Myocardil Effusion

4228 Words17 Pages
The aim of this essay is to explore an acute deterioration in the health of an adult I have encountered during a clinical placement, in an acute care setting. The essay will begin with a definition of acute care, followed by the introduction of my patient and predisposing factors. This essay will include an explanation of the significant pathophysiological changes and related clinical manifestations and a critical analysis of the nursing interventions implemented during the acute episode of care, focusing on holistic care, rationale and evidence base. It will then describe the actual deterioration in the patient’s condition, and discuss the nurse’s role in the recognition and assessment of the actual deteriorating condition following the…show more content…
According to the framework, CHD is common frequently preventable and largely fatal (CHD NSF 2006), it is responsible for more 84,600 deaths in England in 2009, including 26.4 per 100,000 under the age of 75. Age is important as the target for reduction in mortality from CHD, stroke and related disorders of 40% of the year 2010, established in Saving Lives: Our Healthier Nation (DoH 1999), referred to the under 75 age group. The key areas identified for intervention in the national service framework are: reducing smoking, promoting healthy eating, promoting physical activity and reducing obesity, although several other factors are known to contribute to the development of CHD. Smoking has long been known to be a factor in the development of CHD. According to Smeltzer and Bare (2000), smoking decreases blood flow to the extremities and increases heart rate and pressure via stimulation of the sympathetic nervous system, causing vasoconstriction. In addition, it raises the chances of clot formation by increasing the aggregation of platelets. Campbell (2006) suggests that the toxic components of cigarette smoke damage the endothelial lining of the blood vessels, which may initiate the development of atherosclerosis. Because carbon dioxide from the cigarette burns readily with haemoglobin, it deprives oxygen of
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