...Introduction Cardiopulmonary Resuscitation (CPR) was introduced in the 1960s and was intended to reverse cardiac arrests occurring during surgeries. Activating (CPR) codes needs special and careful considerations (Blinderman, Krakaue, Solomon, 2012). Under certain circumstances, CPR may not offer the patient direct clinical benefits, either because the resuscitation will not be successful; usually when the whole picture of the patient medical status and reports judging this patient as a hopeless case or because surviving the resuscitation will lead to co-morbidities that will merely prolong suffering without reversing the underlying disease and even worsen life quality (Braddock...
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...Introduction: In 2000 the American Heart Association (AHA) created the National Registry of Cardiopulmonary Resuscitation (NRCPR) as an evidence-based hospital safety program that provides data derived from a multi observational sites [1]. Every year there are 370,000 to 750,000 hospital resuscitation attempts made in United States [2]. The data comprise comprehensive information related to the cardiopulmonary resuscitation (CPR) process, patients’ outcome, and characteristics of both the patients and the hospitals. The purpose of the registry data is to provide information that can be used to improve the outcomes of sudden cardiac arrest (SCA) patients and to update the protocol for CPR. Unfortunately, we do not have a similar national or...
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...Cardiopulmonary Resuscitation Slettalokken Gunnar, Rehn Tommy, Munkvik Morten, Rud Bjarne, Nymark Bernt, Lunde Per Kristian, Sjaastad Ivar, Sejersted Ole, Halle Jostein, Normal training response in skeletal muscle of post-infarction heart failure patients, European Journal of Sport Science , 2013. 2 (13), 231-239. Introduction/Purpose Congestive heart failure patients express an inability to exercise at the capacity of healthy individuals but more precisely experience reduced muscle fatigue resistance. This study was designed to elicit a clearer understanding as to whether skeletal muscle in CHF patients has a normal training response relative to both Coronary Artery Disease patients and healthy subjects following induced bouts of endurance training. Directly comparing the variables of a CHF group to a control group, in respect to aerobic capacity adaptations through endurance training, was the primary objective of this research. Researchers hypothesized, both CHF patients and normal subjects, would increase the aerobic capacity of the muscle in a similar manner. Methods 10 patients with post–infarction CHF and 13 healthy subjects were included in the study. An additional 9 people with coronary artery disease (left ventricular systolic function), were included as a second control group. Various quantitative measurements were collected, such as, ejection fraction, VO2 peak, mean peak torque, heart rate, CSA (cross sectional area of muscle), muscle fiber circumference/area...
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...issues in cardiopulmonary resuscitation (CPR) Mark Hilberman, Jean Kutner, Debra Parsons, and Donald J Murphy The Carbondale Clinic, Carbondale, Colorado, University of Colorado Health Sciences Center, St Joseph's Hospital, and the Colorado Collective for Medical Decisions, Denver, Colorado, USA Abstract Outcomes from cardiopulmonary resuscitation (CPR) remain distressingly poor. Overuse of CPR is attributable to unrealistic expectations, unintended consequences of existing policies and failure to honour patient refusal of CPR. We analyzed the CPR outcomes literature using the bioethical principles of beneficence, non-maleficence, autonomy and justice and developed a proposalfor selective use of CPR. Beneficence supports use of CPR when most effective. Non-maleficence argues against performing CPR when the outcomes are harmful or usage inappropriate. Additionally, policies which usurp good clinical judgment and moral responsibility, thereby contributing to inappropriate CPR usage, should be considered maleficent. Autonomy restricts CPR use when refused but cannot create a right to CPR. J7ustice requires that we define which medical interventions contribute sufficiently to health and happiness that they should be made universally available. This ordering is necessary whether one believes in the utilitarian standard or wishes medical care to be universally available on fairness grounds. Low-yield CPR fails justice criteria. Cardiopulmonary resuscitation...
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...Needs The purpose of my training session was to give delegates a guidance of the skills and knowledge to understand Cardiopulmonary resuscitation (CPR) should it ever be required in an emergency situation. I felt that the simple knowledge of basic CPR is important for all to know for personal reasons. Training needs are identified in numerous ways. It maybe that an employee would be required to do a full first aid at work course within their working environment under Health & Safety legislation or just the companies preference to increase their provision. It maybe required under their occupation e.g. working with children that they are required to hold this qualification. The individual may simply have the desire or feel they lack the knowledge and skills should they ever be required. An individual may simply by deemed the best person to have first aid qualification because the come in to contact with many members of the public. As such one never knows when an emergency situation could arise and there might only you in the vicinity. Training Objectives My main aim for my course was to make this a realistic fun and interactive course but not to forget the seriousness of how important it is for everyone to know basic Cardiopulmonary Resuscitation. By making the course fun and interactive I hoped this would make everyone be able to remember the training in an achievable way...
