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 ***** disease. Heart transplants are *****w the third most common organ transplant ***** ***** the United States. However, given the potential risks of ***** operation, and the often critical condition of the preoperative, operative, ***** postoperative patient in question, when deal*****g with individuals involved in the heart ***** donor process, and ***** families of the donor, it is important to approach the seriousness ***** the issues ***** sensitivity and tact, and to communicate the technical information regarding the 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 hol*****tic ***** of counseling, involving the patient and the *****'s caregiver and family. (Phipps, 589-605)

Perioperative nursing, an outgrowth ***** operating room nursing has as its goal to assist the patient in preparing for surgery, psychologically and physically. (Phipps, 589-605) When dealing ***** a preoperative patient before the patient has actually undergone a he*****rt transplant, it is important that the *****'s caretakers, including ***** of his or her nurse practitioner, ***** a good understanding of the *****gan in question and the nature ***** the operation, so that the ***** can provide an adequate explanation of the procedure, ***** engaged in the "teaching" phase of ***** ***** that is so integral for preparing ***** patient for the operating room. *****ccording to the ***** Network ***** Organ Sharing, the heart is a "strong and muscular organ" ***** ***** about ***** size of a fist in *****dults. The heart's ***** activities pump blood throughout the body. It is located beh*****d 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. ("***** Facts: The Heart," 2004, The Un*****ed ***** for Organ Sharing) Despite the fact that ***** heart is one of the body's vital organs, however, the increasing *****ness of the ***** should still be stressed to the patient and the patient's *****, without minimizing the ***** ***** once this ***** has been agreed upon as ***** best mode ***** treatment.

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


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