Open Heart Surgery Cabarrus Memorial Hospital
The Case Open Heart Surgery Cabarrus Memorial Hospital
The Case for Open Heart Surgery at Cabarrus Memorial Hospital
Cabarrus Memorial Hospital is based in North Carolina. This is a hospital that serves people from different areas of Cabarrus County. When the hospital was formed, Mr. Cannon who was a wealthy man and owned the biggest millers company called Cannon Mills decided to fully support it. This was because he wanted to offer his workers the best medical facility in the area. He was known of his compassion, and this made him sponsor the hospital whole heartedly. With the help of other community leaders, the hospital was opened in 1937. It had a tremendous growth and later the board of governors led by the chairman George Batte decided to introduce an open heart surgery program (Hayman, 2009).
The board of governor held a meeting, and they had a lot…...
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References
Tsung O. Cheng, (2006),"Similarities and Dissimilarities" in American Journal of Cardiology .
Hyman, Steven (2009), Prevention & Treatment of cardiovascular ailments, Specified Article
VA Medical Center, (2010) Department of Medicine, Durham, North Carolina, USA
Vivien Thomas (2001). Surgical Shock and Cardiovascular Surgery: University of Pennsylvania Press
The Case for open Heart Surgery at Cabarrus Memorial Hospital
Health Services Administration
Dr. Montasser
In this paper, open heart surgery will be discussed for Cabarrus Memorial Hospital in terms of the cost of the program for the hospital and the patients. The advantages and disadvantages of the program will also be discussed. Alternatives will be given in this paper so that all sides can be argued for and against open heart surgery at Cabarrus.
The Case for open Heart Surgery at Cabarrus Memorial Hospital
Through the years, the Cabarrus Memorial Hospital is able to send the cases that would be taken care of with the increased capacity to Duke University Medical Center. However, there have been exceptions made that may have put a financial strain on the hospital for doctors such as Dr. Christy since Dr. Christy had a very outstanding reputation.. The hospital is financial shaped…...
Essay Topic Examples
1. The Evolution of Surgical Techniques:
Trace the history and development of surgical methods from ancient times to the present, highlighting key innovations and advancements that have significantly improved patient outcomes and revolutionized the field.
2. The Ethical Implications of Cosmetic Surgery:
Examine the ethical considerations surrounding cosmetic surgery, including the societal pressures for physical appearance, the risks versus benefits, and the moral responsibilities of surgeons in the industry.
3. Robotics and Automation in Surgery:
Discuss the impact of robotics and automation in surgical procedures, exploring how technology is enhancing precision and efficiency in operations, as well as the potential implications for surgeon training and employment.
4. Anesthesia: The Game Changer in Surgical ractice:
Delve into the critical role of anesthesia in surgery, detailing the advancements in anesthetic drugs and techniques, and how they have enabled more complex and less painful procedures, ultimately transforming surgical practice.
5. The Role of Surgery in Combatting ublic Health Crises:
Analyze…...
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Primary Sources
Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 20th ed., edited by Courtney M. Townsend et al., Elsevier, 2016.
Schwartz\'s Principles of Surgery. 11th ed., edited by F. Charles Brunicardi et al., McGraw-Hill Education, 2019.Journal of the American College of Surgeons. American College of Surgeons, Elsevier, latest issue.Annals of Surgery. Lippincott Williams & Wilkins, latest issue.World Journal of Surgery. Springer, latest issue.
Given the projected demographic trends and the actual statistics from the surrounding hospitals considered above, it is obvious that the "business" for open heart surgery is moving into the Cabarrus Memorial Hospital area. In the interim however, the hospital administrators on the Board will have to consider possible alternative strategies before making a "go/no-go" decision on the possible addition of the open heart program. Unfortunately, a helicopter medevac average price is $7,500-$8,000. This will of course vary based upon the medications and supplies used during trip ("How much does," 2011).
First of all, in the opinion of the author, we have identified an access problem for the present CMH area residents to the existing open heart surgery facilities at the surrounding hospitals. As noted in the case study text, driving to Charlotte is a major problem. The immediate issue will be relieving this before an open heart surgery center is functioning…...
Does taking Metoprolol before cardiac surgery reduce the incidence of post-op atrial fibrillation
Abstract
Postoperative atrial fibrillation (POAF) remains a prevalent supraventricular arrhythmia. PoAF has associated effects such as deteriorating hemodynamic, increased risk of stroke and increased probability of death. Beta-blockers have been recommended as effective intervention mechanism of preventing PoAF. Metoprolol is one such beta-blocker that is commonly administered to prevent the incidence of PoAF. The systematic review below entails an analysis of six clinical trials that explore the effectiveness of metoprolol. The analysis identifies reduced hospitalization length, reduced mortality and reduced financial burden as the beneficial impact associated with the administration of prophylactic. The small number of studies reviewed limits the validity of the conclusion warranting future large sample size research.
