A Patient Journey ( Mr Jones ) With Coronary Heart Disease

As a Registered Nurse who knows the duties that his work demands, I have to demonstrate deeper understanding of the Health Directorate's core values of care, excellence, collaboration, and integrity in my professional nursing practice and patient care. To conform to the above mentioned values, I endeavor to appreciate that improving a patient's experience is integral in patient care. This can be achieved by doing away with fear and anxiety that protracts patients' healing process. Enhancement of the communication between my patients and I will also go a long way in hastening their recovery and their self-management.

The following summary is an updated case study of a 47 year old male patient, Jim who was diagnosed with Coronary Artery Disease. The patient did receive information on what CAD is and was informed that test were needed to fully diagnose and be evaluated for underlying conditions (high blood pressure, high blood cholesterol levels, diabetes and blockage. I will discuss the type of test needed for this condition and tests for any underlying conditions that are related to this disease. The type of treatment needed to control and lower his risk factor. I will also give the patient information about complementary and alternative medicine so the patient will be well informed about different types of treatment. The patient will be informed about the prognosis of the disease, and the options that the patient has to succeed in the changes in his lifestyle that are needed.

Mr. Thomas’ has been diagnosed with an acute myocardial infarction (MI). A myocardial infarction is an “infarct of heart muscle caused by occlusion of one or more of coronary arteries” (Frucht, 2012 P.125). The common name for Mr. Thomas’ condition is a heart attack. A heart attack occurs if the flow of oxygen-rich blood to a section of heart muscle suddenly becomes blocked ( ). If the blood flow is not restored quickly, then that section of the heart muscle begins to die. Heart attacks have become the leading killer of both men and women in the United States. The main cause of heart attacks has

First of all, I recognized that I was dealing with humans, and not just dealing with a disease process and application of the nursing process in the aspect of restoring patient health. I was dealing with emotions, and families, and cultural beliefs that influenced individual’s aspects of care. I started to see that health did not just incorporate healing the disease, but also recognized the importance of making sure patient’s felt that their

Coronary artery disease affects the circulatory system. Chemically, this disease develops when blood vessels that are necessary for living become badly damaged. Cholesterol plaques become inflamed in the arteries. The most common signs and symptoms are chest pains which tighten the chest as if someone were standing on it. Shortening of breath also affects those with this disease because the heart is unable to supply enough blood. A major sign of this disease is having a heart attack. This indicates an artery that is completely blocked. This disease is caused by damaging the coronary arteries by smoking, diabetes, high blood pressure or high cholesterol. To diagnose this disease, medical physicians will perform physical exams and examine blood

The right ventricle fills up  tricuspid valve closes  right ventricle contracts  pulmonary valve opens  the blood flows into the pulmonary artery  pulmonary valve closes  pulmonary artery splits into two vessels each going to the lungs.

Coronary Artery Disease, also known as CAD, is the most common form of heart disease. (Heart and Stroke Foundation, 2009) Coronary Artery Disease obstructs the blood flow in vessels that provides blood to the heart which is caused by the buildup of plaque on the artery walls. (Rogers, 2011, p.87) (Heart and Stroke Foundation, 2009) Plaque is a yellow substance that consists of fat substances, like cholesterol, and narrows or clogs the arteries which prevents blood flow. (Heart and Stroke Foundation, 2009) Plaque can build up in any artery but usually favors large and medium sized arteries. (Heart and Stroke Foundation, 2009)

Coronary artery disease (CAD) is the commonest heart disease in the United States1. Approximately, 29% of patients with Myocardial Infarction ( MI ) present with ST- elevation Myocardial Infarction ( STEMI )2. STEMI is the result of complete occlusion of a major epicardial coronary artery due to thrombus formation. STEMI from a small coronary artery presenting as substantial EKG abnormalities similar to occlusion of a major artery and hemodynamic instability is a rare entity. The epidemiology, typical clinical presentation, outcomes, and optimal management in this group of patients are not sufficiently known.

