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

Perioperative nursing, an outgrowth of operating room nursing has as its goal to *****sist the patient in preparing for surgery, psychologically and physically. (Phipps, *****) When dealing with a preoperative ***** before the patient has actually undergone a heart transplant, it is important that the patient's caretakers, including that of his or her nurse practitioner, have a good underst*****ing ***** the *****gan in question and the nature of the operation, so that the ***** can provide an adequate explanation of the procedure, when engaged in the "teaching" phase ***** preoperative ***** that is so integral for preparing the patient for ***** operating room. ********** to the ***** Network ***** Organ Sharing, the heart is a "strong and muscular organ" ***** ***** about ***** size of a fist in *****dults. The heart's muscular activities pump blood throughout the body. It is located behind the breastbone between the lungs. Deoxygenated blood flows from the 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 ***** for Organ Sharing) Despite the fact that the heart ***** one of the body's vital organs, however, the increasing commonness of the procedure should still be stressed ***** the patient and the patient's family, without minimizing the risks involved once this surgery has been agreed upon as the best mode ***** treatment.

Five common priorities ***** nursing diagnosis before the surgery ***** may lead to the need for a p*****tient to receive a ***** *****re coronary ***** dise*****e, cardiomyopathy, congenital heart disease, ***** valvular ***** disease, or hypertensive heart disease. The nurse must engage in careful moni*****r*****g of the ***** vital signs, including pulse, blood pressure, rate of respiration, col*****, and responsiveness, all aspects of indicators that give evidence ***** ***** complications that the patient ***** manifest pre-surgery. ("Organ Facts: The Heart," 2004,


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