It is important to note that the relationship between pain and anxiety is reciprocal. Painful experiences may lead to anxiety (e.g., "Something must be wrong... Increased anxiety will lead to accentuated perception of pain, which further increases the anxiety level. Obviously, potentially traumatic experiences may result unless there is some intervention in this pain-anxiety cycle. Narcotics may be helpful, but psychological interventions are quite appropriate in this regard. (King, 1991, p. 129)
5. Defining Criteria: Describe how you would know if the concept were present in a situation.
Listening to the patient and watching physical cues, such as increases pulse of BP, increased pallor, as well as listening to the patient when he or she has concerns about procedural or context questions.
6. Antecedents: Identify antecedents that you would expect to find in biological, psychological and/or social systems
Precious personal or secondary bad experiences with surgical procedures, recovery times or even fatal events are all antecedents to "stress prior to surgery," though these issues are not absolutely self-evident and no prior experience with surgery in a primary or secondary sense may be just as likely to be antecedent to "stress prior to surgery."
7. Consequences: Note those consequences to an individual/group experiencing the concept you've identified
Heightened physical response, increasing surgical complications, pain and pain anxiety as well as difficult recovery room wake up and lengthened recovery due in part to anxiety physical response as well as possible decreased immune function, are all possible outcomes of unresolved, "stress prior to surgery." (Devito, 1994, p. 27)
8. Application to Nursing: note the model, related, border and contrary to cases certain amount of stress prior to surgery is normal, and may serve a useful purpose of helping the patient heighten...
Cardiac Stress Response: The Use of Anesthetic Technique to Promote Positive Outcome; Analyzing the Pros and Cons of Technique Cardiac surgery by nature elicits a powerful stress response resulting from activation of stress hormones including epinephrine, norpinephine and cortisol hormones among others. Surgical trauma and blood loss may contribute to this stress response. Some surgeons have suggested that cardio pulmonary bypass surgery in and of itself activates an inflammatory response that
The first article, Changes in Mitral Regurgitation After Replacement of the Stenotic Aortic Valve (2008) stresses a relatively large patient study of those undergoing Aortic valve replacement and then possibly experiencing mitral regurgitation (MR), a common and sometimes concerning complication that as the study shows can occur without any known mitral defect. The study is significant in that it establishes the fact that MR is not as dangerous as once
The nursing professional must be adept at dealing with these kinds of conversations, and without increasing the guilt that the family member or patient might be experiencing, and keeping in mind the patient's probable depression; it is the responsibility of the nursing professional to take the conversation back to the treatment and therapies that within the realm of the legal and ethical practices in delivering medical nursing care. Jacquie Peden,
Cognitive and Psychomotor Disturbance: This is the other long-term psychological effect of surgery on children particularly those who undergo heart transplant surgical operations. Similar to the post-hospital distress, cognitive and psychomotor disturbance is usually as a result of extra medical treatments and longer stays in hospital. According to research, patients who undergo complex pediatric surgical operations are likely to exhibit signs of cognitive or psychomotor disturbance (Todaro et al., n.d.). The
Does taking Metoprolol before cardiac surgery reduce the incidence of post-op atrial fibrillation Abstract Postoperative atrial fibrillation (POAF) remains a prevalent supraventricular arrhythmia. PoAF has associated effects such as deteriorating hemodynamic, increased risk of stroke and increased probability of death. Beta-blockers have been recommended as effective intervention mechanism of preventing PoAF. Metoprolol is one such beta-blocker that is commonly administered to prevent the incidence of PoAF. The systematic review below entails an analysis
Interdisciplinary Care Providers CABG or coronary artery bypass graft surgery is advised for individuals suffering from CHD (coronary heart disease), for alleviating symptoms, prolonging lifespan, and improving QOL (quality of life) (Bayoumi, 2015). Improvements in mechanical ventilation-supported cardiac operation patient management continues to be a major focus area for better optimizing clinical results. The FTE (fast-track extubation) theory applied in case of cardiac operation patients is growing in popularity, in a bid to
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