Launching a New Strategy for Multidisciplinary Management of Single-Ventricle Heart Defects

Jo Ann M Davis1,2,3, Holly Miller-Tate4,5,6, Karen M Texter4,5,6

  • 1Jo Ann M. Davis is the single ventricle advanced practice nurse at Nationwide Children's Hospital in Columbus, Ohio. joann.davis@nationwidechildrens.org.

Critical Care Nurse
|February 14, 2018
PubMed

Insights

Children with single-ventricle heart defects need coordinated care. This study details a synchronized, multidisciplinary team approach to improve support for these children and their families.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Healthcare Coordination

Background:

  • Single-ventricle heart defects, including hypoplastic left heart syndrome, present lifelong mortality and comorbidity risks.
  • Affected children face complex challenges beyond cardiac issues, such as growth, feeding, and neurodevelopmental problems.
  • Prenatal diagnosis of complex heart defects necessitates seamless pre- and postnatal care coordination.

Purpose of the Study:

  • To describe the development and implementation of a synchronized, multidisciplinary team.
  • To enhance support for children with single-ventricle heart defects and their families.
  • To improve program coordination and efficiency through nursing leadership.

Main Methods:

  • Development of a synchronized, multidisciplinary team model.
  • Implementation of coordinated care strategies.
  • Focus on nursing leadership for program efficiency.

Main Results:

  • Establishment of a synchronized, multidisciplinary team.
  • Improved coordination of care for patients with single-ventricle heart defects.
  • Enhanced support systems for affected children and families.

Conclusions:

  • A synchronized, multidisciplinary team approach is crucial for managing single-ventricle heart defects.
  • Nursing leadership plays a key role in optimizing care coordination.
  • This model aims to help children with complex heart conditions maximize their potential.

Related Concept Videos

Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
369
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
383
Anatomy of the Heart01:27

Anatomy of the Heart

The human heart is made up of three layers of tissue that are surrounded by the pericardium, a membrane that protects and confines the heart. The outermost layer, closest to the pericardium, is the epicardium. The pericardial cavity separates the pericardium from the epicardium. Beneath the epicardium is the myocardium, the middle layer, and the endocardium, the innermost layer. There are four chambers of the heart: the right atrium, the right ventricle, the left atrium, and the left ventricle.
120.7K
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
351
Anatomy of the Brain: Ventricles01:18

Anatomy of the Brain: Ventricles

There are hollow fluid-filled cavities known as ventricles deep inside the human brain. There are two lateral ventricles, one in each cerebral hemisphere, and each has three different projections — the anterior, inferior, and posterior horns visible from the lateral side. A thin membrane called the septum pellucidum separates the two lateral ventricles. The slender third ventricle in the diencephalon is connected to each lateral ventricle via a channel called the interventricular foramen.
9.3K
Lumber Defects01:23

Lumber Defects

Lumber defects, which can affect both the appearance and structural integrity of wood, include a variety of growth and manufacturing flaws. Growth defects such as knots and knotholes occur where branches were once attached to the tree trunk, with knotholes forming when these knots fall out. Other natural defects include decay and insect damage, which compromise the wood's strength and durability.
Shakes are minor fractures that run along or across the wood's annual rings, while wane is...
563