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Coronary Artery Disease Case Study

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OVERVIEW
Coronary artery disease (CAD) is a condition that is caused by plaque build-up in the arteries to the heart. The plaque creates a blockage in those arteries, decreasing the amount of blood flow and oxygen that the heart needs to function properly (Julian et al. 1998, as cited by Tully, Baker, Turnbull, & Winefield, p.281). Coronary artery disease is one of the leading causes of death worldwide. Heart catheterizations, stent insertions, valve replacements, and coronary artery bypass grafts (CABG) are types of surgical interventions used to repair heart damage.

Today, cardiac surgery is a common event, but for the person undergoing the procedure, depression and anxiety can play a large role in the recovery process. When the patient learns he must have heart surgery, many feelings and emotions come …show more content…
These feelings can range from tremendous fear, sadness and anxiety to a sense of fatalism and doom. Nurses have a lot to teach these patients, and it usually has to be done in a short period of time. The patient can be overwhelmed with all the information they are given, the lifestyle changes that might need to be made, and the uncertainty of their future. The resulting depression that occurs, can lead to further complications and other cardiac events. Symptoms of anxiety and depression are common in patients with heart disease and these symptoms can be over-lapping. Depression and anxiety share some of the same negative affect symptoms which means that the patient has an underlying tendency to experience distress,worry, pessimism, restlessness and irritability. Anxiety symptoms can be seen as trembling, shakiness, headache, flushing, dry mouth, nausea, and chest pain (Viars, p. 283). Depression symptoms can be described as hopelessness, crying, loss of interest

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