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2 edition of Cardiac surgical patients" pre- and post-discharge perceptions of their readiness for discharge. found in the catalog.

Cardiac surgical patients" pre- and post-discharge perceptions of their readiness for discharge.

Margaret Helen Ledoux

Cardiac surgical patients" pre- and post-discharge perceptions of their readiness for discharge.

by Margaret Helen Ledoux

  • 241 Want to read
  • 3 Currently reading

Published .
Written in English


The Physical Object
Pagination75 leaves
Number of Pages75
ID Numbers
Open LibraryOL14744558M

  Introduction. Surgical site infections (SSI) occur in 3–5% of all surgical patients, and up to 33% of patients undergoing abdominal surgery,.With shorter hospitalizations, most SSIs now occur post-discharge, placing a burden on patients who are often ill-prepared to manage SSI –.More than half of patients who develop post-discharge SSI are readmitted to the hospital, making SSI the. The RHDS 9 was developed to assess patients' perceptions of readiness for discharge and has been tested with adult medical-surgical and other patient populations. 19,21,22 The item summated rating scale includes 4 subscales: (1) Personal Status–how the patient is feeling on.

Discharge readiness checklists have been developed to systematically identify medical, obstetric, and surgical patient-reported barriers to, and preparedness for, discharge (10)(11)(12)(13).   However, the lack of knowledge of patients about the disease and treatment will only be solved through the guidance and educational activities provided by nurses and the evaluation of the surgical patient in understanding the process of recovery from the time of the surgery and the implementation of post-discharge self-care.

Notes: Nurses can write personalized notes to the patient here. Discharge Instructions for Heart Attack A heart attack occurs when blood flow to the heart muscle is interrupted. This deprives the heart muscle of oxygen, causing tissue damage or tissue death. Common treatments include lifestyle changes, oxygen, medicines, and surgery. Steps to Take. Aim To determine the variables that affect patients’ perceptions about their readiness for discharge and to elucidate the effects of these perceptions on patient outcomes such as unplanned.


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Cardiac surgical patients" pre- and post-discharge perceptions of their readiness for discharge by Margaret Helen Ledoux Download PDF EPUB FB2

Surgical patients perceived a low quality of discharge teaching, which may decrease their readiness for hospital discharge. Relevance to clinical practice This study provides baseline information reflecting the patient learning needs in discharge preparation to guide surgical nurses for improving the discharge teaching quality and enhancing the Cited by: 4.

Patient perception of their readiness for discharge was explored with medical and surgical patients in two studies in the US (Weiss et al.,Bobay et al., ) and with older medical patients in Ireland (Coffey and McCarthy, ). Patient’s perception of their readiness for discharge was found to be predictive of post discharge coping Cited by: The purpose of the study was to identify predictors and outcomes of adult medical-surgical patients' perceptions of their readiness for hospital discharge.

Design: A correlational, prospective, longitudinal design with path analyses was used to explore relationships among transition theory-related variables. Nurhayati Nurhayati, Praneed Songwathana, Ratjai Vachprasit, Surgical patients’ experiences of readiness for hospital discharge and perceived quality of discharge teaching in acute care hospitals, Journal of Clinical Nursing, /jocn, 28,(), ().Cited by: PURPOSE The purpose of the study was to identify predictors and outcomes of adult medical-surgical patients' perceptions of their readiness for hospital discharge.

DESIGN A correlational, prospective, longitudinal design with path analyses was used to explore relationships among transition theory-related variables. SETTING Midwestern tertiary medical center. Planning for hospital discharge is an important component of nursing.

Results are presented of a study to determine how well primary nurses predict the functional ability of their patients following discharge and to assess whether patients and nurses agree about their patients' understanding of the post‐discharge treatment plan.

Look at the CVP to assess preload. A patient with a low C.I. and a CVP that is "relatively" low should be given a fluid challenge. Although the CVP in normal individuals varies between 0 and 4 mmHg, patients immediately post-op cardiac surgery commonly have decreased cardiac.

discharge is documented (when/where) Plan to monitor electrolytes and renal function early after discharge is documented (what/when) Plan to titrate heart failure medications to target dose, if needed, is documented (what/when) Plan to reinforce patient and family education post-discharge is documented (when/where/ themes) Follow-up clinic.

