摘要:

Many patients who receive medical interventional cardiology procedures at a tertiary hospital live outside the metropolitan area and may experience fragmentation in care, less emotional support by family members, inaccurate and delayed communication, and lack of educational follow–up on discharge from the hospital. A clinical pathway titled “Heart Health Care Patterns” was developed to link acute phase, recovery phase, rehabilitation phase,enhancement/maintenance phase. The 12–month clinical pathway combines Gordon's Functional Health Patterns and the Omaha System developed by the Omaha Visiting Nurse Association. The rating scale for outcomes assesses the patient at different phases to provide objective data and information throughout the year.

ISSN:0889-4655    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Knowledge and technology for cardiovascular disease are growing at a rapid rate. Interventional cardiology offers patients several options of therapy, including percutaneous transluminal coronary angioplasty, directional coronary atherectomy, and percutaneous transluminal coronary rotoblator angioplasty procedures. Patients with these procedures require femoral intra–arterial sheath insertion and postprocedure management of these sheaths. The best practice for sheath removal is a controversial issue. This article describes a study conducted at Presbyterian Hospital in Charlotte, North Carolina, comparing the use of manual/mechanical versus mechanical compression technique for sheath removal. Subjects included patients who had one of the previous procedures performed. Subjects were randomly assigned to one of two study groups: manual/mechanical or mechanical compression. Variables such as size of sheath, anticoagulants, antiplatelets, and flat time after sheath removal were examined. The outcome measure reported was the development of a groin complication. Results indicated no significant difference in groin complication. As a result, practice at Presbyterian Hospital changed to mechanical compression for removing sheaths.

ISSN:0889-4655    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The cardiology unit at the University of Chicago Hospitals developed a cost–saving mechanism in the care of post interventional cardiology patients, reducing time spent in the coronary care unit. Increased nursing education and training and better identification of patient outcomes made this collaborative effort a cost–saving and effective pilot.

ISSN:0889-4655    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

In the current health care system, written patient education tools are important. Well–written and easy–to–understand materials are essential to assist the patient in recovery and increasing compliance. The purpose of patient education is to provide the patient with the knowledge needed for selfcare. This article discusses strategies to design effective written patient education material.

ISSN:0889-4655    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

This article describes the establishment of a coordinated education program for patients having a cardiac catheterization. The article focuses on developing the program content, instructional aids, and the education of the staff doing the actual patient education for this group of patients and their families.

ISSN:0889-4655    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Patients with internal cardioverter–defibrillators experience many issues after implantation. One issue is operating a motor vehicle. This issue has many ethical, legal and quality–of–life concerns that must be addressed by the patient, health care providers, and society. The legal and ethical issues surrounding patients with internal cardioverter–defibrillators will be explored using an ethically based theoretical framework.

ISSN:0889-4655    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

This article describes the evolution in methods used at The Christ Hospital in Cincinnati, Ohio, to teach advanced cardiac life support over the past 10 years. The interactive nature of the teaching methods has improved participants' enjoyment of this course. With smaller teaching groups, instructors find this course challenging and fun to teach. This article provides outlines of teaching stations at The Christ Hospital and examples in which to implement the current advanced cardiac life support content according to the American Heart Association's teaching recommendations.

ISSN:0889-4655    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

This case study is the author's attempt to share a cardiac patient's experience in a personal and respectful manner. Case studies ordinarily share all of the medical and physiologic aspects of what is happening to patients and leave out the essence of the person. This is an effort to go beyond the ordinary and see the human being who has had a severe myocardial infarction and now lies in an intensive care unit. The nature of one patient's struggle through darkness may be realized with the use of the patient's own words, information from family members, and the creative expressions of the author

ISSN:0889-4655    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The Safe Medical Devices Act made hospitals, nursing homes, and a variety of other health care organizations responsible for identifying and reporting injuries associated with the use of medical devices. The Final Regulation for the Medical Device Reporting of adverse events became effective on July 31,1996. The Final Regulations incorporate significant changes from the “Proposed Final Regulations,” and these changes need to be conveyed to appropriate staff of all device user facilities. Changes include the mandated reporting of user error, the Food and Drug Administration emphasis on the device manufacturer as the prime investigator of adverse events, the 10–day reporting rule that now becomes effective as soon as the facility becomes aware of the event, and the clarification of definitions for user facilities. Staff education and training are no longer mandated by the regulations, but some education is required if compliance with the law is to be ensured.

ISSN:0889-4655    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

This article presents a case study of a patient who required a dual chamber rate responsive pacemaker to assist in managing atrial fibrillation. The patient developed significant bradycardia when treated with the dose of propafenone required to convert atrial fibrillation, so the pacemaker, was inserted. An example of a paced rhythm is presented and a differential diagnosis approach is used to discuss the possible interpretations of the rhythm. A brief explanation of the actual cause of the observed paced rhythm is presented.

ISSN:0889-4655    

出版商:OVID    

年代:1997

数据来源: OVID