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-est*****blished medical recourse for the treatment of advanced heart disease. Heart transplants are now the third most common organ transplant ***** ***** 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 deal*****g with individuals involved in ***** heart transplant donor process, and the families of ***** donor, it is important to approach the seriousness ***** the *****sues with sensitivity and tact, and to 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 ***** of counseling, involving the patient and the patient's caregiver and family. (Phipps, 589-605)

Perioperative nursing, an outgrowth of operating room ***** ***** as its goal to *****sist ***** patient in preparing for surgery, psychologically and physically. (Phipps, *****) When dealing ***** a preoperative ***** before the patient has actually undergone a he*****rt transplant, it is important that the patient's caretakers, including that of h***** or her nurse practitioner, ***** a good underst*****ing ***** the *****gan in question and the nature of ***** operation, so that the nurse can provide an adequate explanation of the procedure, ***** engaged in the "teaching" phase ***** preoperative nursing ***** is so integral for preparing the patient for ***** operating room. *****ccording to the United Network for ***** Sharing, ***** heart is a "strong and muscular organ" that ***** about the size of a fist in *****dults. The heart's ***** 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 to the heart and is pumped to the rest of the body. ("Organ Facts: The Heart," 2004, ***** United Network for Organ Sharing) Despite ***** fact that the heart ***** one of the body's vital organs, however, the increasing *****ness of the procedure should still be stressed to the patient and ***** ***** family, without minimizing the ***** ***** once this ***** has been agreed *****on as ***** best mode of treatment.

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


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