Predictors Of Cardiac Symptoms Attribution Among Ami Patients

Chest pain is a frequent cause of emergency department presentation. Many times, chest pain can be an indicator of myocardial infarction. Yearly, about 600,000 people die of heart disease in the United States, with a total of about 700,000 having a myocardial infarction. The leading source of death for both men and women is heart disease ("Heart disease facts," 2014). Managing the challenging clinical problems of those presenting with chest pain can be demanding. While clinical judgment is imperative in managing these patients, rapid treatment protocols to evaluate risk

In addition, the researchers conducted a chart review of each participant 's medical record. In this study the results showed that “compared with men, women used more evasive and supportive coping and rated psychologic aspects of the heart disease as more problematic to manage. More women perceived available support from friends and grandchildren, and more men perceived available support from their partner. Women rated lower levels in physical and psychologic dimensions of quality of life” (Kristofferzon et al., 2005, p. 39).

Chest pain is one of the most common causes for referral to emergency departments (ED), accounting for several million visits annually (Goodacre et al., 2005). In the given scenario, the call was made by the wife of the patient reporting complains of chest pain. She described that her husband is having a constant pain in the left side of his chest and upper arm and that he was having shortness of breath and wasn’t able to talk to the nurse himself. The patient hadn’t been to his HCP for eight years. During the conversation the patient started breathing easier and his wife was asking if they could go to the urgent care not right now but on Monday morning, which is almost two days after. The time of the scenario is Saturday evening.

The characteristics of pain from myocardial infarction and pericarditis can help to differ both the conditions, and rule out the actual problem of the patient. The characteristics of myocardial infarction include pain duration- 30 minutes to 1 hour; pain intensity and type- severe, crushing, occurs on exertion; and pain does not relieve by the rest or taking nitroglycerine. However, pericarditis, the inflammation of pericardium causes pain that lasts for hours to days; pain intensity and type- mild to severe, asymptomatic, sharp or cutting; pain increases with breathing, swallowing, belching, neck or trunk movement; and relieved by leaning forward, kneeling, sitting upright, or breath holding (Goodman & Snyder, 2013). Therefore, the therapist should ask the patient questions about his or her pain duration, type, intensity, aggravating factors, and relieving factors to rule out whether it is MI or an acute onset of

The patient, with initials B.C., is a sixty-five-year-old white female seeking medical care over her concerns with an ongoing respiratory issue that has worsened over the course of the last couple of days.

Management of the acutely ill adult is a complex and perplexed procedure. It requires underpinning knowledge of the pathophysiology of the disease currently affecting the patient, as well as ensuring that professionals are equipped to deal with the development of a rapid deterioration. The National Institute for Clinical Excellence (2007) explain that patients are sometimes inadequately treated due to staff not acting in a sufficient time manner, and so a systematic assessment of the patient recommended by the Resuscitation Council (2006) should initially be followed (Jevon, 2009).

(Usually) A man collapses to the floor, purple face, following a grimace of agony, and his hand clutching his chest. For Martha Lear, that is exactly the type of heart attack her husband repeatedly suffered from—and eventually killed him. After watching him go through several of these, she believed it to be the standard heart attack normal. It wasn’t until 34 years later that her assumption was challenged—after she suffered from her own heart attack. Her symptoms didn’t match her late husband’s, she describes it as suddenly feeling vaguely unwell, feeling a flutter in her chest which rose to her throat, small pressure in her chest, nausea, chills, diarrhea, and vomiting. A mixed array of symptoms that could be something or could be nothing, symptoms were non-distinct to any layperson. Her second husband assured her it was a stomach bug. When she called her doctor and described her symptoms, he told her she should come in for an EKG the next morning but it wasn’t necessary to rush to the ER but she should come in for an EKG the next morning. She showed up for her appointment the following morning and the EKG revealed that she had a substantial heart attack the night before—stunning both her and her doctor. The differences in treatment between her and her late husband are part of a long trend of women’s cardiac disease not being recognized as easily or treated as well men’s

Introduction. As the article continues with the introduction, the introduction states the problem, which is, that, currently there are no guidelines for the management of AWS in the ICU patients. For nurses to properly perform the CIWA assessment, patients must be conscience and able to answer questions regarding the severity of the illness, making it hard for nurses to either over or under sedate the patient causing further complications, building a persuasive argument for the new study. Towards the end of the introductory paragraph, the article states the hypothesis, by implementing this new protocol would result in shorter duration of AWS treatments and its associated complication. As the article

