Benefits of Early Mobilization for Postoperative Appendectomy

Appendicitis is an inflammation of the appendix are relatively common which can arise without apparent cause or arise after obstruction of the appendix by feces or due to twisting of the appendix or blood vessels. Appendix inflammation causes swelling and pain that can lead to gangrene due to impaired blood supply (Corwin, 2001).

Appendicitis is the most common cause of acute inflammation in the lower right quadrant of the abdominal cavity, as well as the most common causes of emergency abdominal surgery. Approximately 7% of the population will have appendicitis at the same time in their lives, men are more frequently affected than women, and adolescents are more frequent in adults. Although it can occur at any age, appendicitis occurs most often between the ages of 10 and 30 years (Smeltzer and Bare, 2002).

According to Smeltzer and Bare (2002), appendicitis treatment is indicated when the diagnosis of appendicitis has been upheld. Antibiotics and intravenous fluids are given until surgery is performed. Analgesics can be given after the diagnosis is established. Appendectomy (surgery to remove the appendix) as soon as possible to reduce the risk of perforation. Appendectomy can be performed with general or spinal anesthesia with a lower abdominal incision or with a laparoscope, which is the latest method is very effective.

Surgery is a treatment that uses all measures invasive way to unlock or show body parts to be handled. The opening part of the body is generally done by making an incision, after which the part to be handled displayed, performed remedial action that ended with the closure and suturing wounds. The next treatment will be included in the post- surgical care. Surgery or surgery can cause a variety of complaints and symptoms. Complaints and symptoms that often is painful (Sjamsuhidajat, 2002).

Surgery leads to changes in the continuity of body tissues. To maintain homeostasis, the body is a mechanism for immediate recovery of the tissue injury experience. In the recovery process is a chemical reaction occurs in the body so that the pain felt by the patient ( Fields, in Ani, 2010). In the operation process used anesthesia so that the patient does not feel pain during surgery. But after the operation is completed and the patient regained consciousness, he will feel the pain in the body that had surgery ( Wall & Jones, in Ani, 2010).

To prevent postoperative appendectomy complications in patients appendix, the patient must be done in accordance with the stages of early mobilization. Therefore, after having an appendectomy, patients are advised not to lazy to move after surgery, the patient should fast mobilization. The faster it moves, the better, but the mobilization must be performed carefully.

Early mobilization for Postoperative Appendectomy is an important aspect of the physiological function because it is essential to maintain independence (Carpenito, in Fitriyahsari, 2009). Patients feel healthier and stronger with early ambulation. With the move, the muscles of the abdomen and pelvis will be back to normal so that the stomach muscles become strong again and can relieve pain so the patient feel healthier and help gain strength and speed healing (Mochtar, in Fitriyahsari, 2009).

Pain by The International Association for the Study of Pain is a sensory and emotional experience that is not enjoyable, accompanied by tissue damage potential and actual. Pain is a condition that is more than just a single sensation caused by a particular stimulus (Potter & Perry, 2006). Pain is felt in the appendix postoperative patients can worsen the patient's condition and even cause many complications in the appendix.

The main complication of appendicitis is perforation of the appendix, which can develop into peritonitis or abscess. The incidence of perforation was 10 % to 32 %. Incidence is higher in young children and the elderly. Perforation generally occurs 24 hours after the onset of pain. Symptoms include a fever with a temperature of 37.7 ° C or higher, toxic appearance, and abdominal pain or tenderness of the continuous (Smeltzer and Bare, 2002).

Nursing Assessment - Physical Examination for Appendicitis

Risk for Deficient Fluid Volume - Nursing Interventions for Appendicitis