Introduction
Annually, approximately 750,000 cardiac surgery are performed globally with postoperative atrial fibrillation (PoAF) being the prevalent complications (George, et al., 2018). With the increasing proportion of elderly population globally, it’s expected that…...
Essay Topic Examples
1. The Evolution of Surgical Techniques:
Explore the history of surgical practices from ancient times to the modern era, emphasizing how technological advancements and medical research have transformed the risks and outcomes of surgical procedures.
2. Ethical Considerations in Elective Surgery:
Examine the moral dilemmas faced by patients and surgeons in the context of elective surgeries, such as cosmetic procedures, where the risks, benefits, and societal pressures must be carefully weighed.
3. The Impact of Robotics on Surgery:
Discuss the integration of robotic systems into surgical operations, assessing how robotic assistance has improved precision and recovery times while considering the potential ramifications for surgical training and employment.
4. Surgery in Low-Resource Settings:
Investigate the challenges and strategies for conducting surgeries in impoverished or remote areas, including the logistical hurdles, scarcity of trained personnel, and the innovations aimed at improving surgical care in underserved populations.
5. Anesthesia and atient Safety During Surgery:
Analyze the critical role of anesthesia…...
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Primary Sources
Halsted, William S. \"The Training of the Surgeon.\" Bull Johns Hopkins Hosp, vol. 18, 1907, pp. 267-275.
Meara, John G., et al. \"Global Surgery 2030: Evidence and Solutions for Achieving Health, Welfare, and Economic Development.\" The Lancet, vol. 386, no. 9993, 2015, pp. 569-624.Semmelweis, Ignaz P. \"The Etiology, Concept, and Prophylaxis of Childbed Fever.\" Translated by K. Codell Carter, University of Wisconsin Press, 1983.Lister, Joseph. \"On the Antiseptic Principle in the Practice of Surgery.\" The Lancet, vol. 90, no. 2299, 1867, pp. 353-356.Black, J. M., and D. Hawks. \"Medical-Surgical Nursing: Clinical Management for Positive Outcomes, 8th Edition.\" Saunders Elsevier, 2008.
I know whatever major I choose, my first priority is to help others and make a difference in their lives.
I feel I have a lot to offer to your university in my attitude, involvement, and dedication. I am a very sensitive person because of my sister and her condition. She has had many medical problems (including open-heart surgery, heart failure, and several battles with pneumonia). She is an inspiration to me, and my family rejoices in all of her successes. This has made me more open to others, and to understand those who are different, as well as those who fit in. I feel this will make me a better, more compassionate student and peer.
My sister has taught me more than compassion and sensitivity. Despite her health problems and situation, she still holds down a part time job at McDonald's, and is always positive and upbeat. As my older…...
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.
eferences
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 of Geriatric Psychiatry, 10(2), 192-193.
What is coronary artery…...
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References
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., Rappaport, B., Ammar, R. & 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).
Cardiopulmonary bypass entails the techniques through which perfusionists replace some major functions of the lungs and heart with a mechanical system to support a patient during surgical interventions on the pulmonary or cardiovascular system (Ghosh & Cook, 2009). It involves bypass of the lungs and heart in an open-heart surgery where perfusionists redirect blood getting to the heart via a heart-lung machine before it gets into the arterial circulation. Cardiopulmonary bypass takes the role of the lungs and heart during surgery.
Reasons for Application
Cardiothoracic surgeons conduct cardiopulmonary bypass while repairing cardiac defects. he surgeons need a bloodless and motionless heart to work on, and to attain this, the surgeons stop the motion of the lungs and the heart. While the lungs and the heart remain motionless, there must be a way for blood to flow throughout the body to deliver oxygen and nutrients essential in life. Perfusionists together with surgeons perform…...
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The patient receives heparin to avoid clotting besides protamine sulfate to overturn heparin effects. In the course of the procedure, the surgeons maintain hypothermia, and body temperature remains at 8°C to 32°C (McCann, 2005). The surgeons and perfusionists cool the blood during cardiopulmonary bypass and return it to the body. The cooled blood lowers the basal metabolic rate of the body, lowering its oxygen demand. Cooled blood holds an increased viscosity, while the crystalloid solution utilized to guide the bypass tubing water-down the blood. The cardiopulmonary bypass comprises of two major elements, which include the oxygenator and the pump. The oxygenator removes deoxygenated blood from the body replacing it with oxygenated blood via numerous hoses. The elements cardiopulmonary bypass circulates and interconnect through a chain of tubes formed of PVC or silicon rubber while the pump console consists of numerous rotating motor-compelled pumps that massage tubing peristaltically.
