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, ***** 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-established medical recourse for the treatment of advanced ***** disease. Heart transplants are *****w the third most common organ transplant operation ***** the United States. However, given the potential risks of ***** operation, and the often critical condition of the preoperative, operative, and post***** patient in question, when deal*****g with individuals involved in the heart transplant donor process, and the families of ***** donor, it is important to approach the seriousness ***** the issues ***** sensitivity and tact, and to communicate the technical in*****mation regarding the material with as much clarity as possible. A nurse's job during major, inv*****ive, radical surgery is not merely ***** assist the physician during the ***** by providing antiseptic instruments, ra*****r ***** is a hol*****tic job of counseling, involving the patient and the patient's caregiver and family. (Phipps, 589-605)

Perioperative nursing, an outgrowth of operating room nursing ***** as its goal to assist the patient in preparing for surgery, psychologically and physically. (Phipps, *****) When dealing with a preoperative ***** before the patient has actually undergone a heart *****, it is important that the patient's caretakers, including ***** of h***** or her nurse practitioner, ***** a good understanding of the *****gan in question and the nature ***** ***** operation, so that the nurse can provide an adequate explanation of the procedure, ***** engaged in the "teaching" phase of ***** nursing that is so integral for ***** the patient ***** the ***** room. *****ccording to the ***** Network for ***** Sharing, ***** heart is a "strong and muscular organ" ***** ***** about the size of a fist in adults. The heart's muscular 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 ***** freshly oxygenated. From there, the blood returns ***** the heart and is *****ed to the rest of the *****. ("Organ Facts: The Heart," 2004, ***** Un*****ed Network for ***** Sharing) Despite the fact that the heart is one of the body's vital organs, however, ***** increasing *****ness of the ***** should still be stressed ***** the patient and the ***** family, without minimizing the risks ***** once this surgery has been agreed *****on as ***** best mode of treatment.

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


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