Post Operative Education For A Coronary Artery Bypass Graft Patient

Coronary artery disease remains number one killer of the western civilization despite 40 years of aggressive drug and surgical interventions (Esselstyn). Usually, pharmaceutical drugs, such as statin, are given to try to slow the progression, but may provide uncomfortable side effects. In fact, the majority of patients discontinue statins within 1 year of treatment initiation (Maningat). Furthermore, surgery is performed to circumvent clogged arteries and literally bypass the symptoms. In the last year, 500,000 coronary bypass procedures were performed (Swaminathan et al). However, these surgeries can have significant risks, including the potential to cause further heart damage, stroke, and brain dysfunction. Thus, it is evident that these way of treatments may not be enough on its own, and that getting to the

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

When nursing any patient with heart failure it is important to have an understanding of how the heart should work to understand how it stops working correctly. This knowledge is important as writtler (2006) (cited in Jones) feels that district nurses have little knowledge when it comes to heart failure. Patient, Writler (2006) feels that by understanding how the heart works and how it is damaged we, as district nurses will be able to recognise the signs of heart failure earlier7a?.

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

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.

Heart disease is the number one cause of death in the United States (HealthyPeople.gov website, n.d.). The goal to improve cardiovascular health is early detection, prevention, and treatment of risk factors. The key risk factors for heart disease are high blood pressure, high cholesterol, smoking, diabetes, poor diet, physical inactivity, and obesity. Based on these statistics it is crucial for public nursing to focus on educating people and the communities they live in to

For years now, I’ve had dreams of going to medical school and becoming a surgeon. I don’t know what kind of surgeon I would want to be, but cardiothoracic is up there. In my eighth-grade science class we dissected pig’s hearts and a kid’s dad, a heart surgeon, helped. He told me I had the hands of a surgeon, which I thought was incredible considering my aspirations. Not only did this article interest me because I have general knowledge on the workings of a heart, but also because it shows the process of cleaning up mistakes in a medical

The objectives of heart failure and cardiomyopathy education training are to help patients and their families get the learning, aptitudes, methodologies, critical thinking capacities, and inspiration vital for adherence to the treatment arrangement and support in self-care (American Heart Association, 2011). Moreover, the education will include recognition of signs and symptoms of heart failure, activity and exercise recommendations, compliance with medications, daily weight monitoring, and specific diet

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).

For patients with existing symptoms of heart disease, the nurses role may include helping to identify risk factors and lifestyle habits that have led to the disease, as well as obtaining and documenting vital signs and diagnostic tests used to determine the extent of the disease. Education on identification of significant symptoms and the proper subsequent actions will play a major role in the patient’s ability to advocate for themselves and help them determine when it is necessary to seek care. Nursing responsibilities in caring for a patient already experiencing chronic heart failure, like the one being discussed in this review, include specialized cardiac monitoring, monitoring of vital signs and major organ function, post-procedure care, assessment and care of surgical incisions, administration of medications, managing patient anxiety and compliance, and patient education. Discharge is perhaps the most critical educational opportunity for nurses dealing with HF patients. The level of patient self care and symptom recognition and management after discharge is a significant factor relating to the prevalence of readmittance to the hospital and death in HF patients (Barnason, Zimmerman, and Young, 2011). Barnason, Zimmerman and Young (2011) reveal that one of the factors affecting the compliance with self care actions by heart failure patients is the amount of nurse directed

Coronary Artery Bypass Graft (CABG) is an open-heart surgery where a section of a blood vessel, either a vein or artery, is grafted from the coronary artery to the aorta to bypass a blocked section of the artery to improve blood supply to the myocardium (See appendix A for Physiology) The primary foundation of CABG is to regenerate perfusion to the myocardium. (Diodato & Chedrawy. 2014), The goals of CABG include improving your quality of life, reducing angina allowing you to restart a more active regime, Improving the pumping action of your heart if it has been damaged by a heart attack, lowering the risk of a heart attack, in some patients who have increased risk, like those who have diabetes, Improving