“According to the American Heart Association (AHA) affects nearly 5.7 million Americans and is responsible for more hospitalizations than all forms of cancer combined. It is the number 1 cause of hospitalization for Medicare patients. With improved survival of patients with acute myocardial infarction and with a population that continues to age, heart failure will continue to increase in prominence as a major health problem in the United States” (Dimitru, 2015,p. Epidemiology). I chose to report on this condition because my grandmother had lived with this condition undiagnosed for many years. I feel that early diagnosis and treatment will lead to better outcomes. With the increasing number of cases each year it is important for the family nurse practitioner to diagnose and treat this chronic condition.

In the study of Verani, McCracken, Arvelo, Estevez, Lopez, Reyes, Moir, Bernart, Moscoso, Gray, Olsen and Lindblade (2013), a total of 8,914 hospitalized patients

In the study, the participants were sampled for convenience, there were a total of 31 subjects. These subjects were patients that were in a major New York hospitals Cardiac Intensive Care Unit, the reason they were in the unit was so that they could be treated for their acute myocardial infarction. These subjects were patients in the Cardiac Intensive Care Unit between August and December of 2006. The subjects who were selected to take part in this study were selected bases on certain criteria. The criteria that was used to select the subjects included the ability of the subject to speak English, there being evidence of their myocardial infarction, the stability of the patient, the ability of the subject to give informed consent for the

Collection of assessment information and continual analysis and interpretation of data is important to make sure patient’s conditions is successfully monitored (Dresser, 2012). Elliott & Coventry, 2012; Levett-Jones et al., 2010; Preston & Flynn, 2010) state that, patients in acute care setting have been considered as having multiple health issues that can lead to their deterioration if early signs and symptoms are not recognised and managed appropriately in timely manner and within a correct clinical reasoning process. With constant observation, patient safety is implemented and surveillance is then incorporated in order to identify and prevent possible medical errors and adverse events that may be encountered. Clinical judgement and decision

Congestive heart failure, also called heart failure or CHF, is one of the fastest-growing syndromes in the United States and worldwide. It is a condition with high hospitalization and high mortality rates as well as a compound medical regimen that significantly affects the patient’s lifestyle and that of their family. The term alone, “heart failure”, is enough to scare the bravest client and cause the rise of numberless concerns and questions. Patients may worry and exclaim, “Did my heart stop working? Am I going to die?” Because of the complexity of congestive heart failure and how fatal it may become when it is not well managed, a thorough understanding of the disease process and of evidence-based management guidelines is necessary in order for the nurse practitioner to adequately care for, reassure, and educate the CHF patient, their caregiver and family. This paper aims at providing an overview of heart failure as well as giving the clinician the foundational tools necessary to help improve the quality of life of CHF patients and prolong their days. We will cover the two main types of heart failure (left-sided and right-sided), with a brief look at CHF sub-classifications, systolic and diastolic CHF. We will seek to explain the etiology, pathology, clinical manifestations of this condition as well as explore the current diagnostic tools and pharmaceutical treatments available across the lifespan. We will also look at the dynamic role of the nurse practitioner

As Jane was presenting with a symptom of a life threatening event it was important that treatment was immediate. Priority was initially made from assessment of the airways, breathing and circulation, level of consciousness and pain. Jane’s respirations on admission were recorded at a rate of 28 breaths per minute, she looked cyanosed. Jane’s other clinical observations recorded a heart rate of 105 beats per minute (sinus tachycardia), blood pressure (BP) of 140/85 and oxygen saturation (SPO2) on room air 87%. It is important to establish a base line so that the nurse is altered to sudden deterioration in the patient’s clinical condition. Jane’s PEWS score (Physiological Early Warning Score) was 4 and indicated a need for urgent medical attention (BTS 2006). Breathing was the most obvious issue and was the immediate priority.

As the population ages heart failure is expected to increase exceptionally. About twenty-two percent of men and forty-four percent of women will develop heart failure within six years of having a heart attack. “Thirty years ago patients would have died from their heart attacks!” (Couzens)