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Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
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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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Aortic Regurgitation IV: Nursing Management01:17

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A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
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Related Experiment Video

Updated: Mar 16, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Functional independence measure for elderly patients undergoing aortic valve replacement.

Masaaki Ryomoto1, Masataka Mitsuno1, Mitsuhiro Yamamura1

  • 1Department of Cardiovascular Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan.

General Thoracic and Cardiovascular Surgery
|August 4, 2016
PubMed
Summary

The Functional Independence Measure effectively assesses preoperative frailty in elderly patients undergoing aortic valve replacement, predicting operative morbidity. Lower scores indicate a higher risk of complications and longer hospital stays.

Keywords:
Aortic valve replacementFrailtyFunctional independence measure

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Area of Science:

  • Geriatric Medicine
  • Cardiovascular Surgery
  • Rehabilitation Medicine

Background:

  • Preoperative frailty assessment is crucial for elderly patients undergoing major surgery.
  • Surgical aortic valve replacement (SAVR) is a common procedure in older adults.
  • Identifying patients at higher risk for adverse outcomes is essential for optimizing care.

Purpose of the Study:

  • To evaluate the efficacy of the Functional Independence Measure (FIM) in assessing preoperative frailty.
  • To determine if FIM scores can predict operative morbidity in elderly patients undergoing SAVR.

Main Methods:

  • Eighty-five patients aged over 65 undergoing elective isolated SAVR were included.
  • Patients were categorized into 'compromised' (discharge home impossible or >30 days hospitalization) and 'unaffected' groups.
  • Preoperative frailty was assessed using the 18-item Functional Independence Measure (FIM) across six domains.

Main Results:

  • The 'compromised' group had significantly lower preoperative total and motor FIM scores compared to the 'unaffected' group (p < 0.01).
  • Patients in the 'compromised' group experienced significantly longer durations of postoperative intubation, ICU stay, and overall hospitalization (p < 0.01).

Conclusions:

  • The preoperative Functional Independence Measure (FIM) is an effective tool for assessing frailty in elderly patients.
  • FIM scores can predict operative morbidity, including longer recovery times and hospital stays, following aortic valve replacement.