What Is The SOAPIER Model?

The beneficiary was an 82 year old man who had a history of multiple health problems, including chest pain, coronary artery disease, elevated cholesterol, high blood pressure, diabetes, chronic kidney disease, and obesity. In 2014 he underwent a cardiac catheterization and the repair of an abdominal aortic aneurism.

A doctor may also suggest treatment later in a person’s life, if the disease worsens. If a cardiologist suggests medical treatment, two options include: Mitral Valve Repair or Mitral Valve Replacement. “If the patient chooses to have Mitral Valve Replacement, he or she should find a surgeon who satisfies three criteria; the surgeon should have a 90 percent or greater rate of successful repair, should have an extremely low rate of death from surgery (less than 1 percent) and should be proficient in operating with less invasive approaches, if your surgeon cannot provide these sorts of numbers, you need to move to another” (Gillinov 326). By reconnecting valve leaflets a surgeon can perform Mitral Valve Repair (mayoclinic.org). A surgeon can also remove excess tissue from the valve for a repair (mayoclinic.org). “The traditional approach to most aortic valve problems is to open the chest, remove the old valve, and sew in a new one” (Gillinov

diagnosed with an irregular sized heart and mitral valve prolapse, which would have to be monitored

This past Friday in the cardiac catheterization lab I began my day with continuing the work that I was previously assigned to do last week where I collected the data of patient's Cardiothoracic surgery. I continued to familiarize myself with the different types of Cardiothoracic surgery procedures, however, the specific reports I was working with, they are called TAVR report (Transcatheter Aortic Valve Replacement). I later learned and was explained to, the TAVR multiple procedures and its causes, which is aortic stenosis. As for the procedures, a valve needs to be placed in the heart and each procedure delivers it a different way. The three ways the valve can be placed in the heart is through the heart's femoral artery (the transfemoral approach),

Aortic Dissection: She doesn’t experience from this condition because she doesn’t have sever hypertension and absent peripheral pulses. Also, she doesn’t have a wide mediastinum with extension of the aortic wall beyond the calcific border.

He underwent multiple cardiac related procedures, including a cardiac catheterization and stent placement. After discharge, he developed a fast heart rhythm (180-190 beats per minute -ventricular tachycardia) and other serious heart problems (cardiomegaly, valve regurgitation, and others) that required a cardiac defibrillator implant. He fatigued easily; his condition deteriorated and was hospitalized once more. The diagnoses listed included myocardial infarction (heart attack), acute on chronic respiratory failure, congestive heart failure (CHF), kidney failure, liver failure, hypertension, and anemia. His blood tests were abnormal.

The Symptoms of this disease are hard to see when someone is presently standing in front of you, but listen to their chest or observe them run and you will notice an extra beat with a swooshing sound, and that They get tired faster than normal these are two of the symptoms the others are an inability to lose weight and chest pain If you have these symptoms calm down you most likely don’t have aortic stenosis only 4% of Americans have it a

Mr. Heart, a 72-year-old male admitted for an elective open heart procedure has the following medical and surgical history: coronary heart disease; arthritis; hypothyroidism; diet controlled diabetes; underwent appendectomy; arthroscopic right knee surgery; and two cardiac stents. No history of smoking and weights 160 lbs. at 5’ 11”.

Echocardiography: The position of valves is fit. The size and movements of the valve are reasonable. There is no problem in her valves. The velocity of blood flow is appropriate.

There were no early or late postoperative deaths and we achieved 100% follow-up for included patients. No patient had aortic valve replacement after one year. Preoperatively the mean ejection fraction in group S was 62.33±4.39% while in group R was 59.53±6.10%, the width of the regurgitant jet in group S was 34.67±2.72 % and in the group, R was 35.73±1.87 % ( p-value non-significant). Postoperatively after 1 year follow up the width of the regurgitant jet in group S increased significantly to 37.27±4.67% ( p > 0.5) while in group S almost remained unchanged 34.73±4.13% ( p <

Uncle Gary, a single firefighter captain and grandfather of four, has recently been experiencing chest pain. Having a background as an emergency response provider, he is not unaware of what the condition could lead to. A trip to the doctor’s concluded that he has angina, high blood pressure, and does not exercise enough. While these symptoms are modifiable, he also has a non-modifiable risk factor; he is male over the age of forty-five. The doctor stressed the seriousness of his conditions and put him at an increased risk for Congestive Heart Disease that, if not treated, could lead to a stroke or myocardial infraction.

As a matter of fact, the Ghent nosology is a designed criterion for diagnosing the condition. The standard emphasizes on the cardiovascular appearances of the disorder (7). In the same way, doctors can also use the Aortic a root aneurysm and ectopia lentis in this diagnostic yardstick in case one lacks a family history. Finally, doctors can use the Fibrillin-1transformation of a complete score in the diagnostic process

Aortic Stenosis is recognised as the most prevalent form of valvular heart disease in the ageing population. Increasing life expectancy has resulted in a significant increase in the number of older patients being referred for consideration of an aortic valve replacement. Although surgical aortic valve replacement (AVR), or open heart surgery, remains the best type of treatment for symptomatic severe aortic stenosis, other treatment options include: Transcatheter Aortic Valve Implantation (TAVI); balloon aortic valvuloplasty (BAV); medical therapy. Transcatheter Aortic Valve Implantation, also referred to as Transcatheter Aortic Valve Replacement, is one of the least invasive types of aortic valve replacement surgeries. TAVi is important to

Surgery. If the aortic insufficiency becomes severe, you may need surgery to repair or replace the valve. Surgery is usually recommended if the left ventricle enlarges beyond a certain point. If aortic insufficiency occurs suddenly, surgery may be needed immediately.

One of the most leading causes of death within Australia is cardiovascular disease with the aging population being at an increased risk; within Australia 29.2% who are over the age of 75 will have some type of cardiac disease (Australian Bureau of Statistics 2013). The aim of this essay is to use the nursing process as a tool to work through an issue that may arise post angiogram to provide appropriate plan of care, the issues that will be focused on throughout this paper is bleeding. This paper will encompass a summary of the case Mrs. Green, the pathophysiology of a ST elevation myocardial infarction, the patho-pharmacology of the medications that Mrs. Green is currently taking, the mental health considerations that Mrs. Green may face, the ethical considerations that need to be taken into consideration, the ANMC competencies 8.1 & 8.2 will be discussed, the importance of patient outcomes will be analysed, a description of clinical reasoning will be included, the plan of care will be discussed with a care plan added as an appendix and the inter-professional roles will also be discussed.