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 now 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, and postoperative patient in question, when dealing with individuals involved in the heart ***** donor process, and ***** families of the donor, it is important to approach the seriousness of the issues ***** sensitivity and tact, and ***** communicate the technical in*****mation 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 ***** by providing antiseptic instruments, rather nursing is a holistic ***** 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 assist ***** 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 ***** operation, so that the ***** can provide an adequate explanation of the procedure, ***** engaged in the "teaching" phase of ***** nursing ***** is so integral for preparing the patient ***** the operating room. According to the United Network for ***** Sharing, ***** heart is a "strong and muscular organ" that ***** about the size of a fist in adults. The heart's ***** activities pump blood throughout the body. It is located behind the breastbone between the lungs. Deoxygenated blood flows from ***** heart to the lungs where it gives up carbon dioxide and ***** freshly oxygenated. From there, the blood returns ***** the heart and is pumped to the rest of the body. ("Organ Facts: ***** Heart," 2004, The Un*****ed Network for Organ Sharing) Despite the fact that ***** ***** ***** one of the body's vital organs, however, the increasing commonness of the ***** should still be stressed ***** the patient and ***** patient's family, *****out minimizing the risks involved once this surgery has been agreed *****on as the best mode ***** treatment.

***** 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 heart disease, and valvular heart disease, or hypertensive heart disease. The nurse must engage in careful monit**********g of the ***** ***** signs, ***** pulse, ***** pressure, rate of respiration, color, ***** responsiveness, all aspects of indicators that give evidence of heart complications that the patient may manifest pre-surgery. ("Organ Facts: The Heart," *****,


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