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 ***** operation, and the often critical condition of the preoperative, operative, and post***** patient ***** question, when dealing with individuals involved in the heart transplant donor process, and ***** families of the donor, it is important to approach the seriousness ***** 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, inv*****ive, radical surgery is not merely to assist ***** physician during the ***** by providing antiseptic instruments, ra*****r nursing is a hol*****tic ***** of counseling, involving the patient and the *****'s caregiver and family. (Phipps, 589-605)

Perioperative nursing, an outgrowth of operating room nursing ***** as its goal to ********** 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 patient's caretakers, including ***** of his or her nurse practitioner, ***** a good understanding of the organ in question and the nature of the operation, so that the nurse can provide an adequate explanation ***** the procedure, when engaged in the "teaching" phase of ***** ***** ***** is so integral for ***** the patient for ***** operating room. According to the United 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 ***** 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 *****. ("***** Facts: ***** Heart," 2004, The United ***** for Organ Sharing) Despite the fact that ***** ***** is one of the body's vital organs, however, ***** increasing *****ness of the procedure should still be stressed to the patient and the patient's family, without minimizing the risks involved once this ***** has been agreed *****on as the best mode of treatment.

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


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