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The most serious complication from coronary artery disease is the possibility of a heart attack, which can occur when blood flow to an area of the heart muscle is completely blocked, preventing oxygen-rich blood from reaching that area of heart muscle. However, the effects upon other organs of the body of coronary artery disease are still being studied by scientists. Because genetics and lifestyle are both contributing factors in heart disease, and other inflammatory conditions like lung disease and metabolic syndrome may either help cause heart disease or be linked to similar lifestyle practices, more research still needs to be conducted in these areas. The one thing that is known about coronary artery disease is that it is deadly, and people can take steps to at least reduce their risk.
Bals, Robert & Claus Volgelmeir. "Chronic Obstructive Pulmonary Disease and Premature Aging." American Journal of Respiratory and…… [Read More]
Other symptoms are shortness of breath and heaviness on the chest, a sensation of tightness, pain, burning sensation, squeezing or pressure on the breastbone or in the arms, neck and jaws. However, some persons showed no symptoms of coronary artery disease before a heart attack and just died suddenly (De Milto).
eneficial and Adverse Effects of Treatment
The finding that atherosclerosis is an inflammatory response brought attention to the beneficial use of antibiotics in the treatment of coronary artery disease (Tarbutton & Mitra, 2007). The assumed infecting agent is Chlamydia pneumonia, which responded to the use of antibiotics in clinical trials. However, these first trials were small and need to be supplemented and confirmed by larger and multi-center trials (Tarbutton & Mitra).
Test findings showed that the use of statins reduce cardiovascular mortality and morbidity (arry, 2006). Those with the least risks appeared to derive the greatest
Coronary Artery Disease…… [Read More]
Especially among diabetics and others who demonstrate silent ischemia in which symptoms of the condition remain suppressed, a regular doctor checkup can help reduce chances for heart attack or death. An ECG reading will help determine if the person has developed coronary artery disease. That person can then take steps to remedy the problem. Other diagnostic measures include the exercise stress test, a coronary angiography, an echocardiogram, nuclear scan, magnetic resonance angiography, and CT angiography (Chen 2011).
Treatment usually involves lifestyle changes, but other interventions may be necessary too. Aspirin can prevent blood clots from forming in arteries and therefore reduce risk of heart attack (Chen 2011). Certain patients can take aspirin daily as a preventative measure (Singh 2011). Other pharmacological interventions that are commonly used in the treatment of coronary artery disease include ACE inhibitors, which lower blood pressure and protect the kidneys (Chen 2011). Hormone replacement therapy was…… [Read More]
Heart Disease (CAD: Coronary Artery Disease)
Online web site HeartPoint defines Coronary Artery Disease as Coronary artery disease generally refers to the buildup of cholesterol in the inside layers of the arteries. As shown here, this will slowly narrow the flow of blood through the vessel, and the muscle it supplies will not get enough blood. The plaque weakens the wall. As shown in the lower artery, a crack may develop in the plaque and a blood clot may form - this is the mechanism of most heart attacks.
Examples and Symptoms of Heart Disease
Heart attack is an example of a heart disease that may be sudden or may start as a mild pain. Some of its symptoms are: chest discomfort, in which the patient feels pain in the chest and may feel painful pressure or squeezing in the chest; discomfort in other areas of the upper body, in…… [Read More]
Plan of Care
CABG or coronary artery bypass graft surgery is advised in case of patients suffering from CAD (coronary artery disease). The aim of the operation is alleviating symptoms, prolonging life and improving QOL (quality of life). Every year, over 300,000 CAD- diagnosed individuals go through CABG surgeries in the US; the preliminary hospital charge for each patient is roughly 30,000 dollars. With continued improvement in surgical methods and peri- surgical care, patients who, at one time, couldn’t undergo surgery can now do so. The increased complexity of CABG cases makes it ever more critical to ensure sound collaboration between surgeons, anesthesiologists, perfusionists, nurses and other peri- surgical healthcare workers (Lamarche, Taddeo & Pepler, 1998).
CABG- related post- surgical care is a tricky business, owing to the fact that swift changes may take place in patient condition. Post- surgical care needs to take into account individual patients’ pre- surgical…… [Read More]
Coronary Artery Disease
Development of Coronary Artery Disease (CAD)
Coronary artery disease represents an obstruction or constricting (stenosis) of vessels and arteries which supplies the heart with oxygenated blood. The cause for CAD is atherosclerosis (arterial hardening), or a fatty plaque buildup on inner arterial linings. The resultant obstruction impedes blood flow across coronary arteries. The complete cut- off of blood flow leads to a heart attack (or myocardial infarction, in medical terms). CAD takes place when coronary arteries are partly obstructed or hindered, thus cutting off oxygen supply to heart muscles (i.e., myocardial ischemia). When the blockage is temporary or partial, angina (chest pain or pressure) may occur. The sudden, complete cut- off of blood flow due to the blockage leads to myocardial infarction (Milto, Costello, Davidson & Lerner, 2013).
CAD is a condition that sets it from a rather young age, a fact not many are aware of.…… [Read More]
Chronic Illness: Coronary Heart Disease
Outline of Coronary Heart Disease
The Coronary Heart Disease (CHD) has been on the increase of late across the globe and this disease, alongside stroke have been the top causes of death in many countries like Australia (Baker Heart and Diabetes Institute, 2017). There have been cases of people succumbing to complications occasioned by the CHD hence the need for any medic or clinician to fully furnish themselves with the CHD and the causes and effects as well as how it can be managed.
CHD is a disuse characterized by the development of a waxy substance called plaque building up in the inner walls of the coronary arteries. These are the arteries responsible for supplying oxygen-rich blood to the heart muscles. The buildup of plaque on the inner walls of the arteries results into atherosclerosis and this takes many years to pile up to harmful…… [Read More]
Indeed, "time heals all wounds," even those resulting from open heart surgery, and the payoff was shown to be clearly worth the risks involved for most of the people who electively seek out the CABG procedure for their coronary heart disease.
