Effect of dual-track interactive nursing intervention model on anxiety and depression in patients with coronary heart disease. This is the focus of therapeutic management to reduce likelihood of myocardial infarction and promote healthy heart lifestyle. Coronary Artery DiseaseNursing Diagnosis. Assist patient and/or SO to identify sources of physical and emotional stress and discuss ways that they can be avoided. Enhanced preoperative care included understanding patients' confidence, paying special attention to patients with other medical histories, evaluation of the patient's disease status, preparing for disease prevention, arrangement of rest on time, preformation of muscle contraction exercise, instructing patients to learn sputum, defecation, and turning over in the bed. Routine nursing was performed in the reference group, namely, general nursing intervention during the perioperative period of PCI for CHD patients. Deficient knowledge (Learning Need) regarding condition, treatment plan, self-care, and discharge needs. Identify specific activities patient may engage in that are below the level at which anginal pain occurs. Physical activity, exposure to hot or cold weather, eating a heavy meal, and sexual intercourse increase the workload of the heart and, therefore, increase oxygen demand. Disease may compromise cardiac function to point of decompensation. Encourage the patient to maintain the prescribed diet. Rationale: Allows patient to identify those activities that can be modified to avoid cardiac stress and stay below the anginal threshold. Risk for prone-health behavior—risk factors may include condition requiring long-term therapy/change in lifestyle, multiple stressors, assault to self-concept, and altered locus of control.
Effects of cluster nursing on cardiac function and quality of life in coronary heart disease patients with chronic heart failure: a protocol of randomized controlled trial. If not relieved with the 3rd dose of Nitro the patient needs to call 911. Decreased Cardiac Output Interventions. Patients with CHD were randomly received post-operative CNISD (n = 540) and post-operative usual care (n = 548) within 3 months of the study. Monitor vital signs. This group received routine nursing care combined with integrated nursing care based on the medical alliance model. Rationale: Conserves energy, reduces cardiac workload. Statistical Processing. Ethics approval and consent to participate. Acute coronary syndrome refers to a range of potentially life-threatening conditions that affect the coronary artery blood supply to the heart, and is a common presentation in patients with coronary heart disease. A 5-year survival prediction model for chronic heart failure patients induced by coronary heart disease with traditional chinese medicine intervention.
Anderson L, Brown JP, Clark AM, Dalal H, Rossau HK, Bridges C, Taylor RS. Provide accurate information about the disease. 70 years, including 10 cases at the education level of junior high school, 29 cases of senior high school (including secondary technical school), and 21 cases of junior college or above. For patients with major GI intolerance, alternative drugs may be indicated. Y. Xu, H Ye, Y. Zhu, S Du, G Xu, and Q Wang, "The efficacy of mobile health in alleviating risk factors related to the occurrence and development of coronary heart disease: a systematic review and meta-analysis, " Clinical Cardiology, vol. Questions; statement of concerns. CNISD increased sleep duration of CHD patients compared to those in usual care group (Fig.
The association between poor sleep quality and anxiety and depression symptoms in Chinese patients with coronary heart disease. Aspirin: watching for GI bleeding. Related to: - Increased cardiac workload. Conflicts of Interest. The Cochrane Database Syst Rev. If the patient is scheduled for surgery, explain the procedure and events. Exclusion criteria: (1) patients who could not communicate with others due to hearing impairment, language disorders, unclear awareness, and other factors; (2) patient dropping out midway or falling off during follow-up; (3) patients with upper limb swelling and skin infection before surgery; (4) patients with severe organ dysfunction; and (5) patients with severe complications before surgery. Prevalence of and risk factors for anxiety after coronary heart disease: systematic review and meta-analysis. These thrombi can travel to other parts of the body and become embolus/ emboli. 87, which contained 10 problems related to self-efficacy. However, due to inadequate development of community rehabilitation in China and uneven knowledge and skills of community nursing staff, many CHD patients treated with PCI fail to receive consistent, effective, and high-quality nursing measures.
Discharge and Home Healthcare Guidelines. Elevated blood pressure. Guan H, Dai GH, Gao WL, Zhao X, Cai ZH, Zhang JZ, Yao JX. Activity intolerance—may be related to imbalance between O2 supply and demand, possibly evidenced by exertional dyspnea, abnormal pulse/BP response to activity, and ECG changes. Echocardiograms show how blood moves through the heart and valves and can identify weak areas. Provide supplemental oxygen as needed.
A long frame is also available. 5 and 2 inch widths. OPTIONS: A wooden brush holder is available. The low angle surface is approximately 20 degrees.
Cup with long spout as their drinking skills improve. Vibroacoustic Wedge. COLOR: Roho Universal Cushion Cover With Pocket. The Komfo Active Footwear is an orthopedic boot designed for use by children with walking disabilities.
Keep both adjusters as close to the shoulders as possible. The Elevated Push-Up Toilet Seat with Armrest, model W38878, is an elevated toilet seat designed for use by individuals with balance or mobility disabilities or arthritis. Ez-on 86y car cam conversion vest for family vehicles 2. This chair supports the child in a sitting or reclining position at a height convenient for bathing with no obstructions for the caregiver. Memo Start Bambino Orthopedic Footwear. OPTIONS: The 28 inch ball comes with its its own carrying case.