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...clear that the word “family” draws upon much more than just blood relatives. In the health care setting a family can be viewed as the people who come together to support a patient during a health crisis. That support may be seen directly at the bedside, through conversations via phone, or helping to assist in the discharge process. As a nursing workforce it is our responsibility to understand how the roles of a family affect our individual patients, and work to incorporated those roles into their therapeutic environment. An issue in today’s emergency departments that continues to draw attention from aspects of the medical profession is the use of family presence during cardiopulmonary resuscitation. “While it appears that the evidence clearly indicates positive outcomes from family witnessed resuscitation (FWR), a majority of emergency departments fail to implement or even institute policies “(MacLean, et al 2003) . Lack of education, leadership support and patient understanding are just a few factors contributing to hospitals not participating in this patient centered approach. “Families seldom ask if they can be present unless they have been...
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...Maternal Resuscitation Aim To understand and be able to practive resiscitation of the mother and promote the positive outcomes. Resuscitation of the Mother The approach to apparently lifeless patient is the cardiopulmonary resiscitation (ABCD) drill: Rapid assessment of the Airway, Breathing, and remedy of the problems with these as they are found (search for and correct reversible causes), moving through to remedy of the absence of Circulation. 1. Ensure a safe environment for patient and rescuer. 2. Shake and Shout, if no response, call for help and return to patient. 3. Turn patient on to her back and place wedge under right side of abdomen to relieve aortocaval compression. 4. Open the Airway: Remove any obvious obstruction from mouth. Perform chin lift by placing two fingers under the point of the patient’s chin and lifting the chin forward. Jaw thrust, performed by placing fingers behind patient’s jaw and lifting jaw forward. 5. Assess Breathing for 10 seconds: Look for chest movements. Listen for breath sounds. Feel for movement of air. If the person is breathing, turn her in to the recovery position. If there is absence of breathing in the presence of an open airway, take this as an absence of circulation. Give 30 chest compressions followed by two breaths. Breaths are delivered by taking a full breath and placing your lips around the mouth and blowing steadily into the mouth. If possible, a facemask and ...
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...Sweden and the U.S. All but one of the study results recommend that “hands-only” CPR is at least equal or superior to “standard” CPR. Conclusions Guidelines should be established to teach bystander “hands-only” CPR nationwide, to increase public awareness of the effectiveness of “hands-only” CPR and start to teach out-of-hospital “hands-only” CPR. Introduction Sudden cardiac arrest is the leading cause of death in the United States (Neumar, Barnhart, Berg, Chan, Geocadin, Luepker,… Nichol, 2011). According to the American Heart Association (AHA), “Each year, emergency medical services (EMS) assesses nearly 360,000 out-of-hospital cardiac arrests (OHCA) in the United States” (Neumar, et al. 2011). Bystander initiated cardiopulmonary resuscitation (CPR) could mean the difference between life and death in many of these victims. The 2008 AHA Science Advisory Committee for the Public approved...
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...Cardiac Arrest is a sudden stop of heart function in a person who may or may not be diagnosed with heart disease. Death occurs instantly or shortly after symptoms appear. Cardiac Arrest happen when the heart’s electrical system malfunctions. The abnormal or irregular heart rhythms called arrhythmias. Ventricular fibrillation is a arrhythmia in cardiac arrest. It’s the heart’s lower chambers suddenly start beating chaotically and don’t pump blood. Cardiopulmonary resuscitation (CPR) and a defibrillator is perform to shock the heart to restore a normal heart rhythm within a few minutes the person have a chance of living. Cardiac Arrest is not the same to heart attack. Heart attack is the blockage that stops blood flow to the heart. Cardiac Arrest is cause by coronary artery...
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...University of Phoenix Material Health Care Museum This paper is a Health Care Hall of Fame Museum proposal, it’s composed of five exhibits Marine Hospital Service, Polio Vaccination, Cardio Pulmonary Resuscitation (CPR), Emergency Medical Services (EMS), and Electric Health Records (EHR). This part of the exhibit will cover the history, and how did it affect our current health care system. The second part talks about how does everything ties together. Part 1: Health Care Hall of Fame Museum Proposal |Development |Description |Analysis (How does the development affect the current U.S. health care system?) | |1. Marine Hospital |The "Decades Of Healthcare Service" (). In 1798, President John Adams signed into |The relevance of the Marine Hospital service is by the government recognized that | |Service |law the Act for the Relief of Sick and Disabled Seamen. Creating the Marine Hospital|the servicemen needed federal regulated healthcare. This service was centered to | | |Service. This plan marked the nation’s first pre-paid health insurance plan and was |providing medical care to our servicemen, it evolve to a big organization known as| | |the birth of the modern American medical system. During that time, twenty cents was |the Public Health Service. According to "U.s Department Of Health And Human ...