CABG and PCI Each Have Strengths, Weaknesses Ann Intern Med. 2007 [Published online Oct.
16, 2007] cited in Latest research. (2007, November 2). Medical Economics, 84(21), 75.
Ben-Zur, H., appaport, B., Ammar, . & Uretzky, G. (2001). Coping strategies, life style changes and pessimism after open-heart surgery. Health and Social Work, 25(3), 201-
Kos-Munson, B. A, Alexander, L.D., Culbert, P.A., Hinthorn, E.L. & Goetze, C.M. (1988).
Psychosocial predictors of optimal rehabilitation post-coronary artery bypass surgery.
Scholarly Inquiry for Nursing Practice, 2(3), 171-172.
Peterson, J.C., Charleson, M.E., Williams-usso, P. & Krieger, K.H. (2002). New
postoperative depressive symptoms and long-term cardiac outcomes after coronary artery bypass surgery. The American Journal…… [Read More]
In support of the Terminal Objective, several key learning objectives will drive the content and curriculum for nurses undergoing the present training course. Primary among them, the training course is designed to create a standardized set of behaviors amongst nurses that conform with existing and evolving best practices in the perioperative care of CABG patients. This means that course content and design will be geared toward achieving procedural and professional consistency amongst attending nurses where preoperative, intraoperative and postoperative care are concerned.
An additional learning objective is to ensure that outgoing students are informed in the ethical and personal dimensions of the profession. Coronary surgical procedures are inherently serious in nature as are the heart and circulatory conditions that typically require such procedures. Therefore, it is of critical importance that nurses are trained in the proper bedside manner to approach patients, families and extended support systems with potentially…… [Read More]
CT scan or MA may result in the clinician oversight of some of the more subtle findings. It is expensive and the availability is limited.
It is possible to evaluate AS via angiogram, bet evaluation of the size of the stenosis tends to be imprecise. Additionally, angiography does not allow a cross-sectional assessment of the stenosis, and in the case of FMD, it is not possible to distinguish the different histological types, although intervention at the time of assessment is a possibility. Doppler sonography is able to measure the amount of blood flow, and is non-invasive. It tends to be highly invasive and is able to demonstrate problems with slow patterns and other issues which are highly suggestive of significant stenosis. Doppler ultrasound tends to be very operator dependent and the exam takes a significant amount of time. Additionally, the exam may be limited by abdominal girth, patient movement and…… [Read More]
hen an heart needs more oxygen, such in times of exercise, stress or pharmacological stimuli, blood flow is increased to fulfill this demand. However, the physiological narrowing of arteries due to plaque build up found in coronary disease restricts blood flow to the heart, especially in times of when an increase in myocardial oxygen is needed. These restrictions mean a lessened CFR for the individual, which can lead to coronary ischemia, cardiac infarction, and several other dangerous effects. This physiological change in the coronary system, through the build up of plaque, occurs for several reasons. Lack of physical activity and poor nutrition, with the consumption of certain fats and cholesterols, can facilitate plaque build up. High blood pressure, obesity, depression, and anxiety are also contributing factors (Pazoki, Nabiour, Seyednezami, and Imami).
There are different treatment options for coronary artery disease. Two treatment clinical options include lifestyle modification and revascularization. Lifestyle…… [Read More]
Coronary Artery Disease (CAD) is linked to genetic inheritance, and more than 250 genes have been explored as having potential links with CAD. Although these genes are thought not to directly pass on CAD, research has seen that some mutations within these particular genes actually increase the risk of CAD within an individual who as immediate family members who have already suffered from the affects of CAD. Further research has pinpointed six genes out of that larger batch which may also play a role in heart disease. As seen in people who have experienced heart disease, variations of these six genes prove relatively common in individuals under the age of sixty-six years old. Researchers are using these new and continuous findings regarding heart disease's genetic base in order to compile genetic testing which can prepare individuals to have to potentially take measures to avoid heart disease. Utilizing genetic testing can…… [Read More]
2010; Chorny et al. 2010). This research is still quite new, however, and the question remains as to whether or not nanoparticles can truly serve as a replacement for stents by prohibiting plaque growth through a variety of means, including more targeted and longer-range delivery of pharmaceutical substances that destroy such build-ups and inhibit plaque deposits from forming. The efficacy of this approach has already been preliminarily demonstrated, but the long-term viability and safety of this intervention method as well as attendant risks have not yet been fully determined (Chan et al. 2010; Chorny et al. 2010).
IV. Motivation for esearch
Despite the numerous advancements that have been made in treating plaque build-up in arteries and the general treatment and control of other cardiac issues, coronary artery disease is still the leading cause of death in North America and is a significant problem in other parts of the world, as…… [Read More]
Obesity: An Overview
hat is the disease?
Obesity is an increasingly prevalent metabolic disorder whereby a patient's BMI or body mass index, defined as the patient's weight in kilograms divided by the patient's height in meters squared in kilograms, is greater than 30. Obesity puts one at greater risk for a number of ailments, and a BMI less than 21 is associated with the greatest protection from coronary heart disease mortality and other life-threatening ailments affecting the heart, other vital organs, and the body's metabolism. (Eckel, 1997)
However, there are problems with the BMI-based definition of obesity, as many women with a BMI of near 30 may be less at risk for heart disease if their increase in adipose tissue is distributed in the pelvis and not the abdomen. Substantial evidence now indicates that an increased waist circumference, or waist-to-hip ratio, better predicts co-morbidities and mortality from obesity, such as…… [Read More]
psychosocial smoking cessation interventions for coronary heart disease patients effective?
