Postoperative cabg depression essay

Abstract Objective To describe the relationship between pain and depression on recovery after coronary artery bypass grafting CABG. Methods A secondary data analysis on depressed and nondepressed post-CABG patients enrolled in a randomized, controlled, effectiveness trial of telephone-delivered collaborative care for depression. Outcome measures were collected from March to September and included pain, physical function, and mood symptoms.

Postoperative cabg depression essay

Depressive Symptoms After CABG Surgery: A Meta-analysis

How to Write a Summary of Postoperative cabg depression essay Article? Post-CABG Nursing Coronary heart disease is a major physical illness and one of the main causes of death in Western society People who do not die an early and sudden death may have to consider a major surgical treatment, the most prevalent being coronary artery bypass graft surgery CABG.

More thansuch operations are performed annually in the United States alone. In this paper, we will discuss the postoperative complications of CABG and how they impact nursing practice. Such outcomes can be accounted for by illness severity factors. Barbut D, Hinton et al.

Of all the adverse neurological outcomes that may be incurred postoperatively, stroke is one of the most serious. However, due to technological and surgical improvements the incidence of stroke is now reported to be as low as between 0.

Neuropsychological research suggests, however, that a considerable proportion of all patients who undergo CABG sustain some degree of cerebral damage and that this manifests as mild cognitive impairment. Although these cognitive deficits rarely disturb activities of daily living, they are still considered cause for concern.

Conclusion Coronary artery bypass graft (CABG) surgery is regularly performed in most major hospitals, reflecting the high prevalence of coronary artery disease in western countries. A number of studies have identified cohorts of patients undergoing CABG and other cardiac procedures who experience a higher than expected rate of mortality and morbidity. Coronary Artery Bypass Graft surgery (CABG) is a medical procedure used in the treatment of coronary artery disease (CAD). CAD is a disease that causes narrowing of the coronary arteries (the blood vessels that supply oxygen and nutrients to the heart muscle) due to the accumulation of fatty deposits called plaques within the walls of the arteries. Depression Essay Depression Many people experience thoughts of hopelessness and sadness some time in their lives. People do not have the satisfaction or the pleasure of life.

Therefore, it is these less severe forms of neurological injury, which are now targeted for reduction in what has been described as an age of quality improvement Stump D.

Cognitive impairment following coronary artery bypass grafting, Neuropsychological tests are valuable tools in the assessment of brain dysfunction as they provide a method of systematically and quantitatively studying the behavioral expressions of this dysfunction Lezak, As there is now only a low risk of stroke following CABG, milder forms of cerebral damage have become a greater focus of concern.

Consequently, neuropsychological assessment has become more important within the domain of cardiac surgery. The advantage of neuropsychological tests is that they are capable of detecting subtle changes in cognitive function. In comparison, conventional neurological assessment techniques, such as the Mini-Mental State Examination, are less sensitive and therefore less able to detect subtle CNS changes In addition, neurological assessment techniques do not lend themselves as readily to quantitative analysis [Heyer E.

In this way, intersubject variability is minimized as the subjects act as their own controls. While cognitive deficits have been consistently reported in the immediate postoperative period, some researchers have readministered test batteries in the immediate postoperative period, typically within 5—10 days of surgery Aris A, et al, ; Clark et al.

Hospital stays often are prolonged due to intermittent hemodynamic instability of thomboembolic complications. During AF, loss of synchronous atrial mechanical activity response, and inappropriately high heart rates may have adverse effects o n hemodynamic functions and cause hypotension and hear failure.

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Risk of postoperative stroke has been found to be significantly increased with postoperative atrial tacharrhymias. Atrial effective refractory periods ERP has been used a parameter to evaluate atrial repolarization and ERP and its dispersion are known parameters of atrial vulnerability that indicate enhanced atrial arrhythmogenesis, include a history spontaneous paroxysmal AF and easy inductility of atrial arrhthmias.

Most of these effusions are small, self-limiting and do not require interventions. However, chronic, persistent post-CABG effusions have been reported.

The etiology of these persistent effusions remains unknown. Lee et al, Sleep disturbances is another big postoperative complication The purpose of a Schafer et al study was to describe the nature and frequency of sleep pattern disturbances in patients post coronary artery bypass CABG surgery.

An exploratory design using telephone interviews at one week, one month, three months and six months was used to describe the incidence and nature of sleep disturbances post CABG surgery. Forty-nine patients completed all four measurement times.

Postoperative cabg depression essay

More than half of the patients reported sleep disturbances at each measurement time. Sleep disturbances during the first month post CABG were reported to be the result of incisional pain, difficulty finding a comfortable position and nocturia.

Although less frequent over time, these problems persisted for six months. Miller et al discusses post CABG postoperative symptoms. At 1 week post-CABG, symptoms were incisional pain, wound drainage, chest congestion, shortness of breath, dizziness, sweating, swollen feet, and loss of appetite; incisional pain and swollen feet were reported by a few patients at 6 weeks after CABG.Coronary Artery Bypass Graft surgery (CABG) is a medical procedure used in the treatment of coronary artery disease (CAD).

CAD is a disease that causes narrowing of the coronary arteries (the blood vessels that supply oxygen and nutrients to the heart muscle) due to the accumulation of fatty. Postoperative care is the care you receive after a surgical procedure.

The Impact of Pain and Depression on Post-CABG Recovery

The type of postoperative care you need depends on the type of surgery you have, as well as your health history. Post Op Care for Cabg Pts Essay Sample. Postoperative care of the cardiac surgery patient is challenging in that changes can occur rapidly. The preoperative condition of the patient as well as intraoperative events should be considered in postoperative care.

Basic Information Depression is a common mental illness, mainly for depression, interest reduction, pessimistic, thinking slow, lack of initiative, self-blame from the offense, diet, sleep is poor, worried about their suffering from various diseases, many feel that the body discomfort, serious suicidal thoughts and behavior can occur.

1. Why did Japan Airlines Development Company decide to develop a hotel company in the mids? It was developed to strengthen . Depression Teresa Collick HCA/ April 24, Depression has always been a major health issue going back for many years.

Initially being called “melancholia” it appeared in the texts of the Mesopotamians in the second millennium.

Post Op Care for Cabg Pts | Essay Example