Clinical Nurse essay

This coursework establishes the goals and objectives of a clinical nursing specialist practicum. It demonstrates advanced knowledge and skill that a clinical nursing specialist should demonstrate in the care of patients with cardiovascular diagnoses. According to literature, cardiovascular diseases are so critical that no mistakes should be anticipated. As such, this cadre of clinical nurses should not just understand the patients’ medical condition, but also the effects of administering certain drugs to such patients. This is due to the fact that some drugs could aggravate cardiovascular complications, thereby worsening the patients’ medical condition.  In addition, the coursework focuses on the review of the current literature with particular emphasis on the treatment of Acute Coronary Syndrome (ACS). The literature advocates for a weekly plan that would enable nurses to monitor the progress of the cardiac complications and propose therapeutic intervention before the situation gets out of hand. Essentially, it would enable medical profession to develop in-service for cardiology nursing staff related to new treatments for ACS and present as a roving in-service that is acceptable to all stakeholders. In particular, my case would require a coordinated work with preceptor to identify high risk cardiac patients with a view to following them throughout practicum for regular consultation regarding nursing care. Ideally, this would allow me to appreciate the role of a clinical nurse in cardiovascular care from a first-hand perspective.

The conventional practice of clinical nursing has considerably grown over time. Even though fundamental top features of the discipline remain exactly the same, it would certainly be prudent that fresh clinical nurses attempt to be able to be familiar with system and the changes which have occurred in order to integrate these people into a workable system. The practicum program plan to integrate these scientific aspects that would allow me perfectly fit in to the current system of clinical nursing. For instance, I want to widely communicate with advance practice healthcare professionals so that I can learn from them certain growing conditions that are extremely relevant in order to the practice of clinical nursing. Besides, it might give the ample possibility to engage with people associated with different ages and decide the clinical advantages that will some sections of the community enjoy regarding cardiovascular problems. For instance, infants have got underdeveloped microvasculature that are unable to withstand high blood stress that is associated with hypertonie. Conversely, geriatrics has comparatively weakened vasculature due to nature of their conjoining tissues. This essentially predisposes them to severe consequences in the event they develop cardio complications.   However, the particular middle age is pretty resistant to the whole effects of these complications since they are less likely in order to suffer internal bleeding from hypertension (Hamric, Sprouse & Hanson, 2009).

Management Strategies of Acute Coronary Syndrome

Nursing specialists have a critical role in the management of Acute Coronary Syndrome. This is one of the cardiovascular complications that involve coronary arteries thereby leading to a blockade and eventually myocardial infarction.  For instance, the disease angina that develops due to exertion and resolves at rest could be very challenging to unsuspecting patients. In addition, the fact that it presents as chest pain gives it clearly similar presentations as most respiratory complications. In light of this, the nursing specialists who spend most of the time with clinical patients must be able to timely recognize and monitor the progress of these complications. According to the International Association of Cardiologists, Acute Coronary Syndrome is a typical coronaary thrombosis that has a strong correlation with drug abuse, especially cocaine. Notably, cocaine is not just a drug of abuse, but a therapeutic agent used in local anesthesia. This implies that medical practitioners dealing with cardiac patients who have to get minor surgeries must be keen on the types of anesthetic agents that they use. For instance, the use of cocaine and some of its derivatives would instead aggravate cardiac complications. In most cases, management of diseases also entails understanding the background information and the precipitating factors. For example, clinical nurses would provide better clinical care to cardiac patients if they properly understand the management of its precipitating factors, like anemia and increased heart rates (Adelman, 1992).

Although acute coronary syndromes are divided into several groups, unstable angina remains the most lethal. It is basically the type of chest pain that results from ischemia of the cardiac cells and often occurs over a prolonged period of time with little or no exertion. And due to the fact that unstable anginas are difficult to properly control on drugs alone, clinical management of patients is quite critical. For instance, the medical personnel would most likely be involved in monitoring the concentration cardiac enzymes as this is the safest method. As such, it becomes quite prudent that clinical nurses understand these principles so that they can provide the best patient care. According United States Cardiac Association, acute coronary syndromes should be given priority as they have lately become the major cause of mortality and morbidity in the global society. Essentially, the management of these complications would be one of my focal points, especially with regards to the administration of certain drugs, like aspirin as their administration would worsen the situation of cardiac complications (Morrison & Monagle, 2009).

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