Pacemaker Research Paper

If a pacemaker is implanted to control Greg’s heart rate, he will need or will be forced to make certain life changes to maintain the device. There are many precautions that he will need to take such as keeping electronics a certain distance from directly over the pacemaker and may have other issues in any metal detector situations (Staff, Pacemakers, 2016). In my opinion I think that Greg will be able to play sports again; but, certain sports may be out of the question. Due to the fact of the contact in certain sports, Greg would risk getting hit again putting him as risk for another

One day a couple years ago I was at daycare playing with my friends and it was a normal day. My mom soon called and said that my grandparents had been in a tragic car crash. Their car was totaled and my grandparents were not in good condition. They were soon rushed to the hospital and taken care of. They are doing fine today and still have their up-beat, friendly attitude. If not for those EMTs that were on the scene, sad to say, they probably wouldn’t be here today. I chose this topic because I want to help other become healthy again and to be around for there family. This paper will talk about why I wanted to do this job, other names for an EMT, summary of what an EMT does, the kinds of EMTs and what their specific job is, the qualifications, education path, salary, job findings, jobs related to an EMT, benefits, and if I still consider being an EMT.

In the case of Marion and the pace maker, like that of many cases of elderly patients, there are several factors that need to be understood by both the patient and their family before any decisions can be made, such as in her case, the surgical procedure of implanting the pace maker, the benefits,

Pacing is the balance between activity and rest. An understanding of how to alter routines needs to be developed, using activities of different intensities at different times of the day and ensuring adaquent periods of rest (Pemberton & Berry, 2009; Pemberton & Cox, 2013). Pacing allows the individual to take control and positively plan how energy is used (Action for M.E, n.d) By working within the energy envelope activities can be gradually increased (Jason, 2008).

The patient shows the ability to make her own treatment decisions as she has knowledge of the issues, is capable of making such decisions and there is no sign of coercion in reaching her decision. (cbhd.org, 2008). Margie shows the understanding that the deactivation of the pacemaker may end her life. She has made it known that continued treatment with the pacemaker is no longer consistent with her healthcare goals. (Pozgfar, 2012).

CMS received a request to examine a list of ICD–10–PCS procedure code combinations that describe procedures involving pacemakers to determine if some procedure code combinations were excluded from the ICD–10 MS–DRG assignments for MS–DRGs 242, 243, and 244 (Permanent Cardiac Pacemaker Implant with MCC, with CC, and without CC/MCC). CMS proposed to modify the ICD–10 MS– DRG logic so that if certain ICD–10– PCS procedure codes describing procedures involving pacemaker devices listed is reported in combination with one of the ICD–10–PCS procedure codes describing procedures involving certain leads, the case would be assigned to MS–DRGs 242, 243, and 244. CMS also examined their GROUPER logic for MS–DRGs 258 and 259 (Cardiac Pacemaker Device Replacement with and without MCC, respectively). Assignments of cases to these MS–DRGs also include qualifying ICD–10–PCS procedure code combinations describing procedures that involve the removal of pacemaker devices and the insertion of new devices. They thought their logic was overly complex and felt a more simplified approach would be to create a list of all ICD–10–PCS procedure codes describing procedures involving cardiac pacemaker device insertions.

The issue is whether to respect the family’s autonomy and remove the pacemaker that is prolonging Jeffery’s life and create more suffering, or if this is beneficent. Today, pacemakers are a common treatment for cardiac rhythm problems and can be life sustaining. According to Zellner et al. (2009), “As patients age and

In our case study, the patients and the families are the people affected by the pacemaker. Secondly, we evaluate the best option. This is covered by examining the benefit and cost of everyone affected. In our case study they stated they would like at what would be a viable option. Third, we select the action in the current situation that produces the greatest benefit over the cost for all the affected people. The pacemaker not only affected the customer and the end user and their families but our stakeholders (employees) who have this job producing transistors for the pacemakers. Therefore no longer producing the transistor will also affect your company and the employee moral around the company. Lastly, management has to evaluate the actions based on whether their decision would be a policy for other analogous scenarios.

I chose this team and this topic because I am a nurse who recently started working in a CCU. We take care of cardiac patients, and we have to closely monitor their heart rhythms. So, I would like to learn to better identify dysrhythmias, to improve competency assessments, and to better implement current evidence-based practices.

This is done by the pacemaker being connected to the heart by one or more wires called the pacing leads which are usually attached to the right atrium as this is where the electrical activity is emitted by the Sino atrial node (SA) node. For instance when someone has a slow heart beat (bradycardia) due to the electrical signals not being conducted properly or blocked the pacemaker will send the an electrical signal to the heart initiating a new excitation wave which will re set the heart at a sinus rhythm. Pacemakers act as signal transmitter that interprets the electrical signal then decides whether to initiate another signal such, as if the heart electrical signal was blocked it would lead to cardiac arrest however the pacemaker picks up that no electrical signal has been initiated and therefore generates one in order to keep the heart pumping. In addition to these pacemakers have special sensors that pick up when you are moving and your respiration rate; as if the device doesn’t recognise an increase in body activity it can generate electrical signals for no reason as it think that your pulse rate is to high (tachycardia), this is called the responsive rate and is vital to ensure rhythmic

A heart murmur are harmless, healthy and don’t need a treatment. During a physical exam, doctors know that every child has a heart murmur and can hear the whooshing sound. There are some things that can be abnormal when it can be very damaged by the heart valve which 1/3 of the populations are born with valve problems. This condition is making the heart go faster than it normally would and it can be forced to have the blood goes faster. The causes are anemia, high blood pressure, thyroid, and a fever. Those causes can make the blood flow a lot faster, which can be dangerous if the problems are by the birth defect of the child. The valves open and close by four chambers, two on top and two on bottom. Stenosis, mitral prolapse, congenital, and

Collaborate with your preceptor to interpret your patient’s EKG rhythm and list your patient’s rhythm.  Discuss the implications this patient’s heart rhythm has for circulation.   How does your patient’s specific rhythm impact the physical assessment findings?  What if the rhythm changes:  what would happen if the rhythm became slow, fast, or irregular?  How could these changes manifest in the patient assessment and how would you, as the nurse, proceed?

From the young age of five, I can remember a vivid image of my grandmother lying in the hospital bed. Wires and tubes led to an eclectic collection of machines – all with their unique beeps and boops. The doctor sat next to the bed informing my grandmother and my family of the chemo's progress. The complexity of what I saw inspired me. Thereafter, I began to imagine myself as that doctor who had an arsenal of gadgets and gizmo's that helped him solve problems.

Your new puppy has been active and playful, and gazing into his eyes makes your heart melt. Now, his first checkup has the veterinarian taking an intense and lengthy listen to your puppy’s heart. The doctor concludes this auscultation with the pronouncement that your puppy has a heart murmur. Before you feel your own heart sink with dread, it is important to understand how common, and often harmless, a puppy’s heart murmur is. (Reference 1)

Hopps device not only saved the lives of others, but also himself.38 In 1984 John Hopps received a pacemaker which lasted him a good thirteen years.39 He the passed in 1998.40