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 experimental surgical operation. It has become a well-established medical recourse for the treatment of advanced heart disease. Heart transplants are now 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, and post***** patient in question, when dealing with individuals involved in the heart transplant donor process, and the families of the donor, it is important to approach the seriousness of ***** ********** ***** sensitivity and tact, and ***** communicate the technical in*****mation 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 ***** by providing antiseptic instruments, ra*****r ***** is a holistic ***** ***** counseling, involving the patient and the patient's caregiver and family. (Phipps, 589-605)

Perioperative nursing, an outgrowth of operating room ***** has as its goal to ***** the patient in preparing for surgery, psychologically and physically. (Phipps, 589-605) When dealing with a preoperative patient before the patient has actually undergone a he*****rt 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 nursing that is so integral for preparing ***** patient for the ***** room. According to the ***** Network ***** ***** Sharing, the heart is a "strong and muscular organ" that ***** about the size of a fist in *****dults. The heart's muscular 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 is freshly oxygenated. From there, the blood returns ***** the heart and is pumped to the rest of the *****. ("Organ Facts: The Heart," 2004, ***** Un*****ed Network for ***** Sharing) Despite the fact that ***** ***** ***** one of the body's vital organs, however, the increasing *****ness of the procedure should still be stressed ***** the patient and ***** ***** family, *****out minimizing the risks ***** once this surgery has been agreed *****on as the best mode ***** *****.

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


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