The association with smoking and coronary heart disease (CHD) has been well documented. To prevent further heart attacks, as well as to preserve their life, smokers have been consistently and strongly advised to quit smoking, and associations such as the American Heart Association and American College of Cardiology Task Force have drafted recommendations and reams of advice to assist patients in doing so. Nevertheless, many patients diagnosed with CHD continue to smoke despite the possibility of interventions and programs (many of them free) helping them to stop. Mortality can be reduced by as much as 36% if smokers with CHD determine to stop smoking 3-5 years after diagnosed (Critchley, 2003) aside from which dramatic reductions in cardiac attacks have been discovered when smokers have stopped smoking for as short a time as a year (Quist-Paulsen, & Gallefoss, 2003). The Coronary…… [Read More]
It is believed that this is related to some basic dissimilarity in women's the way women's hearts work (icciotti, 2012).
Women are just as liable to have a heart attack as men, but the fact that they are more apt to die after their first heart attack may be because the signs of a heart attack are different in women. Doctors and patients frequently point chest pains in women to non-cardiac causes, leading to a misdiagnosis of their condition. Men generally experience crushing chest pain during a heart attack. Women may have a larger inclination to have pain just under the breastbone, or complain of abdominal pain, heartburn, trouble breathing, sickness and mysterious exhaustion. Women are consequently easily misdiagnosed of indigestion, gall bladder disease, or even an anxiety attack. The probability of misdiagnosing a heart attack in women is also augmented by the fact that women tend to have heart…… [Read More]
Broken Heart Syndrome
Cardiovascular Case Study
Broken heart syndrome, otherwise called stress or Takotsubo cardiomyopathy (TTC), represents an adverse physiological response to an acute psychological or physical stressor (Derrick, 2009). The death of a loved one or experiencing a physically traumatic event, represent two examples of life stressors that can cause this reversible form of cardiomyopathy. Although effective treatment is available, the seriousness of the condition is such that it explains how a person can literally die of a broken heart.
An estimated 1.2 million people suffered from an myocardial infarction (MI) in 2007 and approximately 1% (Derrick, 2009, p. 50) to 2% (Wittstein, 2012, p. 2) of MI events was probably due to TTC. Women are far more susceptible to TTC than men and represent approximately 89% of all cases (Derrick, 2009, p. 50). This gender bias shifts the estimated prevalence of TTC among female MI patients…… [Read More]
Nurse Speech to Group of esidents in a Large Independent Living Facility
The information addressed today in this speech are those involving the body's regulation of the correct numbers and ratios of blood cells and how blood pressure homeostasis is achieved as well as age-related changes to the heart including coronary artery disease, congestive heart failure and myocardial infarction.
Homeostatis and the Body's Balancing Act
The work of Vikrant and Tiwan (nd) report that studies on the population indicate that blood pressure is a continuous variable and there is really not a line that divides normal and abnormal values. However, there is a point of balance also called internal equilibrium and this is known as homeostasis. This state of balance describes how the human body reacts to certain changes. This can be viewed by picturing a set of scales in which coins are poured in unevenly with one side heavier…… [Read More]
elationship between cardiac arrest and coronary cardiac disease
The heart is an essential organ in the human body, it keeps the individual alive. Understanding how the heart operates and functions is essential to help protect your heart from heart disease. Cardiac arrest and coronary heart disease are significant heart related illness that has a high mortality rate. It is important for individuals with pre-existing heart disease to understand the symptoms of cardiac arrest and coronary heart disease, since these are both leading causes of fatality in the United States. Understanding how the heart works, the individuals risk for heart disease, and how to prevent or delay heart disease is essential. In this paper I will address the relationship between cardiac arrest and coronary heart disease. I will also explain how the heart functions and discuss some ways of preventing cardiac arrest and coronary heart disease.
Cardiac…… [Read More]
Gender variation in clinical decision-making was measured, including (1) the number, types, and certainty levels of diagnoses considered and (2) how diagnoses vary according to patient characteristics, when patients have identical symptoms of CHD (Maserejian et al., 2009).
This was a factorial experiment presenting videotaped CHD symptoms, systematically altering patient gender, age, socioeconomic status (SES) and race, and physician gender and level of experience. The primary end point was physicians' most certain diagnosis. The results: Physicians (n=128) mentioned five diagnoses on average, most commonly heart, gastrointestinal, and mental health conditions. Physicians were significantly less certain of the underlying cause of symptoms among female patients regardless of age, but only among middle-aged women were they significantly less certain of the CHD diagnosis. Among middle-aged women, 31.3% received a mental health condition as the most certain diagnosis, compared with 15.6% of their male counterparts. An interaction effect showed that females with high…… [Read More]
Exercise and Proper Diet:
Solutions to Circulatory System Health and Coronary Heart Disease Management
Coronary heart disease is the nation's single leading cause of death." For American Heart Association's 2003 report on Heart Disease and Stroke Statistics, coronary heart disease will prove to be significant and responsible for almost 1.1 million Americans that have the potential of having "recurrent coronary attack." This figure implies the degree of significance that heart diseases does to the increasing mortality rate and deteriorating health of many Americans. Coronary heart disease is a "chronic illness in which the coronary arteries become narrowed and unable to carry a normal amount of blood" (Microsoft Encarta 2002). Heart diseases occur precisely because there occurs a clogging of the arteries that are vital for the regulation, supply, and flow of oxygen-containing blood in the circulatory system.
Two of the most common and prevalent cases of coronary heart diseases are…… [Read More]
Strong wheezing, indicative of cardiac asthma, is also probable. Noisy breathing efforts make cardiac auscultation hard. Signs like neck vein distention and peripheral edema may occur and indicate right ventricular failure (Arnold).