Review the article, “A qualitative study of the psychological experience of patients during and after mechanical cardiac support” from the Journal of Cardiovascular Nursing. Using the worksheet provided, complete a critique of the qualitative research. Each question was worth 1.5 points with a total point value of 240 points. As with every assignment we are to utilize spelling and grammar check to minimize errors, and it should be in APA formatting and citation.

Early recognition of signs and symptoms and taking the right steps to identify, distinguish, and manage subtypes (STEMI and NSTEMI/UA) will improve Mr James outcomes (Bradley E.H., 2006)Recognizing the signs and symptoms such as chest pain or shortness of breath suggestive of an MI and obtaining an ECG as soon as possible (goal of less than 10 minutes following presentation of a patient) should be the standard of practice to manage this patient It has been demonstrated that reperfusion of the infarct-related artery in the very first hour (golden hour) of MI reduces mortality rates (Ayrik et al. 2006, Van de Werf et al. 2008). fact, every 30 minutes of delay time, the 1-year mortality risk increases by (DeLuca et al. 2004).According to triage and first assessment guidelines (Wrightet. al. 2011) Patients who complain of chest pain , pressure , tightness or heaviness require immediate assessment by the triage nurse and should be referred for further evaluation.

A complication from a MI is cardiogenic shock, it is rare but is life threatening when not treated early. Even if Mr Jones is treated for cardiogenic shock early, there is only a fifty percent survival rate (Mayo Clinic Staff, 2014). Signs and symptoms the RN should be aware of for cardiogenic shock include increased respiration rate, shortness of breath, tachycardia, weak pulse, pale skin, jugular vein distension cold hands and feet and decreased urine output. This is due to the heart being damaged and unable pump enough blood to supply the required amount oxygen to the body (Lemone et al., 2017). The RN can increase Mr jones oxygen rate to improve the amount of oxygen being delivered to organs, also maintain the high-fowlers position for

My goal is to become a doctor and do some research on heart disease. I have always been interested in the human body since I always wondered how it works. I was primarily interested in the heart. Heart disease is one of the leading causes of deaths for humans and I want to know why.

“Time is muscle” when it comes to cardiac. Heart attack patients are either non-STEMI or STEMI. STEMI stands for ST-Segment Elevation Myocardial Infarction. In patients who are non-STEMI’s, aggressive antiplatelet therapy is the primary treatment due to a soft clot or platelet plug. In patients that are a STEMI, reperfusion is the primary treatment due to a stable clot. There are two methods of reperfusion that are used: fibrinolytic’s or PCI (Percutaneous Coronary Intervention). For either STEMI or non-STEMI there is supportive medical therapy is used which includes Oxygen, Nitroglycerin, Morphine, Beta Blockers and ACE inhibitors.

It is the time of progress. The time of supercomputers, space shuttles, and many other wonders of technology. We have walked on the moon. We do our shopping at home via Internet navigation.

Cardiac Rehabilitation programme is offered to patients post myocardial infarction. Rehabilitation is defined by the Royal College of Nursing RCN, (2000,pg.3) as re-enablement which means "helping people adapt to changes in their life circumstances." Cardiac rehabilitation is defined by Jowcett and Thompson 1996 cited in Noy (1998,pg.1033) as "the process by which patients with coronary heart disease are enabled to achieve their optimal physical, emotional, social and economic status". Furthermore, it is also defined by the World Health Organisation WHO, (1993) cited in the National Service Framework for coronary heart disease DOH, (2000,pg.3) as the "sum of activities required to influence favourably the underlying cause of the disease, as well as the best possible physical, mental and social conditions, so that they (people) may, by their own efforts preserve or resume when lost, as normal a place as possible in the community". Rehabilitation is a complex activity that requires contributions from many members of the healthcare team. Rehabilitation is a planned, goal-directed activity that requires assessment and re-assessment using standardised measures to monitor progress. It must include patients and their families and friends.