Effects of Diabetic-focused Discharge Education on the Incidence of Mediastinitis After Coronary Artery Bypass Graft Surgery
Author:
Publisher:
Published: 2014
Total Pages: 51
ISBN-13:
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The Lived Experience of the Diabetic Patient Undergoing Coronary Artery Bypass Graft Surgery
Author: Jacqueline Johnston
Publisher:
Published: 2013
Total Pages: 160
ISBN-13:
DOWNLOAD EBOOKThe purpose of the study was to reveal the lived experience of the diabetic patient undergoing coronary artery bypass graft (CABG) surgery. This research was considered important as diabetes is Australia's fastest growing chronic disease (Australian Diabetes Council, 2010) and the number ofCABGs patients who have diabetes is increasing (Dinh, et al. 2008). Two male participants were recruited by a Melbourne cardiac surgeon using purposive sampling and were interviewed using an in-depth interviewing technique. A hermeneutic approach, underpinned by Heidegger's philosophyprovided the methodology for the study. Thematic analysis was undertaken and four themes were uncovered: scared and surprised, acceptance of chronic illness, acquiesce and being lucky. These findings form several recommendations for nursing practice, including providing CABG surgicalpatients with individualised care plans for diabetic management, education for diabetic patients on potential complications from the disease, education on CABG surgery, including pain management and providing support for patient's families.
An Individualized Telephone Educational Intervention for Patients Following Coronary Artery Bypass Graft Surgery During the First Three Weeks After Discharge
Author: Karen Martha Williamson
Publisher:
Published: 2007
Total Pages: 338
ISBN-13: 9780494396117
DOWNLOAD EBOOKThe purpose of this randomized clinical trial was to evaluate the effectiveness of a weekly individualized, telephone, educational intervention for coronary artery bypass graft (CABG) surgical patients during the first three weeks following discharge from hospital. Orem's Theory of Self-Care guided the design of the intervention and the study. An experimental design with repeated measures was used to determine the effectiveness of the intervention on improving knowledge of symptom management and performance of therapeutic self-care behaviours, and in reducing symptom severity. Patients (N=88), undergoing their first CABG surgery, were randomly assigned to one of two groups either receiving the usual pre-discharge education or the usual predischarge education and the individualized, telephone intervention. The three educational intervention sessions focused on patients' concerns related to six post-operative symptoms (ie. pain, anxiety, depression, fatigue, sleep disturbances, and activity limitations) and related symptom management strategies were discussed. Data related to symptom severity were collected at pre-test (during hospitalization) and during each of the three weeks of the intervention implementation. Data related to knowledge of symptom management and therapeutic self-care were collected at pre-test and at post-test (week 4). Major findings from the analyses indicated that the intervention was effective in improving knowledge of symptom management and performance of therapeutic self-care behaviours, and in reducing symptom severity. Anxiety, fatigue, sleep disturbances, and activity limitations were significantly decreased in the intervention group during each of the first three weeks following discharge as compared to the control group. Pain intensity and interference, as well as depression were lower in the intervention group at weeks 2 and 3 after discharge. Moderate positive correlations were found between knowledge of symptom management and therapeutic self-care, knowledge of symptom management and the symptoms severity of pain interference, fatigue, and activity limitations, as well as with therapeutic self-care and the severity of all symptoms except for pain intensity. Age was negatively moderately correlated with knowledge of symptom management. Some of the implications from the study findings are related to examining the long-term effectiveness of the intervention and evaluating the feasibility of implementing the intervention in a hospital-based setting.
The Effect of Telehealth on 30-Day Readmissions in Medicare Beneficiaries Following Isolated Coronary Artery Bypass Graft Surgery
Author: Kathleen Shaughnessy
Publisher:
Published: 2018
Total Pages: 174
ISBN-13:
DOWNLOAD EBOOKCardiovascular disease (CVD) is the leading cause of death in 45.1% of Americans. Each year in the United States, 790,000 suffer myocardial infarction as end organ damage from coronary disease. Coronary artery bypass graft (CABG) surgery is a life-saving procedure for many patients with severe coronary artery disease. However, hospital readmissions for complications within 30 days after CABG discharge pose substantial burden to patients, families, and the healthcare system. This scholarly project examined the effect of a telehealth (TH) program in addition to usual discharge care on 30-day readmissions in Medicare isolated CABG patients. A retrospective case-controlled analysis of TH program data was conducted at a single project site. Medicare patients who participated in a TH program after discharge to a home setting following isolated CABG surgery from 5/1/17-4/30/18 were compared with a causal comparison group receiving usual care from 5/1/16-4/30/17. A total of 83 cases (51 control; 32 treatment) met inclusion criteria. No statistically significant differences were noted in 30-day all cause readmission (p=0.568), emergency room encounters (p=0.785) or readmissions specifically related to atrial fibrillation, heart failure, or pleural effusion. The treatment group showed a trend toward timely follow-up to cardiology appointments, with a reduction from 19.8 to 13.7 days (p= 0.062). The treatment group experienced no failures to show for surgical follow-up appointments. Treatment interventions due to TH primarily consisted of medication initiation and titration. Therefore, one practice recommendation is to incorporate a diuretic script into the discharge plan with instructions for use. A second recommendation is to remove barriers to surgical follow-up by utilizing nurse practitioners to evaluate these postoperative patients within one week of discharge. A final recommendation is to evaluate best practices for discharge care post isolated CABG surgery for incorporation into the American Hospital Association (AHA)/American College of Cardiology (ACC) guidelines. Reducing hospital readmissions from siloed care represents an opportunity to reduce cost and improve transitions of care practices.
