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A National Needs Analysis Of Sudden Cardiac Arrest Survivors
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Book Synopsis A National Needs Analysis of Sudden Cardiac Arrest Survivors by : Leslie Derian
Download or read book A National Needs Analysis of Sudden Cardiac Arrest Survivors written by Leslie Derian and published by . This book was released on 2015 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial outcomes of sudden cardiac arrest survivors have generally been studied in single center samples. Large, nationally representative patient surveys may offer different perspectives. The aim of the current study is to provide a needs analysis of health outcomes and psychosocial needs for this patient population. One hundred and eighty nine sudden cardiac arrest survivors (104 men, 84 women, 1 unreported) completed an online survey. A representative sample of time since cardiac arrest was achieved (28.0% within 2 years, 38.6% 2-5 years, 33.3% 5 or more years post-SCA). The self-report survey consisted of retrospective (time of cardiac event to 3 months post-cardiac event) and current ratings of health, which included quality of life, emotional health, and general health. A needs analysis for sudden cardiac arrest survivors addressing acute and long-term concerns was completed to aid in understanding appropriate educational programming for these patients. Approximately 81% of the sample had an implantable cardioverter defibrillator and 45% of patients had experienced at least one shock from their device. Patient ratings of post-sudden cardiac arrest health outcomes indicated notable change in quality of life (37.7% better, 37.2% same, 25.0% worse). Similar patterns in emotional health (33.8% better, 32.8% same, 33.3% worse) and general health (30.3% better, 46.3% same, 23.4% worse) were observed. The majority of patients reported desirable (excellent - very good - good) changes in quality of life (88.9%), emotional health (82.0%), and general health (84.1%), while others reported undesirable (fair - poor) current health ratings; quality of life (11.1%), emotional health (18%), and general health (16%). Emotional health emerged as the health functioning area most negatively impacted by sudden cardiac arrest. Needs analysis of top concerns demonstrated that the highest priority concerns were anxiety, depression, and fear of exercise across all time periods. Further analyses indicated that gender and secondary treatment type significantly impacted reported rates of anxiety, depression, and fear of exercise. To our knowledge, the current study examines patient reports from the largest sudden cardiac arrest sample in the literature. Findings highlight that immediate health outcomes post-sudden cardiac arrest are potentially adverse but many patients later report desirable quality of life, emotional health, and general health. Educational programming initiatives for sudden cardiac arrest patient issues may require shifting focus from broad health concerns to acute and long-term psychosocial needs.
Book Synopsis Survivors of Sudden Cardiac Death by : Mary Jane Marquis Sauve
Download or read book Survivors of Sudden Cardiac Death written by Mary Jane Marquis Sauve and published by . This book was released on 1986 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309451949 Total Pages :137 pages Book Rating :4.3/5 (94 download)
Book Synopsis Exploring Strategies to Improve Cardiac Arrest Survival by : National Academies of Sciences, Engineering, and Medicine
Download or read book Exploring Strategies to Improve Cardiac Arrest Survival written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-02-21 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac arrest often strikes seemingly healthy individuals without warning and without regard to age, gender, race, or health status. Representing the third leading cause of death in the United States, cardiac arrest is defined as "a severe malfunction or cessation of the electrical and mechanical activity of the heart ... [which] results in almost instantaneous loss of consciousness and collapse". Although the exact number of cardiac arrests is unknown, conservative estimates suggest that approximately 600,000 individuals experience a cardiac arrest in the United States each year. In June 2015, the Institute of Medicine (IOM) released its consensus report Strategies to Improve Cardiac Arrest Survival: A Time to Act, which evaluated the factors affecting resuscitation research and outcomes in the United States. Following the release of this report, the National Academies of Sciences, Engineering, and Medicine was asked to hold a workshop to explore the barriers and opportunities for advancing the IOM recommendations. This publication summarizes the presentations and discussions from the workshop.
Book Synopsis A Psychosocial Assessment of Survivors of Sudden Cardiac Arrest by : Deborah Jean Tuggle
Download or read book A Psychosocial Assessment of Survivors of Sudden Cardiac Arrest written by Deborah Jean Tuggle and published by . This book was released on 1981 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Strategies to Improve Cardiac Arrest Survival by : Institute of Medicine
Download or read book Strategies to Improve Cardiac Arrest Survival written by Institute of Medicine and published by National Academies Press. This book was released on 2015-09-29 with total page 291 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.