Interstitial pulmonary edema is diagnosed when clinical evaluation reveals severe dyspnea and pulmonary crackles (Arnold, 2009). Diagnosis is also made by chest x-ray, serum natriuretic peptide or N-terminal-pro NP, ECG, cardiac markers and other tests for etiology. In most cases, chest x-ray is immediately performed and establishes the diagnosis with marked interstitial edema. If the diagnosis is inconclusive, bedside measurement of serum NP levels will help. ECG, pulse oximetry and blood tests are conducted on severely ill patients. An ECG will help identify the cause of the pulmonary edema and direct the choice of treatment. Possible causes of pulmonary edema may be myocardial infarct, valvular dysfunction, hypertensive heart disease, are dilated cardiomyopathy. Severe hypoxemia may also occur.…… [Read More]
he researcher was able to pull up information on Venous hromboembolism hospitalizations by utilizing ICD-10 (Maynard & Stein, 2010)
he clinical diagnosis of Venous hromboembolism is defective; people that are suffering with signs and symptoms of Venous hromboembolism, just 20% have thrombosis confirmed by diagnostic testing.13Clinical prediction rules have been developed to improve the probability of an accurate diagnosis. he most widely used model classifies patients into a high, moderate, or low probability of deep vein thrombosis (Maynard & Stein, 2010). When joined with research laboratory and radiological imaging tests, this method is superior to the old-style method of executing a diagnostic test in all patients with suspected Venous hromboembolism (Martinez- 2008).
Prognosis, broken down by risk groups
A lot of the Deep Vein hrombosis is occult and most of the time resolves instinctively without there being a problem. he main longstanding illness from Deep Vein hrombosis is PS,…… [Read More]
Dermatology- The dermatology department deals mostly with skin related illnesses. The most common issues within this department pertain to skin, scalp, hair and nails. Many of our clients are female with more cosmetic needs. Many would like to retain their youthful appearance and believe minor surgery is the best solution. As such, our departments offer many cosmetic treatments including hair removal, hair transplants, laser therapy and tattoo removal. This past fiscal year has been quite difficult as many of our affluent clients have postponed treatment due to economic concerns with the U.S. We believe this trend to be transitory in nature, with a steady increase in treatments to occur in early 2012.
Oncology- The oncology department pertains mostly to cancer, its detection and diagnosis. The most common diseases in this department are various forms of cancer with the most common being breast cancer. We have recently overhauled our…… [Read More]
Demographic Perception Survey of Patients with Atypical CP Who Present to Cardiac Care Doctors and Patient Outcomes
This study intends to examine gender differences in individuals who present to cardiac doctors with chest pain and specifically, atypical chest pain in women. The work of Debra L. Issac (2000) states that over the past ten years "there has been increasing awareness of both the importance of CAD in women and of the significant differences between men and women who have the disease. Potential gender biases, both within the medical community and within the general population of women themselves also have been identified. These gender differences and biases have the potential to influence investigation and management of suspected or confirmed CAD in women, and should be taken into consideration when faced with a woman with potential cardiovascular disease." (p.157)
Issac also states that chest pain in women is "common and often non-ischemic.…… [Read More]
Congestive Cadiac Failue
M Wad is a 71-yea-old male who epots feeling a non-adiating, "heavy" discomfot in the lowe etostenal and epigastic egion paticulaly when he bends ove o walks shot distances. He also epots a futhe 7 days of dyspnoea duing modeate exetion. On examination his blood pessue was 165/95 mm HG, pulse 90 -100 bpm, espiatoy ate of 24 with inspiatoy cackles at both lung bases.
The following blood tests whee odeed: a full blood count (FBC), Uea Electolytes and Ceatinine (UEC), Live Function Tests (LFT), CK and Toponin. All esults wee within nomal limits.
An Ateial Blood Gas was also collected esulting in: pH [HIDDEN], pCO2 38.7mmHg, PO2 69.8mmHg, HCO3 24.0mmol/L, BE -0.7mmol/L and O2 SAT 89.3%
M Wad also has an ECG that showed nomal sinus hythm, and a chest x-ay showing cadiac enlagement and lowe-lobe infiltates, suggesting the pesence of acute exacebation of congestive cadiac…… [Read More]
Health Promotion Lesson Plan
The concept of health promotion is thought of as "the science and art of helping people change their lifestyle to move toward a state of optimal health" (Dunphy et al., 2011, p 25). Serious heart conditions can be prevented, which is why it is so important to utilize community education techniques in order to help try to warn community members of the complications before they occur. This current lesson plan works to create three separate community lesson plans, based on specific age ranges. The age 18-29 focuses primarily on the use of social media and health advocacy efforts in association with the American Heart Association. For ages 30-49, there is also a focus on these two, combined with more community oriented issues, and for 50-60, there is much more of a focus on financial training along with community organized workshops.
Prevention has become a major issue…… [Read More]
Not only that, the results of eating badly is harmful. Holland and Barrett magazine reports: "If your diet isn't as balanced as you'd hope for, there's a chance you could be missing out on L. Trytophan - an important amino acid that plays a vital role in the production of brain chemicals." If one's diet is lacking it, the safest way to get this supplement is in the form of 5-HTP - a natural compound that the body produces from L-Trytophan. 5-HTP is believed to help the body produce serotonin, a chemical that regulates mood, sleep and other brain-related functions. (Pearce, 1999)
In aging people who seem to have no appetite, there actually may be a sensory dysfunction, which keeps that person from enjoying food and other things that are sensed through taste and smell. Susan S. Schiffman, Ph.D. pointed out that in the elderly these senses are not entirely…… [Read More]
Its use on those with acute PAH should be performed with caution. The complication rate was observed at 2%
in patients with acute PAH. The use of the procedure was deemed relatively safe for chronic pulmonary arterial hypertension. Severely ill patients should be subjected to non-invasive imaging method exhaustively before resorting to pulmonary angiography (Hofman et al.).#
Albert, Nancy M. Caring for Patients with Pulmonary Hypertension. Nursing:
Springhouse Corporation, May 1999. Retrieved on April 25, 2009 from http://findarticles.com/p/articles/mi_qa3689/is_199905/ai_n8846566/?tag=content;col1
adesch, David, et al. Medical Therapy for Pulmonary Arterial Hypertension.