One group of nurses in a hospital in Canton Ohio has chosen to make this their project. The starting point involves analyzing and revamping the heart failure education booklet that is handed out on the coronary care unit. The book must be written at a level of understanding for the patient, some studies suggest a seventh grade level. The book must contain signs and symptoms as well as information to manage the heart failure (White, Kirschner, & Hamilton, 2014). The interventions that are included in the book are such things as obtaining daily weights, monitoring intake and output, low salt diet, exercise, and who and when to report signs and symptoms. Monitoring the patient’s daily weight is important, tele-monitoring is a consideration, as if the weight elevates more than two pounds in a day, and three pounds in a week the physician may want to adjust medications (Smith, 2013). The book on heart failure should be directed and shared with the patient’s family. The patient may count on family for emotional support, and the patient may also share meals with family which now need to be low salt (White et al., 2014). The book should also include information related to diuretics, which are generally used for the heart failure patient to assist in removing fluids from around the heart and lungs. In the medication category it should also be included to avoid NSAIDS because they may worsen the heart failure. Other medications that may be include in the book include ACE, ARBs, beta-blockers, Digoxin, and Potassium supplements, which may be included in the patient’s health regimen. New topic to the book may also include a section for the patient to record weights, and blood pressures, information specific to salt, tests that may be done to determine the patient’s

One of the most frightening medical diagnoses a patient can receive from a physician is a malfunctioning heart, a diagnosis that will eventually lead to death if correction of the issue is not attempted. The heart supplies the entire body with oxygenated blood in addition to requiring its own supply of oxygen rich blood. This is why coronary arteries are vital to the hearts ability to pump. A final option to correcting non-patent coronary arteries is a surgical procedure, coronary artery bypass grafting (CABG). Every year approximately 450,000 patients have CABG surgery in the United States (Mullen-Fortino & O 'Brien, 2008). Based on continuing healthcare trends, more and more people each year are having coronary artery issues causing the need for CABG surgery to rise. Also patient demographics are changing, they are older, sicker, coronary artery blockage / damage is more extensive, and likely have a decrease in functioning of the hearts ventricles (Sidebotham, McKee, Gillham & Levy, 2007). The nursing profession not only has a critical role in caring for these patients, but also in teaching and educating them before and after the procedure. Education and teaching has been implemented into evidence-based practice for years to facilitate better patient outcomes. The goal of this literature

In February of last year my grandfather was having problems with his heart. He often complained about the feeling of pressure casting on to his chest so he went to the doctors in pursuit to figure out what is causing these menacing pains. To his discovery, the doctor examined his heart and explained to him that he would need to receive coronary artery bypass surgery. My family and I were scared of the risks involving the surgery but the doctor assured us that it is not as intricate as it sounds. So on February 23rd My grandfather went into have coronary artery bypass surgery and regrettably did not make it out alive. In tears my mother screamed at the surgeon who gave us this terrible news, demanding answers. The surgeon explained to us that

Cardiac Rehabilitation programme is offered to patients post myocardial infarction. Rehabilitation is defined by the Royal College of Nursing RCN, (2000,pg.3) as re-enablement which means "helping people adapt to changes in their life circumstances." Cardiac rehabilitation is defined by Jowcett and Thompson 1996 cited in Noy (1998,pg.1033) as "the process by which patients with coronary heart disease are enabled to achieve their optimal physical, emotional, social and economic status". Furthermore, it is also defined by the World Health Organisation WHO, (1993) cited in the National Service Framework for coronary heart disease DOH, (2000,pg.3) as the "sum of activities required to influence favourably the underlying cause of the disease, as well as the best possible physical, mental and social conditions, so that they (people) may, by their own efforts preserve or resume when lost, as normal a place as possible in the community". Rehabilitation is a complex activity that requires contributions from many members of the healthcare team. Rehabilitation is a planned, goal-directed activity that requires assessment and re-assessment using standardised measures to monitor progress. It must include patients and their families and friends.