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...Withholding Information 14 Informed Choice 17 Forcing Information Upon Patients 20 The Nurses Role 22 Conclusion 25 References 26 Appendix 27 Glossary of terms CPR: Cardiopulmonary Resuscitation. DNACPR: Do Not Attempt Cardiopulmonary Resuscitation. NMC: Nursing & Midwifery Council. GMC: General Medical Council. BMA: British Medical Association. GP: General Practitioner Introduction The Aim of this module is to encourage me to enhance my personal and professional skills, to increase the efficacy of patient care and interaction. Also to make me more aware of the legal, professional and ethical implications of practice. The module allowed me to further develop my knowledge of these topics: Ethics & Accountability, Legal Aspects of Practice, finally Accountability & Professional Practice. I was then asked to submit an essay of 4500 words based on the following: “Critically analyse an aspect of care from your practice setting that encompasses the ethical, professional & legal role of the nurse. Issues of accountability should be incorporated into this essay”. Aspect of care The aspect of care I have chosen to include in my essay is the “Do Not Attempt Cardiopulmonary Resuscitation (DNACPR)” Adult Policy 2010 (please see Appendix 1). I decided to choose this topic as there was a situation on my ward recently where a patient discovered a DNACPR form in the front of her nursing notes. The patient...
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...ml 3. What you write is always past tense it's over and everything could be completely different by the time someone reads it. You conducted a microsystems assessment and the findings were. When you include an article the author reported, the study demonstrated, 4. Check your outlines you always need a running head, title page with the name of the paper, course name and number, your name, school name, instructor's name, date, headings and reference page is always by itself 5. Read your paper like you are not familiar with the topic (helps to get non-nurse folks to read) all those abbreviations we use like IV, CPR always have to be written out the first time then and only if you plan to use it again make the abbreviation cardiopulmonary resuscitation (CPR) , never begin a sentence with an abbreviation so if I've use CPR a dozen times already but I...
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...NURS1131: Complex Care Nursing – written assessment Part 1: Media Annotation tool Time sequence | code | comments | 0-30 seconds | BARCG – did not assess patient appropriatelyGuideline 4 AirwayGuideline 5 BreathingGuideline 8 Cardiopulmonary Resuscitation.PTS (18 sec)PNTS – comm (23 sec) | DRS ABC- did not assess for any danger, assessed for response however failed to assess airway, breathing and circulation and jumped straight to compressions.Poor assessment of response inappropriate pain stimuli response technique.No code blue called by the second responder. | 30 – 60 seconds | PTS (39 sec)BARCG- Guideline 11.2 Protocols for advanced Life support. (59 secs) | Defibrillator pad were not attached properly.Rhythm was not assessed after the shock. | 60 – 90seconds | PTS (64 sec)PTS (80 sec) | Guardel airway was inserted with nil airway assessment. Pillow was also not removed for enhancing airway.Nil jaw thrust for airway. | 90 – 120 seconds | PTS (119 sec)PNTS – DM (119 sec) | Hands were off the chest and not ready for compression during doctors assessment. Delay compression. | 120 – 150 seconds | PNTS- SA (135 sec)PNTS – TM (149 sec) | Nurse with her arm crossed not taking any initiative of taking any roles.Task evident, no one initiated the scribe role until the doctor appointed one. All incoming nurses showed no initiative in taking any roles. | 150 – 180 seconds | PTS (158 sec)PTS (176 sec) PNTS DM, Comm, TM | Poor documentation, no record of first, second shock...
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...own records. Signed: Date: | PART C – to be completed by Lecturer: Comments to Student | | | | | | | | | | | | Recorded Mark: | | Lecturer: | | Date: | Content Page 1) Introduction 2) Objective 3) Information Source 4) Key search terms and Boolean Operators 5) Critical Appraisal Checklist 6) Conclusion 7) References Introduction Nurses are the front liners in many diverse ways of healthcare. Many a time, nurses stand as the primary contact person of witnessing a patient who collapse and reach a state of cardiac arrest (Heng, Seow & Tham, 2011). Therefore, the nurses’ response following that is crucial, showing how essential it is for a nurse to be well-educated with resuscitation skills to not only...
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...Advance Directives Advance directives are medical documents that are created by the patient that assist health care providers, and loved ones provide care and make decisions for the patient. Four types of advance directives exist including a Living Will, Durable Power of Attorney (DPOA), Uniform Anatomical Gift Act, and Do Not Resuscitate (DNR) orders (Fremgen, 2009). This paper will discuss one type of advance directives, the DNR order. The DNR order alerts medical professionals not to perform cardiopulmonary resuscitation (CPR), per the patient’s request. This means that health care professionals will not attempt emergency CPR if the patient’s breathing or heartbeat stops (Smith.). Advance directives and DNR orders are important to have drawn up by the patient because in the event they are unable to speak for themselves, an order is put in place stating their wishes. This helps in assisting family members and health care professionals in making decisions when the end of life is inevitable. Advantages and Disadvantages of a DNR Order When it comes to making this difficult decision, there are many advantages and disadvantages of a DNR order. The advantages as stated in the report called, “Recording “Do Not Resuscitate” and other Life-Sustaining Orders in the Out-of-Hospital Setting” are: * Available to all patients * No personal discomfort * Deals with a range of treatment * Easy to maintain * No loss of privacy (Pace, 2002). For example, when a person...
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