2.50
Hdl Handle:
http://hdl.handle.net/10755/152037
Type:
Presentation
Title:
Nursing Management in Long-Term Mechanically Supported Patients
Abstract:
Nursing Management in Long-Term Mechanically Supported Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Delitskou, Maria, BA
P.I. Institution Name:St. Luke's Hospital
Title:Nurse
Co-Authors:Anna Papastoikou, BA
[Evidence-based Practice Session Presentation] Nursing care can significantly contribute to improved results and decreased cost of care of long term mechanical circulatory support recipients or of long term mechanically supported patients Long term mechanical circulatory support has been burdened by the high rate of adverse events related to the critical patient state pre device implantation but also to the limitations of device technology. Another factor for limited application is the high cost of this treatment, which is significantly increased in the occurrence of major adverse events. Improved patient management can contribute to decreasing adverse events and costs, and improving overall results. The role of nursing staff can be significant in prevention of complications such as infection, in taking care of nutrition, mobilization and rehabilitation, patient and family training, managing emergencies through a network of health providers and a 24 hour hotline. Prevention of adverse events, or treatment in an early stage, can improve outcomes and decrease costs. Nursing care in a supportive social environment and a network of trained health providers can allow early patient discharge, thus decreasing the cost of care, reserving human medical resources without compromising patient safety and wellbeing. First and second generation Left Ventricular Assist Devices  were used as bridges to decision or as destination therapy (n=4). A third generation was first worldwide clinically implanted as an elective bridge to recovery (n=2). Paracorporeal pulsatile pumps were electively used as LVADs (n=2) or biventricular assist devices (n=1), as bridges to recovery or to long term support. There were 2 early deaths due to end organ failure and sepsis related cerebral bleeding. All other patients remain alive and well. During a total support period of 59 patients-months the major adverse events were recurrent intraventricular thrombosis in a patient implanted with an intracardiac continuous flow pump that was successfully treated with thrombolysis.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNursing Management in Long-Term Mechanically Supported Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152037-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nursing Management in Long-Term Mechanically Supported Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Delitskou, Maria, BA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">St. Luke's Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">info@klinikiagiosloukas.gr</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Anna Papastoikou, BA</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Practice Session Presentation] Nursing care can significantly contribute to improved results and decreased cost of care of long term mechanical circulatory support recipients or of long term mechanically supported patients Long term mechanical circulatory support has been burdened by the high rate of adverse events related to the critical patient state pre device implantation but also to the limitations of device technology. Another factor for limited application is the high cost of this treatment, which is significantly increased in the occurrence of major adverse events. Improved patient management can contribute to decreasing adverse events and costs, and improving overall results. The role of nursing staff can be significant in prevention of complications such as infection, in taking care of nutrition, mobilization and rehabilitation, patient and family training, managing emergencies through a network of health providers and a 24 hour hotline. Prevention of adverse events, or treatment in an early stage, can improve outcomes and decrease costs. Nursing care in a supportive social environment and a network of trained health providers can allow early patient discharge, thus decreasing the cost of care, reserving human medical resources without compromising patient safety and wellbeing. First and second generation Left Ventricular Assist Devices &nbsp;were used as bridges to decision or as destination therapy (n=4). A third generation was first worldwide clinically implanted as an elective bridge to recovery (n=2). Paracorporeal pulsatile pumps were electively used as LVADs (n=2) or biventricular assist devices (n=1), as bridges to recovery or to long term support. There were 2 early deaths due to end organ failure and sepsis related cerebral bleeding. All other patients remain alive and well. During a total support period of 59 patients-months the major adverse events were recurrent intraventricular thrombosis in a patient implanted with an intracardiac continuous flow pump that was successfully treated with thrombolysis.</td></tr></table>en_GB
dc.date.available2011-10-26T11:22:01Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:22:01Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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