This paper is discussing nursing interventions that will minimize neurovascular deterioration and stroke outcomes which are normally associated with the post-surgery period in cases where coronary angioplasty has been applied. Born in 1936, Mrs. Elizabeth Green, a mother of two…
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pains while she was doing her dishes in the morning.In Mrs Elizabeth Green’s case, most of the risk factors are presented in her history, including genetic outcomes. In the case study, the family history reveals that Mrs Green’s mother suffered from cardiac disease, and artery blockages run in the family. However, despite knowledge of potential risk factors, the role of genetics cannot be confirmed with certainty, as genetic testing on this front is not yet available. It is more likely that Mrs Green will develop notable adverse outcomes after the coronary angioplasty, including neurovascular complications and stroke.
According to the clinical guidelines of the Royal Children’s Hospital Melbourne, monitoring the neurovascular status of a patient is mandatory in order to ensure that neurovascular compromise or deterioration is recognized early. The clinical guidelines define neurovascular as the overall functioning and structural formation of the combined nervous and vascular systems. Delays in recognizing a loss of neurovascular function post–coronary angioplasty could result in a loss of limbs, permanent deficits or even death. For an RN or clinical facility, such outcomes could constitute clinical negligence, which could lead to law suits against the facility for professional negligence or even ethical disciplinary proceedings by the Nursing and Midwifery Board of Australia for failing to provide nursing care according to documented treatment or care plans. Indeed, the board’s national competency standards for RNs require them to use all available evidence, including reports, records and personal experience or knowledge, for the provision and coordination of care.
The standard nursing practice is to provide neurovascular assessment and observation for patients who have some form of musculoskeletal trauma or are in the post-operative stages of health care. According to the case, Mrs Green had just undergone cardiac catheterization. According to
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