131 (6). Chest: American College of Chest Physicians, July 20, 2007. Retrieved on April 25, 2009 from http://www.medscape.com/viewarticle/560041
Flattery, Maureen P. And Kathy M. aker. Evidence for Racial Disparity in Cardiac
Transplantation Survival Rates. Journal of Cultural Diversity: Tucker Publications,
March 22, 2004. Retrieved on April 26, 2009 from http://findarticles.com/p/articles/mi_m)MJU/is_1_11/ai_n6183827/?tag=content;col1
Hofman, Lawrence V., et al. Safety and Hemodynamic Effects of Pulmonary…… [Read More]
These different elements are important, because they are indicating that Ms. Lee needs to seek out regular treatment. As a result, some kind of consistent assessment must take place, in order to ensure that she is not subject to having a serious fall. This is because, of the overt signs that she is exhibiting from the side effects of the medication and her age. (Henrich, 2007, pp. 50 -- 57)
ased on the fact that Ms. Lee does not want to have an extensive diagnostic evaluation at the hospital, how would one approach her care?
The most logical approach is to have Ms. Lee go through a series of evaluations inside her home with health care professionals. This could be accomplished by having the doctor visit her apartment at least once per week. At the same time, select caregivers could begin to work with Ms. Lee on a regular basis.…… [Read More]
A sense of futility and deep despondency are the primary drivers of the patient's approach to his self-care. These emotions are mirrored by his wife, and further complicated by the exhausting circumstances of being a primary caregiver to a depressed and declining patient. It is doubtful that either the patient or his wife are getting enough sleep, eating well -- within the dietary restrictions -- or following a healthy regimen of moderate exercise. The pattern of behaviors described and observed indicate that both the patient and his wife are overwhelmed by difficulties of managing the disease and the centrality of the disease in their life.
To address head-on the emotional fatigue and hopelessness that the couple face, it is imperative to provide examples of other patients and their spouses who have or are successfully dealing with the same disease at a comparable level of severity. Examples must show…… [Read More]
Enlarged Cardiac Muscle
In most instances, an enlargement of cardiac muscles produces detrimental effects in the person in which such an occurrence takes place. Depending on how large the muscles and the heart actually gets, the noxious nature of those effects increase. For instance, it is possible to still have the heart function normally and pump blood with a degree of efficacy with minimal or even nominal enlargement of the heart muscles. However, when that enlargement becomes too strong, there are a host of detrimental conditions that take place.
There are many different undesirable results that an enlarged heart can produce. For instance, it can lead to strokes, heart attacks, and various forms of heart failure. Still, there is not a direct correlation between enlarged hearts and these maladies for the simple fact that in most instances, enlarged hearts are produced by some other undesirable conditions such as high blood…… [Read More]
This is due in part to the fact that the researchers listened to the responses of the patients (which were recorded) only after they had used bracketing techniques to identify their own biases and opinions that might cause them difficulty. This was important, because many people have preconceived ideas about why someone would be in a cardiac therapy program. By analyzing the data this way, the researchers could remain true to the research question that they wanted to answer and ensure that their own biases did not get in the way of the true qualitative method.
There are both strengths and limitations to a study such as this one. The first strength is the qualitative method itself, which is far more appropriate for this type of study than the quantitative method would have been. The second strength is the use of bracketing by the researchers to shield the data that…… [Read More]
Furthermore, one of the pillars of collaborative care that will need to be firmly established is the fostering of clear dialogue and a means for strong communication within the care management planning. For instance, there needs to be a clear decision and communication of all tests ordered and when the test results will be available. One of the most important aspects of this collaborative care will be the nursing interventions which can have significant impact on the patient's health and stabilization (Allen, 2010). In fact, strategic nursing care can even minimize readmission rates of Margaret and other patients with comparable conditions (Chen et al., 2012).
Prioritize the Nursing Care Needs of Margaret
The prioritization of nursing interventions is essential, and the way in which a nurse determines this priority is going to be something unique and distinct. "Trials reviewed demonstrated a beneficial impact of nursing interventions for secondary prevention in…… [Read More]
Questions regarding all three aspects should be asked during intake because this disease should be treated holistically meaning that everything should be factored in.
IV. DISEASE Management MODEL
A disease management plan is necessary for the congestive heart failure patient because so many other illnesses are associated with this disease. The plan is designed to improve the patient's health, while at the same time reducing medical costs.
Disease Management Model
To manage as well as reduce congestive heart failure and the illnesses generally associated with it.
Patients who already have congestive heart failure or those who are at risk.
To reduce the chances of developing other illnesses and diseases associated with congestive heart failure.
To cut down on hospital admissions by ensuring patients follow instructions for at home care as well as regular follow up visits.
To cut down on medical costs by monitoring patients at…… [Read More]
Meat has been considered to be a risk factor for the development of heart conditions due to its large concentration of saturated fats. This study also found there to be a significant relationship between the consumption of meats and the development of heart issues with the risk increasing as the amount of meat consumed increased. These findings did vary across types of meat with red meat being twice as likely to lead to an acute coronary syndrome as white meat.
Blisson, .M. (2010). Eat smart for a healthy heart. Agricultural esearch, 58(6), 12-14.
Bowden, J. (2010). Cholesterol: The real heart of the matter. Better Nutrition, 72(8), 36.
Eshak, E., Iso, H., Date, C., Kikuchi, S., Watanabe, Y., Wada, Y., Wakai, K., & Tamakoshi, A. (2010). Dietary Fiber Intake Is Associated with educed isk of Mortality from Cardiovascular Disease among Japanese Men and Women. The Journal of Nutrition, 140(8), 1445-1453.…… [Read More]
Alonso, J., Banegas, J.R., Graciani, A., Guallar-Castillon, P., Gutierrez-Fisac, J.L., Lopez-Garcia, E., & Rodriguez-Artalejo, F. (2007). Relationship between obesity, hypertension and diabetes, and health-related quality of life among the elderly. European Journal of Cardiovascular Prevention & Rehabilitation, 14(3): 456-462.