RESULTS: Quality of discharge teaching, specifically the relative difference in the amount of informational content needed and received and the skills of nurses in delivering discharge teaching, explained 38% of the variance in postpartum mothers' perceptions of discharge readiness.

Readiness for discharge scores explained 22% of the variance. Cardiac Surgery Discharge Instructions 1) Care of Your Incisions 2) Diet and Exercise Patients have found it helpful to keep a common medications prescribed after heart surgery and their side effects: 1) Metoprolol Tartrate (Lopressor) a) Use: Metoprolol is.

The aim of this study was to discover what information and support patients fell they need in the 6‐week rehabilitation period following discharge after cardiac surgery. It was undertaken at the request of the hospital multidisciplinary cardiac rehabilitation team to enable them to plan a package of information to meet those needs.

medical-surgical patients’ perceptions of their readiness for hospital discharge. Design: A correlational, prospective, longitudinal design with path analyses was used to explore relationships among transition theory-related variables.

Setting: Midwestern tertiary medical center. Sample: adult medical-surgical patients. Heart failure (HF) is a condition that does not allow your heart to fill or pump properly.

Not enough oxygen in your blood gets to your organs and tissues. Fluid may not move through your body properly. Fluid builds up and causes swelling and difficulty breathing.

This is known as congestive heart failure. HF may start in the left or right. When you are ready to leave the hospital after heart surgery, a careful discharge evaluation is performed.

Learn more here. When you are ready to leave the hospital after heart surgery, a careful discharge evaluation is performed.

Learn more here. View All Information for Patients & Visitors». Although surgery is generally elective or pre-planned, potentially life-threatening conditions can arise, requiring emergency intervention.

Nursing Care Plans. Nurses have a variety of roles and functions associated with the patient’s surgical management. discharge from the hospital, improve patient and family satisfaction, and decrease hospital readmission rates. The postdischarge followup phone call, the 12th component of the RED, is an essential part of supporting the patient from the time of discharge until his or her first appointment for followup care.

SUBJECTS: A total of adult medical-surgical patients and their discharging nurses from 13 medical-surgical units of 4 Midwestern hospitals. MEASURES: Readiness for Hospital Discharge Scale completed independently by patients and their discharging nurses within 4 hours before hospital discharge; Postdischarge utilization (unplanned.

Cardioversion. One major change is the speed and vigour with which cardioversion is attempted. Before this guideline, a patient in ventricular fibrillation after cardiac surgery was to receive a single attempt at cardioversion followed immediately by cardiopulmonary resuscitation (CPR) including external cardiac massage (ECM) for 2 min.

Conclusions. Patient readiness for hospital discharge is associated with process- and structure-related factors. Our findings suggest that, for successful uptake in clinical practice, the development and implementation of effective discharge preparation programs should consider the structural context, i.e., patient population, unit size, and experience of nurses within the team.

The project used the Quality of Discharge Teaching (QDTS) and Readiness for Hospital Discharge Scale (RHDS) instruments to measure the patients' perceptions of readiness for discharge. Patient satisfaction rates were measured before and after the change. Findings. The new interprofessional discharge planning/teaching process significantly.

Dunning et al () acknowledge that 5 RCTs in post-cardiac surgery patients have failed to demonstrate a benefit for atropine, however they argue that atropine is a relatively benign drug and it should still be considered as a 3mg IV dose for bradycardia/ asystole in the setting of post-cardiac surgery cardiac arrest).Purpose: The purpose of the study was to identify predictors and outcomes of adult medical-surgical patients' perceptions of their readiness for hospital discharge.

Design: A correlational, prospective, longitudinal design with path analyses was used to explore .Most patient-specific discharge instructions still contain only free text.

How to provide visual aid to these discharge instructions is a research question that we are trying to answer. As a first step, we conducted a pilot study to develop pictographs for discharge instructions and test their efficacy in improving patient comprehension and recall.