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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Holter Monitor: 24-Hour Monitoring01:23

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Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
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Cardiac Catheterization IV: Nursing Management01:26

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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

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Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Related Experiment Video

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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Technology-Enabled Remote Monitoring and Self-Management - Vision for Patient Empowerment Following Cardiac and

Michael McGillion1, Jennifer Yost, Andrew Turner

  • 1McMaster University, Hamiltion, ON, Canada. mmcgill@mcmaster.ca.

JMIR Research Protocols
|August 3, 2016
PubMed
Summary

This study refines and tests the SMArTVIEW eHealth intervention for seniors after cardiac and vascular surgery (CaVS). The goal is to improve recovery by reducing pain and complications, enhancing patient outcomes.

Keywords:
randomized controlled trialremote automated external monitoringtechnology-enabled self-managementusability testing

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Area of Science:

  • Geriatric Medicine
  • Cardiovascular Surgery
  • Health Informatics

Background:

  • Cardiac and vascular surgeries (CaVS) in seniors aim to improve survival and quality of life.
  • Chronic postsurgical pain (CPSP) and recovery complications negatively impact a significant number of CaVS patients.
  • Current recovery support for seniors undergoing CaVS requires enhancement to address pain and functional decline.

Purpose of the Study:

  • To refine the TecHnology-Enabled remote monitoring and Self-MAnagemenT-VIsion for patient EmpoWerment (SMArTVIEW) eHealth intervention through user testing.
  • To evaluate the effectiveness of the SMArTVIEW intervention in improving recovery outcomes for seniors after CaVS using a randomized controlled trial (RCT).

Main Methods:

  • Focus groups and usability testing with CaVS patients and clinicians will refine the SMArTVIEW program.
  • A randomized controlled trial (RCT) will enroll 256 CaVS patients, comparing SMArTVIEW to usual care.
  • Outcomes including pain intensity, complications, functional status, and costs will be assessed up to 12 months post-surgery.

Main Results:

  • Study initiation is in progress, with usability testing commencing in Fall 2016.
  • The study is designed to collect comprehensive data on patient recovery and intervention effectiveness.

Conclusions:

  • The SMArTVIEW intervention has the potential to significantly improve the post-operative care and recovery experience for seniors undergoing CaVS.
  • Leveraging existing infrastructure and partnerships, this study aims to make a lasting impact on geriatric surgical care.