Essay - Heart Organ Donation and Heart Transplants: Priority Nursing Diagnosis, Implications...


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Heart Organ Donation and Heart Transplants: Priority nursing diagnosis, implications, and interventions

Almost four decades have passed since the first human heart transplant took place in 1967. Today, the procedure is no longer a risky experimental surgical operation. It has become a well-est*****blished medical recourse for the treatment of advanced heart disease. Heart transplants are now the third most common organ transplant ***** ***** the United States. However, given the potential risks of the operation, and ***** often critical condition of the preoperative, operative, and postoperative patient in question, when deal*****g with individuals involved in ***** heart transplant donor process, and the families of ***** donor, it is important to approach the seriousness ***** ***** ********** with sensitivity and tact, and to communicate the technical in*****mation regarding ***** material with as much clarity as possible. A nurse's job during major, inv*****ive, radical surgery is not merely to ass*****t the physician during the procedure by providing antiseptic instruments, rather nursing is a holistic job of counseling, involving the patient and the patient's caregiver and family. (Phipps, 589-605)

Perioperative nursing, an outgrowth ***** operating room ***** has as its goal to assist the patient in preparing for surgery, psychologically and physically. (Phipps, *****) When dealing ***** a preoperative patient before the patient has actually undergone a he*****rt transplant, it is important that the patient's caretakers, including ***** of h***** or her nurse practitioner, have a good understanding ***** the organ in question and the nature of ***** operation, so that the ***** can provide an adequate explanation ***** the procedure, when engaged in the "teaching" phase of ***** nursing ***** is so integral for preparing ***** patient ***** the ***** room. ********** to the ***** Network for Organ Sharing, ***** heart is a "strong and muscular organ" that ***** about the size of a fist in *****dults. The heart's ***** activities pump blood throughout the body. It is located behind the breastbone between the lungs. Deoxygenated blood flows from ***** heart to the lungs where it gives up carbon dioxide and is freshly oxygenated. From there, the blood returns ***** the heart and ***** pumped to the rest of the *****. ("***** Facts: ***** Heart," 2004, The Un*****ed ***** for Organ Sharing) Despite the fact that the heart is one of the body's vital organs, however, the increasing *****ness of the procedure should still be stressed ***** the patient and ***** ***** family, without minimizing the ***** involved once this ***** has been agreed upon as ***** best mode ***** *****.

Five common priorities ***** nursing diagnosis ***** the surgery that may lead to the need for a patient to receive a transplant are coronary heart *****, cardiomyopathy, congenital heart disease, and valvular ***** disease, or hypertensive heart disease. The nurse must engage in c*****ful monit*****ing of the patient's ***** signs, including pulse, blood pressure, rate of respiration, color, and responsiveness, all aspects of indicators that give evidence ***** heart complications ***** ***** patient ***** manifest pre-surgery. ("Organ Facts: ***** Heart," *****,

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