Deep Sternal Wound Infections
Author: Raymund E. Horch
Publisher: Springer
Published: 2017-01-19
Total Pages: 139
ISBN-13: 3662497662
DOWNLOAD EBOOKThis concise and practical handbook covers the basics of pathophysiology, diagnosis, interdisciplinary surgical management, prevention and rehabilitation of patients with deep sternal wound infections and sternal osteomyelitis. All relevant aspects and surgical procedures are explained in an easily understandable way. Additionally special approaches and preventive measures are highlighted with regard to the perioperative handling as well as the rehabilitation possibilities. Through concise texts with numerous illustrations, the book is ideal for the practice and as a supplement to further studies. This book is suitable for all specialists who are involved into the treatment and diagnosis of sternal wound infections, particularly cardio-thoracis, thoracic, plastic, vascular surgeons, cardiologists, radiologists, and rehabilitation physicians.
Chronic Postsurgical Pain
Author: Gérard Mick
Publisher: Springer Science & Business Media
Published: 2014-02-20
Total Pages: 175
ISBN-13: 3319043226
DOWNLOAD EBOOKPrimum non nocere... The fact that a surgical procedure can leave any kind of pain casts a shadow over this tenet, which is seen as the basis of medical practice and anchor of its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave behind an unacceptable sequela? This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book.
PanVascular Medicine
Author: Peter Lanzer
Publisher: Springer
Published: 2015-03-30
Total Pages: 5004
ISBN-13: 9783642370779
DOWNLOAD EBOOKVascular management and care has become a truly multidisciplinary enterprise as the number of specialists involved in the treatment of patients with vascular diseases has steadily increased. While in the past, treatments were delivered by individual specialists, in the twenty-first century a team approach is without doubt the most effective strategy. In order to promote professional excellence in this dynamic and rapidly evolving field, a shared knowledge base and interdisciplinary standards need to be established. Pan Vascular Medicine, 2nd edition has been designed to offer such an interdisciplinary platform, providing vascular specialists with state-of-the art descriptive and procedural knowledge. Basic science, diagnostics, and therapy are all comprehensively covered. In a series of succinct, clearly written chapters, renowned specialists introduce and comment on the current international guidelines and present up-to-date reviews of all aspects of vascular care.
Prevention and Control of Infections in Hospitals
Author: Bjørg Marit Andersen
Publisher: Springer
Published: 2019-02-25
Total Pages: 1127
ISBN-13: 3319999214
DOWNLOAD EBOOKThis volume offers extensive information on preventive and infection surveillance procedures, routines and policies adapted to the optimal infection control level needed to tackle today’s microbes in hospital practice. It especially focuses on preventive measures for serious hospital infections. Each chapter includes a practical section that addresses the main aspects of procedures and treatment, and a theoretical section that contains updated documentation that can be used for further study, or to help select infection control measures. Infection control concerns all healthcare professional working directly or indirectly with patients; in diagnosis, treatment, isolation measures, operations, equipment, drugs, cleaning, textiles, transport, porter service, food and water, building and maintenance, etc. Hygiene and environmental control is central to infection prevention for patients, visitors and staff alike. Good hygienic practices, individual infection control, well implemented and frequent environmental cleaning, and a high professional standard of hygiene in the treatment and care of patients, are essential to patient safety and a safe working environment. Addressing this essential topic, this book is intended for doctors, nurses and other healthcare workers, students in health-related subjects, hospital managers and health bureaucrats, as well as patients and their families.
Cardioprotection
Author: Derek Hausenloy
Publisher: Oxford University Press
Published: 2009-08-20
Total Pages: 138
ISBN-13: 019954476X
DOWNLOAD EBOOKCoronary heart disease (CHD) is the leading cause of death worldwide. Cardioprotection refers to the prevention of CHD and the clinical improvement in patients suffering from cardiovascular problems.
Pharmacotherapy Casebook
Author: Terry L. Schwinghammer
Publisher: McGraw-Hill Medical Publishing
Published: 2005
Total Pages: 484
ISBN-13:
DOWNLOAD EBOOKThis casebook is designed to help students develop the skills required to identify and resolve drug therapy problems through the use of patient case studies.
