scholarly journals 34 The diagnostic and therapeutic pathway of the patient with SCA: Nursing&Tech assistance

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Stefano Santucci ◽  
Domenico Franchetti ◽  
David Emanuelli ◽  
Martina Cerulli ◽  
Sara Marcotuttli ◽  
...  
Keyword(s):  
Heart Disease ◽  
Ionizing Radiation ◽  
Electric Shock ◽  
Therapeutic Process ◽  
Vascular Occlusion ◽  
Clinical Indication ◽  
Diagnostic Systems ◽  
Basic Care ◽  
Nursing Team ◽  
Ambulance Nurse

Abstract Cardiomyopathies to be the first cause of death. The patient who suffers from acute heart disease, after clinical evaluation, is subjected to a diagnostic–therapeutic process that involves several professional figures which include the doctor and the ambulance nurse, the doctor and all the emergency room staff who accept the patient and, if the clinical indication is oriented towards a vascular occlusion disease, the doctor and the technical-nursing team of the haemodynamics service activated in urgency. To diagnose with certainty the presence of vascular disease we make use of diagnostic systems that use ionizing radiation; the haemodynamics team thus finds itself operating not only in urgent conditions but also in dangerous conditions due to the presence of ionizing radiation. Nursing and technical staff need additional skills to be able to take on roles from basic care to emergency electric shock resuscitation. The purpose of this work is to illustrate the phases of the activity that stabilize the treatment in the hemodynamics room from the acute phase to the patient.

scholarly journals Care necessities: the view of the patient and nursing team

2017 ◽  
Vol 70 (5) ◽  
pp. 1026-1032
Author(s):  
Priscila Fernandes Martins ◽  
Marcia Galan Perroca
Keyword(s):  
Comparative Study ◽  
Health Professionals ◽  
Sociodemographic Factors ◽  
Hospitalized Patients ◽  
Care Planning ◽  
Care Needs ◽  
Factors Associated ◽  
Basic Care ◽  
Nursing Team ◽  
Hospital Institution

ABSTRACT Objectives: To compare care necessities as perceived by the patient and nursing team and to investigate the sociodemographic factors associated with these perceptions. Method: A comparative study was conducted in units and hospitalized patients of a hospital institution in the state of São Paulo. The participants comprised 100 health professionals (50 nurses and 50 nursing technicians and auxiliaries) and 50 patients. A questionnaire was constructed and validated regarding care needs and was completed by the participants. Results: Considering cut-off value kappa ≥ 0.61, or that is, good and very good intervals, the greatest agreement between the perception of the patients and the nursing team was in the areas of: Care and Communication, both with 92.6% agreement; followed by Basic Care with 74.1%. The lowest value was found in the field of Care Planning and Organization, 64.3%. Conclusion: In a general manner, there was an agreement between the care needs from the view of the patients themselves and the nursing team.

scholarly journals BUILDING SOLUTIONS FOR THE SAFETY OF THE PATIENT WITH HEART DISEASE USING WARFARIN: A QUALITATIVE STUDY

2020 ◽  
Vol 29 ◽  
Author(s):  
Patricia de Melo Leal ◽  
Lúcia Nazareth Amante ◽  
Juliana Balbinot Reis Girondi ◽  
Eliane Regina Pereira do Nascimento ◽  
Aline Lima Pestana Magalhães
Keyword(s):  
Heart Disease ◽  
Thematic Analysis ◽  
Qualitative Approach ◽  
Discussion Groups ◽  
Serious Adverse Events ◽  
Descriptive Research ◽  
Nursing Team ◽  
Relationship Of ◽  
Inpatient Units ◽  
Cardiovascular Care

ABSTRACT Objective: to identify with the nursing team strategies to promote the safety of the patient with heart disease using warfarin. Method: an exploratory and descriptive research with a qualitative approach, developed in clinical/surgical inpatient units at a public referral hospital in cardiovascular care. The participants were 20 professionals from the nursing team who work in these sectors. Data collection took place in May and June 2017, through discussion groups and covered the five stages of the Maguerez Arch, which were held in a single meeting that was repeated four times in order to involve the largest number of professionals. The obtained data were submitted to thematic analysis. Results: two categories emerged: Recognizing the problem and identifying its causes; and Building hypotheses of solution to the problem. The results showed that the group recognizes the use of oral anticoagulant as a risk factor for serious adverse events. Strategies such as knowing the target international normative relationship of each patient, providing information on the use of anticoagulant to patients and their families, among others, can contribute to make this care safer. Conclusion: the moments of discussion favored by this study served as learning to continue the future implementation of the strategies pointed out by the group and thus increasingly improve the care provided to patients with heart disease and their families.

Effect Of Genotype On Pulmonary Hypertension In Patients With Thalassemia

Blood ◽  
2013 ◽  
Vol 122 (21) ◽  
pp. 3456-3456
Author(s):  
Nattiya Teawtrakul ◽  
Phuangpaka Ungprasert ◽  
Burabha Pussadhamma ◽  
Patcharawadee Prayalaw ◽  
Supan Fucharoen ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Heart Disease ◽  
Odds Ratio ◽  
Dna Analysis ◽  
Conflicts Of Interest ◽  
Laboratory Data ◽  
Multivariate Logistic Regression Analysis ◽  
University Hospital ◽  
Clinical Indication ◽  
Genotype Group

Abstract Introduction Pulmonary hypertension is one of the major complications in patients with thalassemia. The prevalence is higher among patients with non - transfusion dependent thalassemia (NTDT) than those patients with thalassemia major. Patients with NTDT have distinct genetic subgroups. Therefore, the effects of different genotype groups on pulmonary hypertension in patients with NTDT were assessed. Methods A cross-sectional study was conducted in patients with NTDT aged ≥ 10 years old at Srinagarind University Hospital and Udonthani Hospital. Pulmonary hypertension was defined as a tricuspid regurgitation velocity > 2.9 m/s by trans-thoracic echocardiography. All patients gave consent and the protocol was approved by the Ethics committee of Faculty of Medicine, KhonKaen University and Udonthani Hospital. Clinical characteristics and laboratory data that literature indicated as risk factors for pulmonary hypertension were collected. Genotypes were determined by hemoglobin typing and DNA analysis. The effect of genotype group on pulmonary hypertension was evaluated by using multivariate logistic regression analysis. Results Two hundred twenty two patients were recruited, 3 patients were excluded (1 patient with congenital heart disease and 2 patients with valvular heart disease). In a total of 219 patients, pulmonary hypertension was found in 24 patients (10.96%). All patients were categorized into 2 groups according to genetic data that included: 1) β-thalassemia (140, 63.93%) 2) α-thalassemia and combined α and β-thalassemia (79, 36.07%).Genotype groups were statistically and significantly associated with pulmonary hypertension based on the adjusted odds ratios after adjustment for other factors. Patients with β-thalassemia had a statistically significant higher risk for pulmonary hypertension compared to patients with α-thalassemia and patients with combined α and β-thalassemia had an odds ratio of 9.47 (p=0.036). Conclusion Genotype group is an independent risk factor for pulmonary hypertension in patients with NTDT. Echocardiography should be routinely recommended in patients with β-thalassemia. In patients with α-thalassemia and combined α and β-thalassemia, pulmonary hypertension is uncommon. Therefore, echocardiography should be only performed when these patients have a clinical indication. Abbreviation Hb CS = Hemoglobin Constant spring, Hb Pakse´= Hemoglobin Pakse´ Abbreviation PHT= pulmonary hypertension, AOR= adjusted odds ratio, 95% CI= 95% confidence interval Disclosures: No relevant conflicts of interest to declare.

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