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 heart 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, ***** 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 of the issues ***** sensitivity and tact, and ***** 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 to assist the physician during the ***** by providing antiseptic instruments, rather ***** is a hol*****tic job ***** 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 ***** ***** patient in preparing for surgery, psychologically and physically. (Phipps, *****) When dealing with a preoperative patient before the patient has actually undergone a he*****rt *****, it is important that the ********** caretakers, including ***** of his or her nurse practitioner, have a good understanding ***** the *****gan in question and the nature of the operation, so that the ***** can provide an adequate explanation ***** the procedure, ***** engaged in the "teaching" phase of preoperative nursing that is so integral for preparing the patient ***** the ***** room. *****ccording to the ***** Network for ***** Sharing, ***** heart is a "strong and muscular organ" that ***** 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 the heart to ***** lungs where it gives up carbon dioxide and is freshly oxygenated. From there, the blood returns to the heart and ***** *****ed to the rest of the *****. ("Organ Facts: The Heart," 2004, ***** United ***** for ***** Sharing) Despite the fact ***** the ***** is one of the body's vital organs, however, ***** increasing *****ness of the procedure should still be stressed to the patient and ***** patient's family, *****out minimizing the ***** involved once this ***** has been agreed upon as the best mode of *****.

Five common priorities ***** nursing diagnosis ***** the surgery that may lead to the need for a p*****tient ***** receive a transplant are coronary heart *****, cardiomyopathy, congenital ***** dise*****e, ***** valvular heart disease, or hypertensive ***** disease. The nurse must engage in c*****ful monit*****ing ***** the patient's vital signs, ***** pulse, ***** pressure, rate of respiration, color, and responsiveness, all aspects of indicators that give evidence of heart complications ***** the patient ***** manifest pre-surgery. ("Organ Facts: ***** Heart," 2004,


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