This study examined health-related quality of life among elderly people living with obesity, hypertension, and diabetes. The results found that obesity in elderly women and diabetes in elderly men are the two factors that were most closely and dramatically related to a reduced health-related quality of life. Obese elderly women with hypertension and diabetes should the greatest decline in health-related quality of life. The researchers conclude by stating that these high-risk groups are in need of special attention and further research.
This article pertains to my research because it discusses the impact obesity has on the elderly population. As well, it discusses the implications of this epidemic for health care professionals.…… [Read More]
Burden of disease: disability/morbidity
The word 'pre-diabetes' applies to persons highly susceptible to contracting diabetes mellitus (type 2). Those diagnosed as pre-diabetic have sustained, higher-than-normal blood glucose levels; however, these levels are not sufficiently high to be characterized as diabetes. Pre-diabetics suffer from either IGT (impaired glucose tolerance), or IFG (impaired fasting glucose), or both. The former denotes a condition wherein glucose tolerance levels of individuals after two hours of glucose consumption lie between 140 and 199 milligrams/deciliter whereas the latter refers to a condition wherein fasting blood glucose levels lie between 100 and 125 milligrams/deciliter (when nothing has been consumed throughout the night) (Thomaskutty & Dwivedi, 2011).
After pre-diabetes sets in, beta cells lose their function progressively, resulting in the onset of diabetes. Type 2 diabetics characteristically have by high blood sugar levels, a condition that, with time, damages blood vessels and nerves, thereby giving rise to…… [Read More]
Health Sciences 101
The Health Impact of Acetaminophen Overdose
Acetaminophen (APAP) is a common over-the-counter (OTC), antipyretic, anti-inflammatory, analgesic that is more commonly known as Tylenol®, a product of Johnson & Johnson1. Overseas the drug is called paracetamol and is manufactured and sold by countless generic drug makers.
A number of concerns regarding the safety of APAP have arisen over the past several years, including liver and kidney toxicity and adverse cardiovascular and cardiopulmonary effects. This essay will provide an overview of APAP, its uses, and safety issues, with an emphasis on the cardiopulmonary system.
Mechanisms of APAP Activity
The analgesic and antipyretic activity of APAP was thought to be similar to other non-steroidal anti-inflammatory medications because it was believed to inhibit prostaglandin (PGE2) synthesis2,3. This assumption has not withstood the test of time, for either APAP or other popular OTC non-steroidal anti-inflammatory drugs (NSAIDs). The main evidence…… [Read More]
Over the course of time, this will lead to a dramatic rise in the number of cases that are being reported, based upon the kinds of foods that are being consumed by this demographic. (Dilip, 2001, pp. 81 -- 87) As a result, different cultural factors are having an impact on this problem. While at the same time, many individuals will feel pressure to consume this cuisine. Part of the reason for this, is because it is expected that they eat this to embrace their culture. If they do not, they risk the possibility of being seen as some kind outcast. (Cousins, 1992, pp. 549 -- 555)
To change what is happening, we need to leverage the relationship / expectations towards: shifting the way these foods are prepared and the frequency that they are consumed. As, we want to encourage people to begin cooking in vegetable / olive oil and…… [Read More]
Patient’s chief complaint: A man aged 69 comes to the emergency room with a sharp pain to his chest’s left side, lasting between 30 and 40 mins and then subsiding.
History of present illness: The pain has woken him up thrice in the last 7 days. He claims the pain first started roughly six months ago. Initially, however, the pain used to surface only occasionally, commonly while he was doing gardening. The patient’s past medical history reveals a diagnosis of hypertension twenty-five years back.
Precipitating/alleviating factors: The patient has been smoking a half-cigarette pack daily for the last forty-five years.
Family History: The patient has lost two brothers and his dad to heart disease. The patient does not report any other significant illness history in the family.
Social History: His typical pastimes include sharing a drink with pals and gardening.
Review of Systems: From a physical examination of…… [Read More]
During the study a number of factors were considered for the evaluation of the fact that females unlike males in Saudi Arabia constitute a larger proportion.
Lifestyle and dietary
Adolescent boys and girls were studied for at least two weeks on their feeding habits, for this period, females were observed to consume more snacks than male in that males could only consume snacks once a fortnight unlike their female counterparts who for the 14 days averagely took snacks at least 12 days. For the consumption of rice, bread, nuts and fish the percentage of females consuming this surpassed that of men i.e. 54.8 to 50.5%, this shows that females consumes more food products that are energy giving than males in Saudi Arabia leading to deposition of more calories in the body triggering obesity as it is supposed that the body can not convert the whole chunk of calories. More…… [Read More]
New Suppliers of Health Supplements
A promising new addition to the company's current line of health supplements was identified during a recent trip to Bangkok, Thailand, to meet suppliers of a promising antioxidant, coenzyme Q10. A growing body of research suggests this antioxidant is effective in improving cardiovascular function and may also be useful in alleviating the symptoms of angina pectoris, cardiac arrhythmia, high blood pressure, moderate gingival disease, congestive heart failure, dilated cardiomyopathy and severely impaired immune systems. Based on the documented efficacy, high quality and low costs of the health supplement offered by this vendor, this report provides the background and an overview of the supplier, a description of the health supplement, and current applications for coenzyme Q10. A summary of the business trip and meeting with the company's president is followed by recommendations and a brochure illustrating various aspects of the product.
esults of Business Trip to…… [Read More]
"Valve sparing root replacements may be performed to replace the entire ascending aorta without leaving residual dissection behind" (Type A, 2011, Columbia Surgery). For type B, the usual prescription is blood pressure control, given the risks of surgery. However, endovascular stent grafting is often offered as an alternative and less invasive treatment (Type B, 2011, Columbia Surgery).
