Post Operative Education For A Coronary Artery Bypass

There will be a need for additional catheterization labs, surgical suites and expanded cardiac rehabilitation programs. There needs to be better coordination of care to ensure timely scheduling of procedures. Education programs need to be developed emphasizing cardiac risk factors, healthy living and lifestyle modifications.

I work in the coronary care unit. Coronary artery disease is the most common chronic disease I see in my patients. According to American Heart Association, heart disease is the no. 1 cause of death in the United States, killing over 370,000 people a year (Heart and Stroke Statistics, 2015). It also states that about 750,000 people in the U.S. have heart attacks each year among them, about 116,000 die. It is scary to know that cardiovascular disease claims more lives each

Providing patients diagnosed with Congestive Heart Failure effective teaching can eliminate reoccurring hospitalizations. Patients are discharged with CHF and readmitted within 30 days. The information provided will examine the process of enhancing patient knowledge and provide additional resources essential for effective health care management. Research evidence provides data that proves patients who are diagnosed with CHF needs a variety of health care needs during admission and after discharge. The proposal will display an evaluation plan, implementation plan and a dissemination of the

Mr. Howard, a 57-year-old man, had a 3-month history of progressive typical anginal chest pain. He reported that the symptoms first occurred with heavy exertion and involved what he described as“heaviness” in his chest. The symptoms were promptly relieved with rest. Over the past weeks, he had been experiencing increasingly frequent episodes of chest pain and diaphoresis. The episodes had become more prolonged, and he had experienced one episode of pain occurring at rest after a heavy meal. Mr. Howard was moderately obese and had a 20-year history of hypertension, which was being treated. Other risk factors in Mr. Howard’s history include hypercholesterolemia (350 mg/dL), which he was attempting to treat with dietary modifications, and a 30-year two-pack-a-day smoking history which continued up to the present time. Mr. Howard previously had surgery for a bilateral inguinal hernia repair, cholecystectomy, and arthroscopic surgery on his left knew. He also gave a history of problems with gastric reflux and was currently taking cimetidine (Tagamet).

(Mayo Clinic, 2013) Some surgical procedures used to treat CAD are angioplasty and coronary artery bypass surgery. (Mayo Clinic, 2013) The angioplasty surgery is when your doctor inserts a catheter to the blockage in the artery and threads the wire through the narrowed arteries. (Opening blocked coronary arteries: New questions about the old answer, nd., p.2) Once the balloon is in place, at the sight of the blockage, the balloon inflates which causes the plaque to crack and the artery to become free from blockage. (Opening blocked coronary arteries: New questions about the old answer, nd., p.2) The other surgical opinion for CAD is coronary artery bypass surgery is a procedure done by a doctor using a graft. (Mayo Clinic, 2013) The doctor will construct a graft to direct the blood flow around the blockage using existing blood vessels in the body. (Mayo Clinic, 2013) Due to the fact that this procedure requires open heart surgery, it is usually used for patients with several partial or full blockages. (Mayo Clinic, 2013)

The leading cause of death for people in the majority of the ethnicities in the United States is heart disease, this includes Hispanics, whites and African American. Heart disease is second to cancer in the cause of death of Native Americans, Alaskan Natives and Pacific Islanders. The Center for Disease Control and Prevention (CDC) estimates that 610,000 deaths are recorded from heart disease in the United States annually – which translates to one in every four deaths. Furthermore, heart disease takes the lead in the cause of death of both men and women. The most common type of heart disease is coronary heart disease, being the prime culprit in the death of over 370,000 individuals yearly. On average, 735,000 Americans suffer a heart attack yearly, 525,000 of these are first time sufferers while 210,000 people are individuals who had suffered a heart attack in the past (CDC, 2015). The above alarming statistics on heart disease is a cause for concern and requires a strategic action to fight this public health problem. One of the ways to treat, prevent and reduce the number of heart disease cases is a good and effective patient education. This paper discusses the competencies that make a nurse a good, effective and expert patient educator in patient with coronary heart disease and how to become one.

This was a retrospective, descriptive, and correlational study. Data from the records of patients who had undergone a heart catheterization or PCI over the span of two years was retrieved from the Clinical Automated Office Solutions database. (Dumont, Keeling, Bourguignon,

As our population’s longevity continues to grow, patients undergoing heart surgery will become older and sicker (Ettema, 2014). The unhealthy lifestyle choices that are existing in our society propose a higher risk for patients who have cardiac surgery to develop post-operative complications. This paper will be examining one of the five core competencies in relation to a specific patient population, clinical concern, and evidence based practice proposal that will educate patients pre-operation on lifestyle changes that will help prevent post-operative sternal surgical site infections.

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).

"In 2006, more than 690,000 open heart surgeries were performed in the United States. These included surgeries to correct and repair defective valves as well as coronary artery bypass surgery. As recently as 70 years ago, these surgeries would have been impossible. The heart lung machine had yet to be invented, allowing surgeons to temporarily stop and start the heart. Prior to its invention, the longest a heart could be stopped was 30 to 40 minutes---not enough time to complete extensive surgery" (Smith, 2009). Since then, a number of minimally invasive surgical procedures have been introduced that permit surgeons to perform a variety of surgeries, making smaller incisions that leave smaller scars, reduce the chance of infection, are less painful to the patient and necessitate shorter hospital stays. These include minimally invasive direct coronary artery bypass, off-pump coronary artery bypass, videoscopic surgery and robotic-assisted heart surgery.

Cardiovascular diseases have long been the leading cause of death in the United States (Narang et al., 2016). Research predicts the progression of cardiovascular disease will affect forty percent of our population by the year, 2030 (Narang et al., 2016). Furthermore, research shows that the cardiovascular workforce is inadequate to meet the rising demands of this patient population (Narang et al., 2016). In particular, a subset of cardiac nurses, a cardiac catheterization laboratory nurse is a key member of this cardiovascular workforce.

The purpose of this paper is to analyze if there is any improvement, post-operative complications, mortality and related factors of elderly undergoing cardiac surgery. The debate whether or not we are pushing the limits is still questionable because of the complications associated with these invasive surgeries and whether or not if it’s a money game. The growing numbers of the elderly patients enjoy a prescription drug benefit, access to artificial knee and hip surgery, and life-saving cardiovascular interventions that were undreamed of a half-century ago.

Credentials: I feel strongly about this topic because there are quite a few people in my own family that struggle with heart issues, one relative even needing a transplant.

There are countless scenarios throughout this series that are similar to what takes place every day in a hospital and what the doctors and nurses see on a daily basis. Grey’s Anatomy benefits its viewers through realistic portrayals. Multiple surgeries have performed on the show that are consistent with literature. This could be a medium for medication students to review their content of interest or for those who are considering joining the medical field. Coronary bypass is one of many surgeries that is often completed on this show. During this procedure blood is diverted around a section of a blocked artery in the heart to restores blood flow to a patient’s heart muscle. Coronary bypass surgeries are just as common on Grey’s Anatomy as they

Patient education is a major concern in pre-operative patient care. Preoperative education can improve patient satisfaction with the surgical experience. Typical patient education is provided through leaflets that are given to the patient before surgery and verbal information given by both doctors and nurses on the day of surgery. Pre-operative education is vital to patient comfort and safety of the patient. Appropriate preparation can minimise anxiety and stress, and therefore many of the physical effects, and ensure patients arrive in the operating theatre department ready for surgery.