factors. It was found that the quality of bowel preparation among patients undergoing inpatients is worse than among outpatients. One study found that hospitalized patients had only 50% adequate bowel preparation.   Therefore, economic losses, associated with inadequate bowel preparation in   hospital are significantly higher due to unsuccessful and incomplete colonoscopies survey, which ultimately can lead to the repetition of studies and increased health care costs.    

The Right Studies

Several studies have suggested educational interventions to increase patient understanding and adherence to preparation instructions and better bowel preparation. -However, these studies have focused on outpatients rather than inpatients. Inpatient status is an independent predictor of poor bowel preparation. Several hypotheses have been proposed about the reasons for poor quality training in this group. Hospitalization due to acute pathology or exacerbation of chronic diseases often leads to poor adherence of patients to instructions for preparation.

The characteristics of inpatients, including age, a decrease in the level of physical activity and a number of concomitant diseases, are closely associated with a decrease in the motor activity of the intestines, which interferes with quality preparation. In addition, living conditions, including the lack of individual sanitary facilities in many hospitals, can lead to poor-quality intestinal cleaning in some patients. Using the Nursing Simulator is important there.

The Appointment for You

There is no doubt that the appointment, including preparations for cleansing the intestines, is carried out by a doctor. However, some patients misunderstand the preparation recommendations and, as a result, find it very difficult to successfully complete the bowel preparation.  Therefore, it is important for the patient to interact with the nurse in preparation for the colonoscopy regarding the correct intake of prescribed laxatives, dietary instructions, and adherence to the drinking regime. Given that the nurse provides primary health care for each hospitalized patient, her role can be critical in inpatient bowel preparation. However, no studies have evaluated the role of a nurse in preparing for inpatient colonoscopy.

·        An important step in the preparation is dietary advice. Two days before the colonoscopy, patients are prescribed a diet that excludes insoluble dietary fiber and includes easily digestible foods (chicken, turkey, fish, potatoes, eggs, butter, cottage cheese, yogurt, chocolate, ice cream, sugar or honey). An important element of high-quality colon cleansing before colonoscopy is adherence to the drinking regime - taking from 1.5 to 2.5 liters of clear liquid per day. The current standard is the use of a two-stage PEG regimen, in which half the dose of the drug (2 liters) is recommended to be taken on the eve of the colonoscopy from 17:00 to 19:00. It is recommended to drink the drug gradually, 1 liter for an hour, 250 ml every 15 minutes in small sips. The second half of the PEG is taken on the day of the colonoscopy from 07:00 to 09:00 in the same mode.