When operating, the femoral artery is usually selected for aortic cannulation. But in some patients, "although the femoral artery seems to be intact, its use for aortic return carries a high risk of cerebral embolism because of the atheromatous changes in the thoracic aorta. Alternatively, surgeons may use the axillary artery in the presence of peripheral artery disease or femoral artery dissection" although "the use of the axillary artery for cannulation can be troublesome because of the vessel's small diameter" (Yamamoto et al. 2001). Aortic cannulation through the apex of the left ventricle…… [Read More]
voluntary, collaborative and active involvement of the patient in a course of behaviour that is mutually accepted in order to gain therapeutic result (Michael, H. et al., 2009). According to this definition it can be clearly observed that the patient has a clear choice to follow the goal and that the patient and well as the providers agree to make a medical regimen and treatment goals (Delamater, 2006).
There are two basic factors involved in the medical adherence, these are:
Whether the patients takes the medicine that has been prescribed to him/her.
Whether the patient keeps on taking the prescribed medicine or not.
Therefore, the adherence behaviour is divided into 2 main concepts which are: adherence and persistence. Although the concept of adherence and persistence is similar however, adherence means the intensity with which the drug was taken during the duration of the therapy while, persistence means the overall duration…… [Read More]
Also no pill will change everything. One must be willing to change their lifestyle as well.
hy do some people still need an antihyperlipidemic agent even though they have reduced their dietary intake of cholesterol and saturated fats?
hy is it better to sue selective beta2 agonists, rather than non-selective beta-adrenergic agonists, for a patient who has both asthma and heart disease?
hy is the combination of a glucocorticoid and a beta2 adrenergic agonist used sometimes in treating asthma? hat is the difference in their mechanisms of action?
http://lungusa.org/asthmato answer: (a) what is a peak flow meter and how is it used in asthma clients? (b) Is low or high humidity in the home better for asthma clients? - hat aspects of weather are triggers for asthma?
Based upon your knowledge of the mechanism of action of the following drug classes, explain the rationale for using the following to…… [Read More]
When evaluating completions rates involved with PWA, radial tonometry had a 66% and carotid tonometry had a 99%. The radial tonometry was determined to be easier on the patient.
Laser Doppler Imaging (LDI)
Laser Doppler Imaging (LDI) has increased significance over previous single probe techniques. lood flow is no longer measured at a single site but between an area and the LDI due to being non-contact cannot interfere with the final results. LDI is a 1mm laser beam that uses a mirror to scan in two dimensions. A small amount of light penetrates the skin; the depth depends on wavelength and absorption, of area scanned and interacts with cells and tissues. Speed and density of moving cells determine the signal sent to detector. Discovery Technology International defines the amount of tissue measured as:
we have estimated that for well-perfused tissue such as muscle, the mean sampling depth for our probes…… [Read More]
Morbidity and Mortality Statistics:
Hypertension affects around 1 in 3 Americans and according to the CDC only 52% of people have this condition under control (CDC.gov, 2016). In older men, two-thirds have hypertension, and one-third of white men have hypertension. There are nearly 1000 deaths from hypertension daily in the United States, around 360,000 per year. Hypertension is related to first heart attacks, strokes and chronic heart failure.
The patient also suffers from orthostatic hypotension, which is when blood pressure drops when going from a lying or sitting position to standing. The largest risk for elderly people is the increased risk of falling that this brings. The patient may have fallen because of this condition. It is caused by, or linked to, high blood pressure and prolonged bed rest, as well as other conditions not faced by this patient. Anemia or vitamin B12 deficiency is another potential contributor…… [Read More]
Efficacy and Safety of Dabigatran vs. Warfarin for Stroke
After more than five decades as the preferred anticoagulant worldwide, warfarin is being challenged by a new rival that doesn't require careful dosage monitoring. Pradaxa (dabigatran) was unanimously approved by the FDA on October 19, 2010 for treating atrial fibrillation (AF) patients, who are at an increased risk for suffering stroke and systemic embolisms (.S. Food and Drug Administration). Dabigatran acts by binding directly to thrombin. Warfarin (Coumadin) is an anticoagulant that functions by inhibiting the synthesis of vitamin K-dependent clotting factors (Lemos et al., 770-771). Variations in the levels of vitamin K in the diet can influence how effective a given dose of warfarin is for a patient, so appropriate therapeutic dosages are determined on an individual basis periodically through a standardized clotting test (international normalized ratio [INR]). Even though warfarin can reduce the risk of stroke in AF patients…… [Read More]
This was a clear gap in the research that was examined. The proposed research study will attempt to fill this gap by examining the importance of the adult child and parent relationship and its affect on the physical body.
A number of different study methods were found amongst the studies in the literature review. Many of the studies that examined the use of psychotherapy with the treatment of a condition used a comparative study method. Clinical trials used a comparative study method in most cases. However, studies that were found to be theoretical in nature tended to use either a qualitative interview method or quantitative study methods.
No single method of study was found to be more prevalent in the group studied during the literature review. The method selected was highly dependant on the subject matter and the research question being asked in the study. no single method…… [Read More]
The conclusion according to Ludwig, et al. (2001) is that "the flat-panel detector has diagnostic performance superior to that of conventional screen-film storage-phosphor radiography for detecting shall artificial osseous lesions at clinical exposure settings. With the flat-panel detector, exposure may be reduced by a sum of 50% in order to gain satisfactory
In the study entitled: "Performance of a Flat-Panel Detector in Detecting Artificial one Lesions: Comparison with Conventional Screen-Film and Storage-Phosphor Radiography" which was written by Karl Ludwig, M.D. et al. states that the case study was done with the express purpose of comparing a "large-area direct-readout flat-panel detector system with a convention screen-film system and storage-phosphor system" for the detection of "small artificial osseous lesions simulating osteolytic disease" and in the assessment of diagnostic performance as the exposure dose decreases over time. The results stated in the study were that: "ROC analysis showed A) Values of 0.820 (speed…… [Read More]
Intravenous access should be obtained and 12 lead ECG/continuous monitoring plus blood draw for enzymes. The patient with angina will respond to sublingual nitroglycerine given 0.3 mg to 0.4 mg repeated every 5 minutes for up to three doses. If pain persists after the third dose, suspicion for MI should be high (Harvey, 2004). An ECG is the next step in assessment of the patient with angina vs. MI, although it should be noted that only 45% of all the patients with MI will have obvious ischemic changes on their ECG. Patients should be monitored for minor changes. ST segment elevations with tall T. waves will usually be the first changes (Docherty, 2003). Evaluators should also be sensitive to ST segment depression in leads which are opposite the site of the injury. T-wave inversion and the development of Q. waves are considered to be pathologic evidence of evolving MI. Changes…… [Read More]
Developmental perspective was the concept that the nursing students participating in this study were typically younger than they patients they were caring for. This made it difficult for them to ask the "older" patient questions about a lifestyle they had been practicing for many years.
