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Dumont, C.J., Keeling, A.W., Bourguignon, C., Sarembock, I.J., and Turner, M.
"Diagnostic cardiac catheterization and percutaneous coronary interventions."
Dimensions of Critical Care Nursing, Vol. 25, No. 3.
In general, nurses are responsible for the postoperative care of patients after cardiac catheterization and percutaneous coronary intervention procedures. The consequences of postoperative complications can be extremely serious. Therefore, it is essential that research be conducted to correctly identify the specific risk factors for vascular complications associated with both of these procedures so that effective protocols can be developed to enable nurses to mitigate those risks as much as possible.
Purpose Statement
The purpose of this research study is to establish baseline data detailing the incidence and types of the vascular complications experienced by patients during the postoperative-care phase of cardiac catheterization and percutaneous coronary intervention procedures. This study is intended to identify and quantify the relative significance of risk predictors for complications following these types of procedures and to determine the patient demographic, comorbidity, and procedural variables that are statistically relevant to predicting clinical vascular access complications.
Jerlock, M., Gaston-Johansson, F., and Danielson, E. "Living with unexplained chest pain." Journal of Clinical Nursing, Vol. 14 (2005): 956 -- 964.
Problem Statement
In general, patients suffering from chronic cardiovascular and circulatory issues experience chronic chest pains associated with those conditions, but unidentifiable chest pains are also a common reason for emergency room visits by patients without any identifiable clinical cause. There is a gap in the available literature detailing the precise source of much of those pains and the way and extent to which everyday life events and circumstances cause or exacerbate those types of symptoms. Therefore, it would be beneficial to better understand any connections between lifestyle and life experiences and their symptoms as part of a comprehensive lifestyle and symptom management protocol.
Purpose Statement
The purpose of this study is to identify any possible connections between lifestyle and life events and the chest pains experienced by patients, especially by patients without any identifiable cardiovascular or circulatory ailments. By interviewing patients admitted to emergency rooms complaining of chest pains, it might be possible to identify common factors responsible for those subjective symptoms. This study is especially useful in connection with helping patients without identifiable etiology reduce behavioral and psychosocial contributors to their symptoms.
Emergency Room Management Diagnose the root causes of the complaints about the clinic. In the recent number of days, the number of the patients visiting the clinic has slowly but drastically increased. In contrary to the past days, the sick patients requiring serious attention from the doctors and the available physicians have increased. In the past, most of the patients only consulted the doctor regarding the disease and infection and acquired appropriate
F. The uninsured are increasingly using the ED for their non-emergency needs. III. The effects of emergency room overcrowding can be deadly. A. Boarding patients, or keeping already treated or stabilized patients in the ED, prevents patients from receiving the inpatient care they need. B. Long wait times and inefficient service can mean loss of life IV. Possible solutions demand health care system overhaul. A. More efficient hospital registration would streamline emergency room procedures. B. Standing
Another statement regarding the health problem of a patient is the possible diagnosis which tends to declare about a problem that the patient most probably has. Although due to lack of information an accurate diagnosis is not possible. Further on there is an actual diagnosis is the diagnosis of a health problem that the patient has and nursing care can be beneficial for the patient. Moreover a syndrome diagnosis
(Cole; Ramirez; Luna-Gonzales, 1999) The Nurse Practitioner -- NP is a registered nurse -- RN having additional education in health assessment, diagnosis and management of illnesses and injuries, inclusive of ordering tests and prescribing drugs. NPs deliver a range of health services to people across all ages, families, communities and groups. Their practice stresses on the health promotion and prevention of illness. They are regulated to undertake comprehensive assessment of
But let's look at this resolution in a bit more depth. Briefly, processes like full capacity protocols, bedside registration, bypassing triage, adding staff during increased volume, setting up a separate "line" for treating simple fractures, lacerations, etc., establishing turn-around-time (TAT) goals for procedures and patients, can go a long way to begin to cure the problem of overcrowding (ACEP, 2008, p. 10). Full-capacity protocols. Here is a typical full-capacity protocol
There is a need for the nurse to be proficient and efficient in her work, because ED's are experiencing an increasing number of patient visits, and there are normally more patient's waiting to be seen than is appropriate for the size of the facility's ED (GAO, 2008). If we compare the patient flow and the speed with which the ED nurse must work in order to accomplish her responsibilities and