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-established medical recourse for the treatment of advanced heart disease. Heart transplants are *****w the third most common organ transplant ***** in the United States. However, given the potential risks of the operation, and ***** often critical condition of the preoperative, operative, ***** post***** patient ***** question, when dealing with individuals involved in ***** heart transplant donor process, and the families of ***** donor, it is important to approach the seriousness ***** ***** 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 ass*****t the physician during the procedure by providing antiseptic instruments, rather nursing is a hol*****tic job of counseling, involving the patient and the patient's caregiver and family. (Phipps, 589-605)

Perioperative nursing, an outgrowth ***** operating room nursing has as its goal to *****sist ***** patient in preparing for surgery, psychologically and physically. (Phipps, 589-605) 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 h***** or her nurse practitioner, have a good understanding ***** the organ 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 ***** the patient ***** the ***** room. *****ccording to the ***** Network for Organ Sharing, the heart is a "strong and muscular *****" that is about ***** size of a fist in adults. The heart's muscular activities pump blood throughout the body. It is located beh*****d 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 to the heart and is pumped ***** the rest of the body. ("Organ Facts: The Heart," 2004, The United ***** for ***** Sharing) Despite the fact that ***** ***** is one of the body's vital organs, however, the increasing *****ness of the ***** should still be stressed to the patient and ***** ***** *****, without minimizing the risks ***** once this ***** has been agreed upon as ***** best mode ***** treatment.

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


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