Percutaneous coronary intervention

With coronary artery disease, involves health professionals that are essential in taking care of these patients. The role of the health professional or professionals is to treat the disease, and also to have the treatment plan managed. Health professionals for CAD are a primary care physician, cardiologist, nurse educator, a cardiac rehabilitation team, a mental health professional, and a dietitian. Each of their roles differ depending on how complicated the disease becomes. A primary care…

Cardiovascular disease has long been the leading cause of death in the United States, and predicted to affect forty percent of our population by 2030 (Narang et al., 2016). Furthermore, research indicates that the cardiovascular workforce is inadequate to meet the rising demands of this patient population (Narang et al., 2016). In particular, a subset of cardiac care nurses, cardiac catheterization laboratory nurses are key members of this cardiovascular workforce. Although this nursing…

mortality when compared with an amlodipine based regime. The primary endpoint of the VALUE trial was time to the first cardiac morbidity or mortality event. The trial enrolled 15,245 hypertensive patients aged 50 years or older, at high risk for coronary artery disease. Patients were randomized to either valsartan or amlodipine groups and followed for 4–6 years. Investigators were instructed to treat patients until BP was reduced to less than 140/90 mm Hg in an effort to produce equivalent BP in…

Artificial nutrition and hydration should not be used for end of life patients because intravenous hydration can have a negative impact on the quality of their life. According to RJ Ackermann, M.D (Medical Doctor), “There is always a risk when someone is fed through a tube. Liquid might enter the lungs. This can cause coughing and pneumonia… They can become plugged up, causing pain, nausea and vomiting” (Artificial Hydration and Nutrition par. 19). This quote shows that it is risky to use a…

The goals of a dietitian must be measurable, realistic and a reachable outcome of favor elongating and improving quality of life. Geriatric patients with advanced dementia are the highest at risk population for getting a percutaneous endoscopic gastrostomy tube (PEG) placed in order to receive tube feeding. AND’s position does not support the use of PEG tubes for this population. Research evidence denies the benefits of prolonging life, prevent aspiration pneumonia, improve…

what is being communicated to him but unable to respond verbally or in writing (Labreche et al. 2016). Mr Jackson is to be discharged to his mother’s house with a package of supportive care since she refused to have him at home unless he has a Percutaneous endoscopic gastrostomy (PEG) tube. The decision to approve this request would be sensible and PEG tube feeding is also favoured by guidelines (ESPEN 2005). They show that it is more safe, tolerable and simple and offers an improvement in…

her heart attack. This pain was described as if someone was putting pressure on her chest and it radiated down to her arms. Additionally, she felt as if she was struggling to breathe, nauseated, weak and sweating. This fits with the diagnosis of coronary artery disease that is the source of developing chronic stable angina and can induce a myocardial infraction like she already had because those with this disease often experience “sub sternal chest pains or pressure (squeezing, aching, tingling)…

The Effects of Mindfulness Meditation on the Working Memory in College Students Previous research studies have exhibited evidence towards the relationship between meditation and improved academic scores (Foris, 2005). With meditation becoming a widely popular topic, especially for its benefits in the reduction of stress and anxiety, it is questioned whether the use of proper mindfulness meditation has positive effects on the working memory and if so, do those effects differentiate between males…

of Mexico’s national land to be lost to them. Not long after the liberal reform came to rise, led by Benito Juarez, was there some stability among the nation. Not long after the liberal enacted radical social reforms creating unrest allowing the intervention by the French under Napoleon III in 1863, placing a surprisingly liberal Emperor from the Habsburg line, Maximillian, who was overthrown and executed by Juarez another example of the instability within the Mexican political system. Fear and…

training. There are psychological approaches to mind-body medicine which include modifying one’s environment with an aim to change the stressors and thus reduce the emotional impact of a certain activity. This involves a change in the behavioral interventions of a person to cure a disease. For example, abandoning a stressful activity is good for a person’s health. Other psychological approaches to relieving stress entail education about diseases, their treatment, and their outcomes has been seen…