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 experiment*****l surgical operation. It has become a well-established medical recourse for the treatment of advanced ***** disease. Heart transplants are ********** the third most common organ transplant operation ***** the United States. However, given the potential risks of the operation, and the often critical condition of the preoperative, operative, ***** postoperative patient in question, when dealing with individuals involved in the heart ***** donor process, and the families of ***** donor, it is important to approach the seriousness ***** the ********** ***** sensitivity and tact, and to communicate the technical information 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 ***** 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 ***** ***** 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 heart transplant, it is important that the patient's caretakers, including that of his or her nurse practitioner, have a good underst*****ing of the organ in question and the nature ***** ***** operation, so that the nurse can provide an adequate explanation of the procedure, when engaged in the "teaching" phase of preoperative nursing that is so integral for ***** ***** patient for the operating room. According to the United Network ***** ***** Sharing, ***** heart is a "strong and muscular *****" ***** ***** about the size of a fist in adults. The heart's ***** activities pump blood throughout the body. It is located beh*****d 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 body. ("Organ Facts: ***** Heart," 2004, The Un*****ed ***** for ***** Sharing) Despite the fact that the ***** is one of the body's vital organs, however, the increasing commonness of the ***** should still be stressed to the patient and ***** patient's *****, without minimizing the ***** involved once this ***** has been agreed *****on as the best mode of treatment.

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


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