Book Synopsis Health-related quality of life after cardiac arrest by : Johan Israelsson
Download or read book Health-related quality of life after cardiac arrest written by Johan Israelsson and published by Linköping University Electronic Press. This book was released on 2020-02-17 with total page 59 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Cardiac arrest is a major health problem worldwide. For many of the afflicted, cardiac arrest is the natural end of life. For others, it is an unexpected event suddenly striking in the middle of life. During the last decades, major efforts in treatment have contributed to more people surviving their cardiac arrest. However, previous research has mainly focused on survival, while the knowledge about health-related quality of life in survivors is sparse. Hence, there is a need for more research in order to extend the knowledge about the living situations among survivors and their spouses. For example, factors associated with health-related quality of life are not sufficiently investigated. Knowledge about such factors is important in order to develop interventions and to be able to improve post cardiac arrest care. In addition, existing research shows incongruent results concerning differences in characteristics and survival between men and women. In order to provide equitable care between sexes, further studies are warranted. Aim: The overall aim of this thesis was to increase the knowledge of survival and health-related quality of life among people suffering cardiac arrest with focus on sex and other related factors. The specific aims were: to describe in-hospital cardiac arrest events with regard to sex and investigate if sex is associated with survival after controlling for known predictors and interaction effects (study I), to describe health status and psychological distress among in-hospital cardiac arrest survivors in relation to sex (study II), to investigate factors associated with health-related quality of life among cardiac arrest survivors treated with an implantable cardioverter defibrillator in relation to sex, and to compare their health-related quality of life with a general population, (study III) and to investigate if type D personality and perceived control among cardiac arrest survivors and their spouses were associated with their own and their partners’ health-related quality of life (study IV). Methods: The general design in all studies (I-IV) was quantitative, cross-sectional and correlational. This thesis is based on four different data collections. Data was systematically collected using national quality registries (I and II) or by sending questionnaires to survivors (III and IV) and their spouses (IV), treated at several different hospitals in Sweden. The sample size varied between 126 and 990 across the studies. The outcomes and explanatory study variables were chosen with respect to Wilson and Cleary’s conceptual model of health-related quality of life. The main outcome variables were survival after resuscitation, survival at hospital discharge, survival at 30 days post cardiac arrest (I), and health-related quality of life measured by the Hospital Anxiety and Depression Scale (II and III) and the EuroQol-5 dimensions (II-IV). In this thesis descriptive and inferential statistics were applied. The main statistics consisted of logistic and linear regression analyses, and structural equation modelling. Results: Male sex was associated with a better chance of survival to hospital discharge, but no associations between sex and survival after resuscitation or at 30 days were identified. More men than women received resuscitation attempts when suffering an in-hospital cardiac arrest (study I). Health-related quality of life among most cardiac arrest survivors was good (II-IV), even when compared to a general population (III). However, a significant proportion reported low health status and symptoms of anxiety and depression (II and III). Women reported worse health-related quality of life compared to men, and female sex was associated with poorer health-related quality of life in the multiple regression models (II and III). Several additional factors were identified to be associated with poorer health-related quality of life: being unemployed, having a type D personality, perceiving less control, suffering from more comorbidities and suffering from more ICD-related concerns (III). In addition, older age was associated with poorer (EQ VAS) or better (HADS Anxiety) health-related quality of life, depending of outcome measure (II). Moreover, perceived control and type D personality among the survivors were associated with health-related quality of life among their spouses, but not vice versa. Conclusions: Although, sex does not appear to be an important predictor for survival, the difference between men and women regarding the proportion of resuscitation attempts should be further investigated. The majority of survivors and their spouses report good health-related quality of life similar to general populations. However, a substantial proportion suffer from health problems. Since women in general report worse health-related quality of life compared to men a higher proportion of women may be in need of support. Several factors associated with worse health-related quality of life were identified and might be used during follow-up and rehabilitation. For example, identifying type D personality might be important when screening patients at risk for health problems. Perceiving more control could be targeted by health-supportive interventions, for example person-centered care. Healthcare professionals should make efforts to identify survivors at risk of poor health-related quality of life and offer individualized support when needed. Characteristics among survivors were associated with health-related quality of life in their spouses. Including spouses in follow-up care is therefore important. Wilson and Cleary’s conceptual model for health-related quality of life appears to be applicable for choosing outcomes in cardiac arrest research and might be helpful when designing interventions to improve post cardiac arrest care.
