Title: Leading and Managing Programmes of Learning in Professional Education Assignment Title: Leading and managing change in clinical practice: A critical analysis and evaluation of policy implementation in blood transfusion practice in an acute setting. Course: PG Diploma in Education Word Count: 3‚315 Submission Date: The change in nurse education from apprenticeship training to the higher education setting has raised concerns about the lack of
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risk factors unique to women may play a role. In summary the pathophysiology of an acute coronary event includes (1) endothelial damage through plaque disruption‚ irregular luminal lesions‚ and shear injury; (2) platelet aggregation; (3) thrombus formation causing partial or total lumen occlusion; (4) coronary artery vasospasm; and (5) reperfusion injury caused by oxygen free radicals‚ calcium‚ and neutrophils. In patients with non-infarction ACS‚ spontaneous fibrinolysis of the thrombus occurs rapidly
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Coronary Artery Disease Tabatha Turner Practicum I Arkansas Tech University Coronary Artery Disease “Acute coronary syndromes represent a spectrum of clinical conditions that are associated with acute myocardial ischemia” (Gulanick & Myers‚ 2011). Coronary Artery Disease (CAD) is one of these clinical conditions that affect approximately 13 million people (Rimmerman‚ 2011). Because coronary diseases are the leading cause of death in men and women‚ nurses need to be involved in the care
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The non-modifiable risk factors include are age/gender( men more then women until 60 years of age)‚ ethnicity (whites more then African Americans)‚ and genetic predisposition and family history of heart disease(Lewis et al 2007). Pathophysiology Atherosclerosis is the major cause of CAD. It is characterized by a focal deposit of cholesterol and lipids‚ primarily within the arterial intimal wall. Plaque formation is the result of complex interactions between components of the blood and
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Classification There are two basic types of acute myocardial infarction based on pathology: Transmural: associated with atherosclerosis involving a major coronary artery. It can be subclassified into anterior‚ posterior‚ inferior‚ lateral or septal. Transmural infarcts extend through the whole thickness of the heart muscle and are usually a result of complete occlusion of the area’s blood supply.[13] In addition‚ on ECG‚ ST elevation and Q waves are seen. Subendocardial: involving a small area
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in women over 75 years of age 2. Family History (non-modifiable) a. A positive family history is one in which a close blood relative has had a MI or stroke before age 60 b. Individuals with a family history had a 50% greater risk of having an acute MI 3. Hyperlipidemia Hyperlipidemia is a leading factor responsible for atherosclerosis and the development of CAD Assessing the total serum cholesterol and triglyceride levels is essential to the assessment of cardiovascular risk in patients
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This paper will cover my experience while in the cardiac catheterization lab during clinical rotations. A 67 year old Caucasian male was emitted for emergent angioplasty with intracoronary stent placement for occlusive myocardial infarction resulting in cardiogenic shock. My paper will detail the medical diagnosis and nursing management of cardiogenic shock. Medical Diagnosis Cardiogenic shock is a term used to describe the heart’s inability to supply enough blood to the organs of the body.
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Cardiovascular Disease-Case study #2 Christian Oyibe Advanced Clinical Pathophysiology Nursing 6150 Governor’s State University Professor Savannah Prince March7‚ 2012 Introduction Heart disease is often used interchangeably with cardiovascular disease generally refers to conditions that involve narrowed or block vessels that can lead to a heart attack‚ chest pain (angina) or stroke. Other forms of heart condition
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TIAs are powerful forerunners of stroke. Approximately 10% of patients diagnosed as having a TIA have a stroke in the 90 days following the TIA diagnosis‚ with half of them having a stroke within 2 days of the TIA. TIAs are short-lived episodes of acute‚ focal‚ nonconvulsive neurologic dysfunction presumably caused by reversible ischemia to an area of the retina or brain. Onset of symptoms is sudden and often unprovoked‚ reaching maximum intensity almost immediately. Completed Stroke A completed
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References: Brashers‚ V.L. (2008). Alterations of cardiovascular function. In S. Huether‚ & K. McCance‚ (Ed.)‚ Understanding pathophysiology (4th ed.) (pp.606-675). St. Louis: Mosby Elsevier. Brashers‚ V.L. (2008). Alterations of pulmonary function. In S. Huether‚ & K. McCance‚ (Ed.)‚ Understanding pathophysiology (4th ed.) (pp.693-713). St. Louis: Mosby Elsevier. Kara‚ M. (2005). Preparing nurses for the global pandemic of chronic obstructive pulmonary disease. Journal
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