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 now the third most common organ transplant operation in the United States. However, given the potential risks of the operation, and ***** often critical condition of the preoperative, operative, ***** postoperative patient in question, when deal*****g with individuals involved in the heart ***** 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, invasive, radical surgery is not merely to ass*****t the physician during the procedure by providing antiseptic instruments, rather ***** is a hol*****tic job of counseling, involving the patient and the *****'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, 589-605) When dealing with a preoperative ***** before the patient has actually undergone a heart transplant, it is important that the *****'s caretakers, including ***** of h***** or her nurse practitioner, ***** a good underst*****ing ***** the organ in question and the nature of the operation, so that the nurse can provide an adequate explanation of the procedure, when engaged in the "teaching" phase ***** preoperative nursing that is so integral for ***** the patient ***** ***** operating room. According 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 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 *****ed ***** the rest of the body. ("***** Facts: The Heart," 2004, ***** United ***** for Organ Sharing) Despite the fact that the heart is one of the body's vital organs, however, the increasing commonness of the ***** should still be stressed to the patient and the patient's *****, without minimizing the risks ***** once this surgery has been agreed upon as the best mode ***** *****.

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


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