Risk Linked to CPB
During open-heart surgery, surgeons temporarily stop the pounding of the heart and maintain life via CPB. Surgeons stop the functioning of the heart through lowering its temperature or through a preservative injection to allow CPB to pump blood throughout the patient's body. Although
Jesus' Teachings, Prayer, & Christian Life
"He (Jesus) Took the Bread. Giving Thanks Broke it. And gave it to his Disciples, saying, 'This is my Body, which is given to you.'" At Elevation time, during Catholic Mass, the priest establishes a mandate for Christian Living. Historically, at the Last Supper, Christ used bread and wine as a supreme metaphor for the rest of our lives. Jesus was in turmoil. He was aware of what was about to befall him -- namely, suffering and death. This was the last major lesson he would teach before his arrest following Judas' betrayal. Eschatologically speaking, the above set the stage for the Christian ministry of the apostles, evangelists and priests. Indeed, every Christian is called to give of him or herself for the Glory of God and the Glory of Mankind. The message at the Last Supper was powerful. People have put themselves through unimaginable…...
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. Prior to adolescence,…...
Tribute: The Late Dr. Wilson Ko
The Late Dr. Wilson Ko: Tribute
Tribute to Dr. Wilson Ko
I feel honored to write this tribute to Dr. Wilson Ko -- a teacher, colleague, doctor, scholar, educational administrator, father, husband, son, and friend to many. From whatever vantage position we knew him, Wilson stood out as someone special.
The very first time Wilson and I met, he had just completed his cardiothoracic fellowship in Weill Cornell Presbyterian Hospital. His visionary and charismatic leadership qualities were almost immediately apparent to me, and we seemed to share the same passion and vision for the Chinese community. This very first encounter back in 1996 marked the start of our scholarly collaboration and long-standing friendship.
Wilson was passionate about improving the welfare of the Chinese community through the treatment of cardiac diseases. By then, there were only very few Chinese cardiothoracic surgeons; however, Wilson was committed to changing that. He was…...
Routine Shaving of the Surgical Site
Select a preoperative procedure (e.g., routine shaving of the surgical site) that you would commonly find on a surgical floor.
Describe the process or procedure you have chosen and why you think it needs change.
The process which I have chosen for surgical floor is routine shaving of the surgical site and I think it needs change because patients going through surgery are required to remove hair from the site of the cut. This is considered to reduce the chance of the surgical site becoming infected (National Collaborating Centre for omen's and Children's Health, 2008). Shaving, clipping the hair and using a cream which dissolves the hair are some of the different methods available to remove hair. And these are important because clinically, care plans offer a way to plan and communicate appropriate patient care.
A2. Based on your initial investigation of the situation, do the following:
Explain who…...
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Works Cited
Collins, A.S. (n.d.). Preventing Health Care - Associated Infections. Retrieved October 30, 2012, from National Center for Biotechnology: http://www.ncbi.nlm.nih.gov/books/NBK2683/
Graham, I.D., RN, J.L., Harrison, M.B., Straus, S.E., Tetroe, J., RN, W.C., et al. (2006). Lost in knowledge translation: Time for a map? Journal of Continuing Education in the Health Professions, 13-24.
Green, L.A., & Seifert, C.M. (2005). Translation of Reserch into Practice: Why we can't "Just Do It." PubMed, 541-545.
National Collaborating Centre for Women's and Children's Health. (2008, October). Surgical Site Infection: Prevention and Treatment of Surgical Site Infection. Retrieved October 29, 2012, from Nice.org.uk: http://www.nice.org.uk/nicemedia/pdf/CG74FullGuideline.pdf
Dangerfield and Associate Entities
Upon examining this case, it's clear that the claims made by Hartman are completely legitimate. The claims made by Mitchell are somewhat legitimate. This paper will first examine the basis of the lawsuit waged by Hartman, as the bulk of the valid accusations made are made by this particular plaintiff. The crux of Hartman's lawsuit is based on the claim that Dangerfield was liable for the negligence of its parking attendant along with independent negligence. Hartman then claims that Dangerfield and Sandman were fundamentally liable by association. While these aren't the exact details of why Hartman was suing these connected entities, it does boil down the fundamental reason. The essential element of Hartman's case boils down to primary tort's law. "A person is negligent if he fails to exercise ordinary care to avoid injury to other persons or their property. In other words, he failed to do…...
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References
Best, A. (2007). Basic Tort Law: Cases, Statutes, and Problems. New York: Aspen Publishers.
Carper, D. (2008). Understanding the Law. Mason: Thomson West.
Healthcare Organization
Banner Healthcare is an American non-profit healthcare system predominantly used in Phoenix, Arizona. The healthcare organization runs twenty-three hospitals plus various other specialized units. It has about 35,000 workers in its employment and so is one of the state's biggest employers. It offers emergency care, hospital care, rehab services, outpatient surgery, pharmacies, hospice, home care and long-term care. The organization has recently begun running primary care physician clinics such as Banner Arizona Medical Clinic and the Banner Medical Group. The organization was founded when Samaritan Health System and the Lutheran Health Systems merged.
The mission statement of Banner Health is "To make a difference in people's lives through excellent patient care (Banner health, 2014). The institution is known all over the country and is well recognized. The merger that led to the formation of the institution happened over two decades ago in 1991. The resultant company launched onto an ambitious…...
Bannerhealth. (2014). Our Mission. Retrieved from Bannerhealth:
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