Following a below-knee amputation, the patient expresses anger about the surgery. What should the nurse do first?

When a patient expresses anger about a surgical procedure like a below-knee amputation, it is vital for the nurse to provide immediate support through therapeutic communication. This involves actively listening to the patient’s feelings and demonstrating empathy, allowing them to process their emotions in a safe environment.

By using therapeutic communication, the nurse can establish trust and encourage the patient to express their concerns and frustrations. This approach not only addresses the emotional impact of the surgery but also helps the patient feel heard and validated in their experience. Engaging the patient in open dialogue can facilitate understanding and coping strategies, which are essential for their emotional recovery and overall wellbeing post-surgery.

Other responses, such as changing the dressing or notifying hospital administration, are more focused on clinical or administrative tasks that do not directly address the emotional needs of the patient at that moment. While documenting intent to sue is a serious consideration, it should not take precedence over addressing the patient’s immediate emotional response. The focus should ideally be on supporting the patient first before moving to other concerns.