Cardiac catheterization

My role as Geriatric Psychiatrist, providing care in the general hospital, also enables me to see other aspects of our health care system. Recently, our hospital announced the closing of Geriatric Assessment Clinic due to it’s financial return or lack there of. This is the place where we could refer the Geriatric patients with complex issues that required the team of different disciplines to figure out how to best care for those particular patients. There is no incentive to provide care for the…

Doppler can detect ventricular septal defects or any other septal defects, and any defects with valves can also be evaluated. Despite all the advancements there are some limitations in complex cases of Tetralogy of Fallot. The main concern is sudden cardiac death after surgical repair. There has been various studies and research regarding predictive assessment parameters. The evaluation of the right ventricle shows good potential primarily because there is not much known about preserving right…

Interventional cardiology is a relatively new field in medicine. The doctors within this field treat heart diseases through minimally invasive procedures through the use of catheters, stents, and balloons. Catheter are thin tube made up of several types of material depending on how it will be used. A stent on the other hand is a tube composed of metal that can remain within the body to keep a blood vessel open. Interventional cardiology is said to be first discovered by Andreas Gruentzig in…

Spoke with a 63 year old female who has end-stage renal disease (ESRD) and has currently been on dialysis for the past two years. However, ESRD is not a diagnosis but a name of a Medicare program (Porth & Matfin, 2009) The definition of chronic kidney disease (CKD) for a patient is irreversible kidney damage and/or glomerular filtration rate (GFR) less than 60 ml/min/1.73 m^2 for a minimal three months (Porth & Matfin, 2009). Those patient with kidney failure has either GFR less than 15…

History of present illness: Mr. F. is a 55-year-old advertising executive who comes to the emergency room complaining of pain in his chest that began 1 hour ago. He describes the pain as pressure under the sternum that radiates into his left arm and up into his jaw. On a scale of 1 to 10, he rates it as a 7 in intensity. He feels short of breath. He has had similar symptoms during the last 2 weeks, but these episodes have lasted for 5 to 10 minutes at the most. He noticed that the symptoms are…

The types of murmurs fall under two general categories such as systolic and diastolic. Identifying when the murmur is heard is crucial in determining if it is diagnostic or systolic. Different types of murmurs may indicate different conditions or can be a common difference between adults and children. For example, the venous hum murmur is essentially “blood flow returning from the head and arms through the large veins in the upper chest can be heard. This murmur will commonly disappear if the…

Year Author Title Journal Purpose Design/Sample Results/Recommendations Limitations Level/ Grade 2015 Sion Jo, Taeoh Jeong, Young Ho Jin, Jae Baek Lee, Jaechol Yoon, & Boyoung Park. Emergency Department (ED) crowding is associated with inpatient mortality among critically ill patients admitted via the ed: Post hoc analysis from a retrospective study. American Journal of Emergency Medicine. “To evaluate the assassination between ED crowding and inpatient mortality among critical ill…

The redevelopment in Mississauga added a new cardiac catheterization lab, additional cardiovascular intensive care beds and 135 in-patient beds in the newly-built wing. And the project in West Toronto included expansion of the Urgent Care Centre, creation of a cancer detection and treatment facility and a new…

I feel extremely fortunate and lucky that I have had relatively little personal experience in the healthcare field. Most of my family, outside of grandparents that were in their 80s, has also been relatively healthy. I have not had cancer, broken a bone, gotten into an accident, or some other problem to bring me into a hospital, which would make it easy to say that I do not have a “illness narrative,” but the more I thought about this topic the more I realized how integral healthcare has been to…

This week in clinical I experienced what it is like to work in the emergency department. Going into the clinical day I had some personal goals on top of the clinical group goals. The goal for the clinical group this week was to perform personal hygiene. I think this direction was about more than just the hygiene however. I think it was to balance therapeutic nursing actions with technical nursing skills. My own personal goal for my ER shift was to be able to understand how nurses prioritize…