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Cardiac transplantation: candidate identification, evaluation, and management
1Sharp Memorial Hospital, San Diego, California 92123, USA.
Critical Care Nursing Quarterly
|June 25, 2008
Summary
Critical care nurses play a vital role in identifying candidates for cardiac transplantation and supporting them during the waiting period. Their expertise in patient selection, organ allocation, and complex care improves outcomes for severe heart failure patients.
Area of Science:
- Cardiology
- Transplantation Medicine
- Nursing Science
Background:
- Cardiac transplantation is a critical treatment for end-stage heart failure when medical management fails.
- Critical care nurses are uniquely positioned to identify potential transplant candidates among severe heart failure patients.
Purpose of the Study:
- To highlight the essential role of critical care nurses in the cardiac transplantation process.
- To emphasize the knowledge and skills required for nurses caring for heart transplant candidates.
Main Methods:
- Review of patient selection criteria for cardiac transplantation.
- Analysis of the evaluation and management process for potential heart transplant recipients.
- Examination of the role of nurses in patient education and psychosocial support during the waiting period.
Main Results:
- Nurses' understanding of selection criteria and organ allocation is crucial.
- The waiting period may necessitate advanced medical or mechanical support.
- Nurses act as a vital "bridge" through education and emotional support.
Conclusions:
- Critical care nurses are integral to successful cardiac transplantation outcomes.
- Knowledge of patient selection, organ allocation, and complex care management enhances nursing contributions.
- Nurses empower patients and families, mitigating fears during the transplant waiting phase.
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