Environmental constraints were noted that prevented the participants in the study from fully implementing best practice guidelines. The primary of which was time. They noted that because of other duties and paper keeping requirements, they had little time to properly present the best practice guidelines. Some noted that they had little time to do expected things such as breathing, much less introduce the patient properly to best practice guidelines.
During their third year of training the nurses were introduced to a comprehensive program concerning cigarettes and cessation programs. In addition they had already been taught more efficient time management training. With these new tools they…… [Read More]
Staffing shortages in nursing are a consequence of poor nurse retention and nurse satisfaction. Being a nurse requires a lot of dedication, patience, and ability to keep updated in a constantly evolving world. When hospitals and other medical facilities have staffing shortages or shortages in qualified nurses, the healthcare delivery of that particular place dwindles. Nurses are the backbone of any healthcare facility.
Especially in recent times, nurses provide prescriptions, treatment protocols, and diagnosis when doctors are away or busy. This literature review is meant to explain such a phenomena and how it relates directly to nurse satisfaction and nursing retention. From here, the connection crosses over to nursing care and healthcare delivery as standards of practice. Things like arrhythmias will be viewed to understand how nursing shortages attribute to lower quality of care. Utilizing Polk's theory of esilience, this review will allow a look into performance improvement concerns and…… [Read More]
elping the elderly quit smoking is one of the most important responsibilities of the healthcare professional. The number of cessation programs designed for the elderly are severely limited, therefore the venues by which they actively quit smoking are not nearly as prevalent as other age segments. Most health care professionals have not received significant training in smoking cessation counseling in general, even though it is one of the most prevalent causes of health problems within America.
In the absence of having a strong primary care physician or a group therapy session to promote smoking cessation, alternatives include the use of cessation literature. Many channels of education have been attempted with some success in the elderly. In one recent test conducted by Rimer and Orleans using smoking cessation brochures, the results were extremely promising. In the study, three groups were established with the control group receiving cessation literature not specifically designed…… [Read More]
client on Ben Blackall and his specific needs regarding his obesity. Ben Blackall is an 8-year-old boy who is unable to join in any sports at school because of his obesity. He weighs 70 kilos and is 140 cms in height. His family including his 2 brothers are all overweight or obese. This paper will explore the short-term and long-term implications of such an illness. This study will look at interventions that can be implemented into the child's life in hopes of prevention of continued obesity.
The impact of adolescent overweight extends into adulthood. Adolescents who are overweight have an increased risk of morbidity from coronary artery disease and arthritis in adulthood, independent of their weight as adults, and are more likely to be overweight as adults. Obesity in adulthood is perhaps the most serious of all consequences because it is associated with increased mortality and morbidity from a variety…… [Read More]
"Yentl" is a tale set in 19th century Poland, portraying a vivacious, independent little girl called Yentl from the Polish Jewish community, who was doggedly determined to follow her dreams despite knockbacks. Yentl obstinately wishes to pursue education in a community where academics, particularly Jewish religious learning, is strictly reserved for males only and is forbidden for girls. Posing as a youth, Yentl, however, flouts all societal rules and prohibitions with the strength of character that goes well with the personality of Barbra Streisand, who is the director, producer and co-writer of this remarkable movie. Although the film is essentially a musical movie, the theme of love is strong as well. Its execution and staging is indeed highly remarkable. Yentl also offers intricate details of the culture/society it is set in, of its characters' nature and of events which transpire in the course of the movie (Hobbs, n.d.).…… [Read More]
However, bowel movements were more frequent during the high-fiber than during the control diet." (Nutrition Research Newsletter, 2002)
The work of Ruixing, et al. (2007) entitled: "Comparison of Demography, Diet, Lifestyle, and Serum Lipid Levels between the Guangxi ai Ku Yao and Han Populations" states that dyslipidemia is a condition "...in which there is an abnormal lipid or lipoprotein concentration. It is well-known that dyslipidemia is determined by genetic, demographic, and lifestyle factors." (Ruixing, et al., 2007)
It is reported that "...High levels of plasma total cholesterol (TC), triglycerides (TGs), low density lipoprotein cholesterol (LDL-C), and apolipoprotein (apo) and low levels of high density lipoprotein cholesterol (HDL-C) are correlated with the progression of atherosclerosis and a higher incidence of coronary artery disease (CHD). To prevent the development of these diseases, a great deal of research has been focused on determining the relationship between these lipid phenotypes and dietary intake and…… [Read More]
There is a serious problem facing the citizens of America today that could lead to a variety of problems down the road, health problems that could further strain the health care industry and ultimately affect the future economic viability of the United States. That problem is the percentage of obese individuals and the ensuing diseases and health issues that come along with it.
Many health care professionals realize the seriousness of this problem and many state and national agencies have created programs designed to address this important issue. Much of the educational instruction being espoused by this proposed project will be in conjunction with those types of programs, though smaller in scale, of course. This project will focus on the citizens residing in Brooklyn, NY and in particular the Borough Park Community. The project will concentrate on assessing and educating those citizens who are most at risk or…… [Read More]