Book Synopsis Sudden Cardiac Death by : Patricia M. Owen
Download or read book Sudden Cardiac Death written by Patricia M. Owen and published by . This book was released on 1991 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes the incidence, mechanisms, pathology, and risk factors related to sudden cardiac death; noninvasive and electrophysiologic evaluation of sudden cardiac death survivors; sudden cardiac death in children; ethical considerations; the nursing process as it relates to modern cardiac life support; basic and advanced cardiac life support practice; nursing diagnosis with pertinent assessment factors and interventions; and much more. As sudden cardiac death continues to be a major health and ethical challenge, this outstanding new book provides the theoretical and practical background nurses need to care for sudden cardiac death patients.
Book Synopsis Observations of a Sudden Cardiac Arrest Survivor Or What I Wish I'd Been Told When I Was Discharged by : Ted Guloien
Download or read book Observations of a Sudden Cardiac Arrest Survivor Or What I Wish I'd Been Told When I Was Discharged written by Ted Guloien and published by . This book was released on 2019-11-02 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: Survivors of an out-of-hospital sudden cardiac arrest are discharged from hospital unprepared for the emotional and psychological impact from an event of which very few have any memory. For the few who survive a sudden cardiac arrest, many experience cognitive and emotional challenges not addressed in the cardiac intensive care units in the hospitals to which they were rushed by ambulance. For these survivors, their hearts will likely heal much sooner than they will. This pamphlet is for them and describes some of the emotional issues that they may experience as a result of their sudden cardiac arrest.
Book Synopsis 2015 American Heart Association Guidelines by :
Download or read book 2015 American Heart Association Guidelines written by and published by . This book was released on 2015 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Core Topics in Neuroanaesthesia and Neurointensive Care by : Basil F. Matta
Download or read book Core Topics in Neuroanaesthesia and Neurointensive Care written by Basil F. Matta and published by Cambridge University Press. This book was released on 2011-10-13 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Core Topics in Neuroanesthesia and Neurointensive Care is an authoritative and practical clinical text that offers clear diagnostic and management guidance for a wide range of neuroanesthesia and neurocritical care problems. With coverage of every aspect of the discipline by outstanding world experts, this should be the first book to which practitioners turn for easily accessible and definitive advice. Initial sections cover relevant anatomy, physiology and pharmacology, intraoperative and critical care monitoring and neuroimaging. These are followed by detailed sections covering all aspects of neuroanesthesia and neurointensive care in both adult and pediatric patients. The final chapter discusses ethical and legal issues. Each chapter delivers a state-of-the art review of clinical practice, including outcome data when available. Enhanced throughout with numerous clinical photographs and line drawings, this practical and accessible text is key reading for trainee and consultant anesthetists and critical care specialists.
Book Synopsis Ventricular Arrhythmias by : John M. Miller
Download or read book Ventricular Arrhythmias written by John M. Miller and published by . This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventricular arrhythmias cause most cases of sudden cardiac death, which is the leading cause of death in the US. This issue reviews the causes of arrhythmias and the promising new drugs and devices to treat arrhythmias.
Book Synopsis Best Care at Lower Cost by : Institute of Medicine
Download or read book Best Care at Lower Cost written by Institute of Medicine and published by National Academies Press. This book was released on 2013-05-10 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.
Book Synopsis Strengthening Forensic Science in the United States by : National Research Council
Download or read book Strengthening Forensic Science in the United States written by National Research Council and published by National Academies Press. This book was released on 2009-07-29 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: Scores of talented and dedicated people serve the forensic science community, performing vitally important work. However, they are often constrained by lack of adequate resources, sound policies, and national support. It is clear that change and advancements, both systematic and scientific, are needed in a number of forensic science disciplines to ensure the reliability of work, establish enforceable standards, and promote best practices with consistent application. Strengthening Forensic Science in the United States: A Path Forward provides a detailed plan for addressing these needs and suggests the creation of a new government entity, the National Institute of Forensic Science, to establish and enforce standards within the forensic science community. The benefits of improving and regulating the forensic science disciplines are clear: assisting law enforcement officials, enhancing homeland security, and reducing the risk of wrongful conviction and exoneration. Strengthening Forensic Science in the United States gives a full account of what is needed to advance the forensic science disciplines, including upgrading of systems and organizational structures, better training, widespread adoption of uniform and enforceable best practices, and mandatory certification and accreditation programs. While this book provides an essential call-to-action for congress and policy makers, it also serves as a vital tool for law enforcement agencies, criminal prosecutors and attorneys, and forensic science educators.
