Psychiatric Intervention 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

Individuals who have encountered an event of a heart attack, angina, heart failure, stroke, coronary artery bypass graft, or heart valve surgery experience multiple unfavourable healthcare outcomes. Cardiac health conditions are an enduring healthcare concern with alarming associated complications and risks. These lifelong chronic conditions affect both patient and family’s quality of life, ultimately, requiring ongoing management for cardiac patients to live longer and healthier lives. Cardiac rehabilitation programs reduce mortality and morbidity rates (Dalal, Doherty & Taylor, 2015). These programs are medically controlled cardiac programs which will modify a patient’s wellbeing and lifestyle, by implementing new lifestyle skills to

Implement measures to improve cardiac output: perform actions to reduce cardiac workload: place client in a semi- to high Fowler's position, instruct client to avoid activities that create a Valsalva response, implement measures to promote emotional and physical rest, implement measures to improve respiratory status, discourage smoking, provide small meals rather than large ones,

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

The author of this document attempts to explain what is a ventricular assist device, its basic function, the reasons for use, possible complications and nursing care aimed to prevent this. Also, the impact that current technology has in the management of Heart Failure, and prolongation of life quality and expectancy while waiting for heart transplant. Furthermore, it reviews the incorporation of essential elements of safe nursing care to current nursing standards of care when caring for patients with ventricular assist device. Also, this document analyses and complete three evidence-base practice articles in nursing care with QSEN guidelines. Lastly, this documents review the safety concerns that are related to the technology when it

Turing and repositioning will avoid pressure from being exerted on one spot for too long (Miles, Nowicki, and Fulbrook, 2013). The nurse will also implement safety measures to prevent falling such as keeping the bed in the lowest position and hourly rounding (Crawford and Harris, 2016). The last priority nursing intervention for this patient is to get a set of vital signs before and after physical activity and prevent orthostatic hypotension. The patient can prevent orthostatic hypotension by adequate fluid intake, slow position changes and dangling the feet off the side of the bed before standing up (L. Schimke, J. Schimke,

The senior should limit some of their movement for three months after having pacemaker surgery. These movements include not lifting their arm on the side of the pacemaker above their head, not lifting over five pounds on the side of the surgery,

To deliver these impulses during the procedure the patient has electrodes placed either bilaterally or unilaterally. The shock is used to create changes within the different hormones (2013). When it comes to ECT there are multiple people that play major roles within this procedure. The team has a psychiatrist, anesthesia provider, a recovery nurse, and the ECT nurse. The psychiatrist is the one that is administering the treatment to the patient as well as assessing the patient before and after the procedure. The anesthesia provider is responsible for the airway of the patient and their heart. The recovery nurse has the responsibility of monitoring all the vital signs, pulse oximetry and EKG rhythm and alerts the other team member if anything changes. Finally the ECT nurse is the person who is monitoring everything that is occurring within the therapy. They are making sure all of the equipment is working properly, checking the patient’s circulation throughout their body, but also they assist the patient to and from the procedure room (Murphy, 2013). It is imperative to the well-being of the patient if everyone is the room is on the same page and knows what their role is in the procedure. Before a patient is allowed to be concerned a candidate for the ECT they have to receive multiple assessments to see if their body will allow them to get the therapy. During these assessments they pay close attention to cardiovascular, pulmonary, neurologic, musculoskeletal, and their cognitive behavior (Murphy, 2013). If the patient has a problem within any of these systems they are at an increased risk of having adverse effects from the

Vital signs are important to assess during physical therapy. They let you see how well internal organs are functioning and helps monitor responses to treatment. Some variables that affect vital signs are food consumption, medications, and stress. Blood pressure is the most important thing to assess because it makes sure the patient can withstand therapy. A patients pulse and breathing are also equally important to ensure they are capable to perform therapy. Pain is important to assess, also. When the patient reports pain and soreness, it could affect how well they can do specific movements. Pain lets the therapist know how far to push exercises on the patient as well. Infection control can include things like proper hand washing, wearing personal

Bariatric patients have been sedentary for so long that they may not be able to handle long periods of exercise. So when walking these patients you need to make sure you have appropriate stopping points for if they can’t make it. Making sure the chair or benches accommodate them if they need to stop. Let the patient know that if they need to stop at any time due to fatigue or weakness to let the attending PTA/PT know. Another modification you would have to do that goes along with the fatigue is to start with less reps to let their body build up since they have been sedentary for a long period of time so starting with 8 reps would be

Cardiac rehabilitation is a program that aid patients to recover after a cardiac event. The program started in the 1960s after it was determined that the exercise and right diet has a significant effect on the heart after a cardiac event (Certo, 1985). Its sole purpose is help the patients to lower the risk factors of heart problems in the the future. The program is composed of various health workers -- such as physicians, clinical psychologist, nurses, clinical dietician, and pharmacists (Hamm, 2012). One of the main aspects of the cardiac rehabilitation program is changing the lifestyles of the patients in order to avoid further heart complications and improve overall health in

Cardiac rehabilitations are recommended for patients to prevent future health problems and increase physical activity for a better quality of life. Although, cardiac rehabilitation's have been underused throughout the years. The primary reason for encouraging patients to enroll in cardiac rehab is not only to prevent future heart problems, but to improve psychological status, cardiovascular function, and prevent future heart problems. In this study, a questionnaire was mailed out to directors of exercise programs that met the criteria for the design and method. The criteria stated the exercise program is designed and operated for cardiac patients, a medical examination is required on entry and annually, all exercise sessions are medically

The key components of cardiac rehabilitation include baseline assessment, nutritional counseling, risk factor management such as hypertension and obesity, encourage and enhance patient

Whether you are an elite athlete, or you have just undergone a major surgery, suffer a neurological disorder or you are just a regular person hoping to get rid-off your back pain or knee pain- Physical therapy is an amazing option. The goal of physical therapy not only focuses on alleviating pain and improving muscle strength and mobility but also quality of life. Physical therapy plays a major role in improvement of disease and rehabilitation. As we know disease are divided into three stages- 1) Acute 2) Subacute 3) Chronic. When it comes to treating patients, it has been usually noted that maximum improvement is seen in the acute stage. The most challenging are the subacute and chronic stages. So, during the treatment, there is not a set of protocol made for a particular disease. For example, when a stroke patient undergoes a treatment, there is not a particular treatment protocol followed. There is no solid protocol that can be followed for any impairment! The quote “One size does not fit all”. This can be applied to us Therapists as well. There have to be ways found yet that can help us push the patients further other than the conventional therapies that are being used (exercise). Although, there are various studies that do support that exercise enhances and strengthens the connections in the brain yet it should be taken into account that not all like to exercise! It would be difficult to make a person who has been sedentary all of his/her life to make them move even when it comes to improving their health! It is always a challenge to move out of your comfort zone! There are some patients who needs motivation and at the same. So, what else can we do to help our patients by improving their conditions as well as keeping them happy? The physical therapist has to find something to motivate the patient, there are patients we who find exercising boring. To involve them in the activity and keep them motivated. To help this a new technology invented was virtual reality. Virtual reality changed the world of physical therapy. Virtual even showed results and proved to be useful. In short, what is

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.