The Cuff is available in two versions: (1) the Deluxe Cuff has an 20-inch hook-and-loop adjustment strap that allows the weight to be used for extremities with larger diameters such as the thigh; and (2) the D-Ring Cuff is sized to be worn on the ankle or wrist and is fastened by threading a strap with a hook-and-loop attachment through a D-ring. ARMRESTS: A choice of padded removable desk-length or fixed full-length armrests is offered. The Prop-it 10-in-1 Table Top Easel is a lightweight portable kit that contains essential tools needed by the entire spectrum of rehab specialists. The Leafy Lacing Tree is a sewing tool that allows children to exercise their creativity, concentration and hand/eye coordination. It plugs into a switch. As animals are placed correctly into the puzzle the animals "speak" to the child. The Leckey Mygo Stander is a 3-in-1 supine, prone and upright stander designed for children ages 4 to 14 years old with lower extremity disabilities to provide complete support coverage while engaging in therapeutic standing activities. Children like the fact that they can spell their name, sight or vocabulary words with these squishy, colorful letters. This collapsible, weighted drinkholder has an integral base with a cork bottom to absorb moisture.
Specifically made for left-handed individuals. Available in 6 size combinations. It features construction made of institutional quality wood, PVC piping and steel mater. Similar to the INNER-LIP PLATE, it also features three suction cups to secure the plate. The system includes a foam-lined, breathable tank top that applies gentle compression to the torso to enhance tactile and proprioceptive body awareness. Mjm Bariatric Shower Chair (Model 131-5-Ssde). Straight platform model has two 6 inch and three 4 inch risers.
The Straw Holder is designed for use by individuals with upper extremity and drinking disabilities. To size measure head circumference at eyebrow. These tricycles are intended for use with teens/adults with disabilities or to provide mobility and exercise opportunities for teens and adults/seniors. The Dressing Monkey, model W39592, is a fine motor skill activity toy designed for use by children with fine motor disabilities. Chin rest and shoulder protraction pads for the tray are also available. INSTALLATION: The bracket is attached to the bottom of the tray with the included hardware; the bracket slides over any standard or padded armrest. It can be used for taking first steps or to develop existing walking and standing abilities as part of a gait training program.
Grabease are ergonomic utensils designed for infants and toddlers to encourage self-feeding and independence when eating. Standard equipment on the 26-inch three-wheel tandem includes reinforced rear axle, rear wheel mudguards, Torpedo 3-speed free wheel hub with coaster brake, front wheel drum brake, lock, and lights. See separate entries on various tricycle specifications. The Rifton Small Dynamic Stander, Model K130, is a mobile standing aid designed for use by children with lower extremity or mobility disabilities. WHEELS: All plastic 24-inch rear wheels with plastic handrims. The Thumper Bumper is a protective helmet designed for wear by adults and children with sensory and motor developmental delays. Special Tomato Soft-Touch Booster Car Seat. This cycle offers independent pedaling, enabling two riders to pedal, one rider to pedal while the other rests, or one rider to pedal alone. The Cushions can be mounted directly to standard wheelchair arms or used with the 4. The training set has a natural wood finish with anti-slip safety tread on the ramp. CAPACITY: 650 pounds.
90 Degree Whisper-Lite Swingaway Sip-N-Puff (Model 32555). The unit converts from a prone stander to a supine stander to a mobile prone stander. Platform to accommodate wheelchair attaches to existing swingset frame. The Kids Quickie 2 is a child's manual lightweight wheelchair designed to accommodate growth through its modular component system. The Bouncing Net Swing is designed for use by children with physical and neurological disabilities. This plate has a high rear wall to assist in pushing food onto utensils.
The user can select his or her desired weights and can add or remove weights as needed for progressive resistive exercises from 1/6 to 2 pounds in 1/6 pound increments. Instructions for assembly are included. Includes a clear, plastic tray. Model 30086 has a standard handle and Model 30085 has a ribbed handle. The sturdy plastic seat makes washing, along with entering and exiting the bathtub, safer and easier. The Big Button is an augmentative and alternative communication device for people with communication disabilities to help them be social. This cycle features a low step-through frame for facilitated mounting, a low gear ratio for easy pedaling, high-rise handlebars, a western saddle-style bike seat, a vinyl-coated basket located behind the seat, a complete reflector package, a chrome front fender, and a front caliper brake with parking lock. Features a 30-foot range with no pointing necessary.
The Otto-Bock Shower Stretcher / Changing Table is a wall-mounted shower stretcher and changing table designed for use by individuals with mobility or severe physical disabilities. The surface is an 18-ounce vinyl-coated nylon cover, which is heavy-duty and rip-resistant, especially at stress points. These straws have one-way valves which stay filled with fluid even after the straw is removed from the user's lips. The Wheelie Mobile Prone Stander is a prone stander designed for use by children with lower extremity or severe physical disabilities or spinal cord injury. This plush toy monkey is designed to aid in developing basic daily dressing skills. The Table Top iDevice Suction Mount is a table top mount designed for people with limited mobility and upper extremity disabilities to use while working with their iDevice. The seat is depth-adjustable and offers five tilt positio. The cover reduces skin shear and is antimicrobial and fluid-proof. The Safety Grip Scooters are scooter boards designed for use with children with mobility disabilities. EZ-ON Products recommends that you replace products 6 years after the date of manufacturing, or if the product is damaged, frayed or has been in a crash. The Guardian Adjustable-Height Tub Transfer Seat ia a transfer bench designed for use by persons with physical disabilities who use wheelchairs. No prior ASL experience needed.
Skillbuilders Rolls and Half Rolls provide an adaptive shape for rolling and rocking movements, coordination and vestibular training and positioning. The Sensy-Ball is a textured, inflatable ball designed for therapeutic play and sensory integration activities for persons with and without visual disabilities. The Block-N-Step is a pediatric therapy mat designed to provide pre-walking activities for children. In-line, front-wheel drive technology. Melissa And Doug 12 Triangular Crayons. Norco Narrow Walker Basket.