Book Synopsis Current Catalog by : National Library of Medicine (U.S.)
Download or read book Current Catalog written by National Library of Medicine (U.S.) and published by . This book was released on 1973 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: First multi-year cumulation covers six years: 1965-70.
Book Synopsis Oxford Textbook of Critical Care by : Webb
Download or read book Oxford Textbook of Critical Care written by Webb and published by Oxford University Press. This book was released on 2020-01-10 with total page 1961 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in paperback, the second edition of the Oxford Textbook of Critical Care is a comprehensive multi-disciplinary text covering all aspects of adult intensive care management. Uniquely this text takes a problem-orientated approach providing a key resource for daily clinical issues in the intensive care unit. The text is organized into short topics allowing readers to rapidly access authoritative information on specific clinical problems. Each topic refers to basic physiological principles and provides up-to-date treatment advice supported by references to the most vital literature. Where international differences exist in clinical practice, authors cover alternative views. Key messages summarise each topic in order to aid quick review and decision making. Edited and written by an international group of recognized experts from many disciplines, the second edition of the Oxford Textbook of Critical Careprovides an up-to-date reference that is relevant for intensive care units and emergency departments globally. This volume is the definitive text for all health care providers, including physicians, nurses, respiratory therapists, and other allied health professionals who take care of critically ill patients.
Book Synopsis Clinical Guide to Cardiac Autonomic Tests by : M. Malik
Download or read book Clinical Guide to Cardiac Autonomic Tests written by M. Malik and published by Springer Science & Business Media. This book was released on 2013-04-17 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following systematic development of technical aspects and physiological understanding, and clinical applicability of cardiac autonomic testing, this book provides a detailed guide to performing individual autonomic tests in both research and clinical settings. The book is structured in three parts covering the physiological background of cardiac autonomic regulations, description of technology and interpretation of individual autonomic tests, and applicability of the individual tests under various clinical circumstances and in defined populations of patients. The book is intended to serve both research and clinical cardiologists as well as research and clinical specialists of other medical fields who use the assessment of cardiac modulations to investigate the autonomic nervous system.
Book Synopsis Molecular Cardiology by : Zhongjie Sun
Download or read book Molecular Cardiology written by Zhongjie Sun and published by Springer Science & Business Media. This book was released on 2008-02-01 with total page 410 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of Molecular Cardiology: Methods and Protocols is to document state-of-the-art molecular and genetic techniques in the area of cardiology. These modern approaches enable researchers to readily study heart diseases at the molecular level and will promote the development of new therapeutic str- egies. Methods for genetic dissection, signal transduction, and microarray analysis are excellent tools for the study of the molecular mechanisms of cardiovascular diseases. Protocols for transgenesis take advantage of recent advances in many areas of molecular and cell biology. Transgenic models of heart diseases (cardiac hypertrophy, cardiac dysfunction, and so on. ) are powerful tools for the study of heart disease pathogenesis. Methods for gene transfer to heart tissue using viral and nonviral vectors form the basis of gene therapy for heart diseases. Heart-specific promoters containing a hypox- inducible cardioprotective gene switch are key for protection of the heart from ischemia. Gene and stem cell therapies open novel and exciting avenues for the prevention and treatment of heart diseases. Molecular Cardiology: Methods and Protocols consists of 26 chapters de- ing with various aspects of molecular cardiology, including gene transfer and gene therapy for cardiovascular disease, stem cell therapy for cardiovascular disease, gene analysis in the injured and hypertrophied heart, and transgenesis in cardiovascular research. This book provides step-by-step methods for the successful completion of experimental procedures, and would be useful for both experienced and new investigators in the field of molecular cardiology.
