Caring For The Client With Post Cardiac Trauma Syndrome

Criterion B. Eight (or more) of the following symptoms are currently present that were not present before the traumatic event or have worsened since. Maria meets eight of the following criteria.

Post hospital stay and admission of the cardiac patient post cardiac event will be provided education on cardiac rehabilitation programs. The length of cardiac rehabilitation programs differ according to the cardiac patient’s condition, cardiac health needs the patient requires and the cardiac event the patient has encountered. Cardiac rehabilitation programs are provided in an outpatient clinic or may also be implemented in the cardiac patients home. Cardiac rehabilitation in a patient’s home is inclusive of, telephone support, online Heart Education Assessment and Rehabilitation Toolkit (HEART), and home visits from services in the community, (Recommended Framework for Cardiac Rehabilitation, 2004). Cardiac rehabilitation programs require expertise from a range of professionals from the multidisciplinary team including, a cardiologist, a cardiac rehabilitation nurse, physician, dietician,

To determine if the patient’s chest pain is related to injury, you would look for ST-segment elevation. Myocardial injury represents a worsening stage of ischemia. If ST-segment elevation is greater than or equal to 1mm above the isoelectric line, it is significant and treatment needs to be prompt and effective to try to restore oxygen to the myocardium, and to avoid or limit infarction. The absence of serum cardiac markers confirms that infarction has not

Chest pain, dyspnea (especially on exertion), orthopnea, cough, fatigue, cyanosis or pallor, edema, nocturia, history of cardiac problems, family history of cardiac problems, cardiac risk factors, & current medications.

In the book Soldier’s Heart by Gary Paulsen, Charley Goddard says, “I have got to become a man sometime.” Charley, a boy about 15 years old, lives on a farm with his ma, and his little brother Oran. His dad will not come around anymore because he gets kicked to death by a horse that goes mad.The horse goes mad because a bee lands on it. Charley wants to me a man and grow up, so he continues to ask his ma if he can join the army. His ma lets him join the army because she thinks the war will quickly come to an end, but little does she know it will not. Charley joins the war, and comes out with a soldier’s heart. A soldier’s heart represents the soldiers that come home looking different or acting different from when they first left. Also known as PTSD, which goes by Post Traumatic Stress Disorder. Charley develops from a boy looking for adventure into a young man with a “soldier’s heart” because he

Current symptoms or indicators: Recently admitted to emergency room with heart attack symptoms. Chest pain, inability to breathe and irregular heartbeat Client has admitted he is scared

It will be important to conduct the trauma based assessment as early as possible. However, it is vital that a therapeutic rapport be established with the client before proceeding in asking questions regarding the trauma. It takes time for a traumatized individual to trust and be willing to disclose their experiences. When it is felt that the client is ready it is important to let the client know that they have the right to not answer questions. It is important to discuss why we are asking the questions and ensuring the client that we have their best interests in mind and can provide them with a safe and secure location to work through the trauma.

Symptoms can start at any time after the traumatic event, from within the first month to several years after. These symptoms can interfere with a person’s ability to go about their daily life affecting

When looking at the direction the Criminal Justice System should take in reference to the future, one needs to look into the past. This is a concept that most governmental bodies fail to due adequately. The saying “history repeats itself” is a proven fact which is ignored over and over. The military is a clear example of this as it relates to our veterans. The most ignored aspect of the military is the re-introduction of the returning veteran into the community. This aspect has now become a growing issue in the criminal justice system and will continue to grow as we fight the war on terror around the world.

Many times change is a huge challenge, as the trauma can almost feel like their friend, as it is the only feeling they can feel, and if that goes away, they would not have anything. This is called emotional numbness and it is very elusive and confusing, and just little steps in testing this out is what can work for them to see it is OK to let the trauma go.

Avoiding people, places, conversations, objects, and situations that might be associated with the trauma event.

PTSD is complex because of how and why it evolves. In Sam’s case, his PTSD could have evolved into other mental health challenges if he had been exposed to trauma in his past. To illustrate, if he was abused as a child and did not have supports post trauma, he could have struggled more with the recovery process. PTSD is unpredictable, and those affected by it will respond differently. Many factors contribute to whether or not someone will develop PTSD. For instance, people’s risk factors, social determinants of health, past history, and experiences all impact ones ability to cope. This is because of the support systems that are included in ones life, and how a person develops their resilience and hardiness.

A person's symptoms can provide important clues to the presence of heart failure. (Cadwallader p. 1143). Some of these include: JVD, SOB, frequent coughing when lying down, edema, acites, fatigue, syncope, vertigo, and sudden death. (Cadwallader p. 1142).

Percuss at the anterior axillary line and continue toward the sternum along the fifth intercostal space. The sound changes from resonance to dullness over the left border of the heart, normally at the midclavicular line. Percussing is used to help locate cardiac borders. It is important to know that the right border of the heart is usually aligned with the sternum and can't be

Once at the hospital tests will be done to rule out other chest pain related causes. The first test that will be done is an Electrocardiogram or an EKG, which records the hearts electrical activity. Damaged heart cells are not able to produce electrical impulses which will produce abnormal EKG results. Elevations in the ST waves on an EKG are classified STEMI and are present in over ninety percent of myocardial infarctions who had a complete occlusion to an artery (Cardiac Emergencies, n.d.). NSTEMI is where there is no elevation of the ST wave and is indicative that a full occlusion has not occurred (Cardiac Emergencies, n.d.).