Effective Communication And Time Management For A Patient With An Acute St Elevated Myocardial Infarction

Communication in the healthcare field may be a little different for some people. Healthcare requires the communication to have a purpose, and that purpose is revolved around a person’s needs. A patient with good staff communication during

Cardiogenic shock, according to Werden et al. (2012), is the most common cause of death from an acute myocardial infarction (AMI) and has a chance of mortality from thirty percent to eighty percent. Infarction-related cardiogenic shock (ICS) complicates approximately five to ten percent of acute myocardial infarctions (AMI) and remains the leading cause of death in patients hospitalized from an AMI (Kolte et al., 2014). Kolte et al. (2014) also states that the incidence of cardiogenic shock is higher in patients over the age of seventy-five, and has higher prevalence in women, Caucasians, Asians, and Pacific islanders. This paper will discuss the pathophysiology, clinical manifestations, tools used to diagnose, and therapeutic management of cardiogenic shock.

In accordance with the Nursing and Midwifery Council,(NMC, 2015) The Code Professional standards of practice and behaviour for nurses and midwives on clause 5 Respect people’s right to privacy and confidentiality safeguarding patient information, no names or places will be disclosed. Therefore, throughout the following reflective case study, the patient will be referred to as Mariam. Patient

As teams of two we were requested to complete a number of tests on a client my clients name in this scenario will be called Mrs. R (NMC 2015) patients name will remain confidential as detailed in nmc code. she was a female 50years old who came into the general practitioner with a complaint of not feeling very well, I and my team member and fellow student nurse was given the job of working together to assess Mrs. R’s vital signs

Lack of situation awareness by the nurse and failure to use the SBAR protocol when on the phone to the cardiologists.

I returned to the recovery ward, my patient was still hypertensive and tachycardic and I felt by assessing her non-verbal signals of communication that she was still in great discomfort. After 15 minutes of no improvement I returned to theatre to see the anaesthetist, I explained that I was not happy with the patient’s level of pain and requested that he come to the recovery ward to assess the patient. He reluctantly came to the recovery ward and after spending a few minutes assessing the patient agreed that she was in an unacceptable level of pain and prescribed a further 5mg of morphine which I duly gave to the patient in 2.5mg increments. After this the patients heart rate and blood pressure decreased to pre operative levels, she seemed to be more relaxed and eventually fell asleep. After a further period of time spent continually reassessing the patient and when I was satisfied she was comfortable and haemodynamically stable I discharged the patient back to the ward.

For the purpose of this assignment I have chosen to reflect the care given to a middle aged gentlemen in a hospice setting. In compliance with the Nursing and Midwifery Council (NMC) code of conduct (2008) it is increasingly important to receive full consent to use a patient for this case study. As non-verbal consent was used I will reflect later how this was obtained. Therefore I will go ahead in using this patient however, I will ensure that the patient and place of practice remains anonymous due to confidentiality. Maintaining confidentiality is a significant part to a nurse’s role as stated in the NMC Code of Conduct (2008):

According to the NICE guidelines (2013) as Mr Jones was presented with symptoms associated with a ST-segment-elevation myocardial infarction (STEMI) the recommended emergency treatment that is preferred is percutaneous

As the primary nurse for the patient, I felt it was my responsibility to inform

S.D. is a 38 year old immigrant female from India who was admitted to a community memorial hospital when she was nine months pregnant. S.D. went to the hospital clinic for a prenatal checkup on October, 7th 2014. The nurse took her vitals and all her vitals were normal except for the blood pressure. Nurse relayed this abnormal finding to the physician who advised S.D. to get admitted as this could pose a potential health risk. She stayed in two different units in the hospital during her stay: Labor & Delivery unit before giving birth and the Maternal Post-Op recovery unit after giving birth through a cesarean section. She was subsequently discharged from the hospital on 10/13/14.

It’s the nurse’s responsibility to keep the information private. It would be appropriate for the nurse to inform a person or family member only if they are authorized to have the patient’s information. Divulging patient information may also be appropriate when given permission by the patient to do

There are many races, hurdles, and obstacles to contend with throughout the course of life such as: life itself, family and health. In the realm of Certified Nursing, I have become more intent on knowing more about the lifestyles of the people, and the good and bad results of daily tasks that ensure their happiness. Safety, and the many diseases/disorders that have been encountered by others, can only be counter-acted by better knowledge, resources, and means of assurance in providing ways of increasing the (ADLs). While reading, I came across the disorder of Myocardial Infarctions, and found the information to be remarkably interesting. First of all, I learned that infarctions are commonly known for being obstructions of the blood supply to the organs and tissues; whether by the thrombus or embolous. This obstruction causes tissues to die. ” (Medicine Net, 2015).There’s different kinds of infarctions, such as: Myocardial, Acute, Cerebellar, and Right Ventricular. Therefore, myocardial infarctions are “irreversible necrosis of heart muscle, which are secondary to prolonged ischemia” (emedicine, 2015). Therefore, myocardial infarctions are “irreversible necrosis of heart muscle, which are secondary to prolonged ischemia” (emedicine, 2015).

As a legal and professional obligation the Nursing and Midwifery Council (NMC) (2015) stipulate that all service users must have their confidentiality protected, therefore, the service user in this case study will be given the pseudonym of John.

Permission was consented from the patient to use their condition for this essay; the information was accumulated from their admission, assessment and plan of care. The patient authorized usage of information relating to their period of hospitalisation in agreement that any personal information would not be used. This essay will address this matter in accordance with the Nursing and Midwifery Council (NMC) confidentiality guidelines set out in the Code of Professional Conduct (NMC, 2004). The pseudonym “David” will be used for this reason throughout this essay.

The goal of medical management is to minimized myocardial damage, preserve myocardial function, and prevent complications. These goals are achieved by reperfusing the area by emergency use of Percutaneous Transluminal Coronary Angioplasty (PTCA) or thrombolytic medication. Minimizing myocardial damage is also accomplished by reducing myocardial oxygen demand and increasing oxygen supply with medications, oxygen administration, and bed rest.