Complication and risk factors of a deep vein thrombosis Nurses should be knowledgeable advocates when it comes to deep vein thrombosis and the prevention of a venous thromboembolism progressing to a pulmonary embolism. All nurses should know the signs and symptoms of a DVT to prevent further complications such as a PE (Bonner, 2014). DVT and PE are preventable diseases that often go under diagnosed. If a DVT is discovered early enough then modern day medicine can prevent further complications. Complications such as a PE can be debilitating or even fatal, either way it can change one’s life completely (CDC, 2014). When a deep vein thrombosis occurs a pulmonary embolism can follow from two to seven days after. Death from a pulmonary …show more content…
Of the 2454 patients, deep vein thrombosis was a result of 1237 of them (49.3%). Patients in the randomized control study were diagnosed by attending physicians, and they did not have to present with any symptoms. Outcomes of the mortality rates were analyzed over a 3 month period. During the study the most common symptoms were dyspnea (82%), chest pain (49%), cough (20%), and syncope (14%). At the follow up 11.4% patients died within two weeks of being diagnosed with pulmonary embolism or 280 of the 2454 patients. After three months 17.4% of the patients died or 426 of the 2454 patients. Pulmonary embolism is a very recurrent disease; in the study 190 of the remaining 2403 patients had a recurrent pulmonary embolism (Goldhaber, 1999). The International Cooperative Pulmonary Embolism Registry study concludes that pulmonary embolism has a high mortality rate in the clinical setting. This study portrays that a deep vein thrombosis should be taken seriously and that the risk of complications like a pulmonary embolism can prove fatal. Nurses and patients should be knowledgeable in the risk factors that predispose people …show more content…
Patients were randomized into a ambulation or bed rest group. Along with ambulation or bed rest all the patients received, antithrombotic treatment with LMWH nadroparin, and oral anticoagulant therapy. The study measured the endpoints after 30 days. 11 of the 252 patients had a DVT progress to a PE. Of the 11 patients 10 of them were on bed rest (Manganaro, 2008). This study concludes bed rest increases the risk of a DVT progressing to a PE and that ambulation is more therapeutic. Victoria Gay analyzed a study that looked at the influence of bed rest and the frequency of a DVT progressing to a PE compared to ambulation. 122 patients diagnosed with symptomatic proximal DVT were randomly assigned to either the bed rest or ambulatory group. The bed rest group had eight days of strict bed rest and leg elevation. The ambulation group was encouraged to walk every day for eight to ten days after two days of leg elevation. All of the patients received compression therapy, enoxaparin (Lovenox) twice a day, and oral phenprocoumon (Marcoumar). Results showed that of the bed rest group 10 of the 59 (17%) patients developed a pulmonary embolism. From the ambulation group
“Chronic diseases and illnesses are the leading causes of death and disability in the United States” (CDC.gov, 2014). These types of illnesses are the most common health problems that people in this country face today and they are also the most preventable (CDC.gov, 2014). Every year the cost to help care for and manage people with these types of illnesses increases and there is less being done about educating people about prevention. Venous Thromboembolism is one such chronic disease that is very deadly but also very preventable if the right precautions are taken. This paper will aim to educate about the disease, courses and costs of treatment, clinical microsystems that are involved and what barriers if any exist to achieving generative relationships among the various clinical microsystems involved.
Her previous medical history includes osteoporosis which lead to poor mobility due to pain. She is currently waiting for Total Knee Replacement. After a Total Knee Replacement , patient is more likely to suffer from pain and being immobile for a period of time before commence physiotherapy. That greatly increase the chance of developing DVT(Brown, Edwards, Seaton&Buckley, 2014) .Patient education relating to physical activity includes encouraging early ambulation.
The author will also discuss the nursing care required in each area (physical, psychological and social health) and some of the evidence that has supported this in relat...
Insomnia in women and African Americans. (n.d.). National Heart, Lung and Blood Institute. Retrieved November 13, 2009, from http://www.nhlbi.nih.gov/health
The etiology of DVT is unknown. It could be because of various reasons. It could be physical, chemical, or biological reasons. DVT can be caused by serious surgeries or i...
Zadro, L., Boland, C., & Richardson, R. ( 2006). How long does it last? The
examine a case study. Joan is a 35 year old women who was feeling fine up till
People have created a hectic and busy world, that includes careers and daily activities that require physical activity. While attempting to attain the required physical conditioning, people often take chances with their personal health as they try to stretch their physical limits. Sometimes, people can surpass their current limits and form new boundaries; however, other times people are not so fortunate. These unfortunate times often lead to injury, including workplace accidents, sporting incidents, disease afflictions, as well as others; any or all of which could bring about the need of rehabilitation services. Many of these require physical therapy, which includes assisting injured or otherwise impaired patients as they recover to their pre-injury status or to recover as much as is physically possible. The field of physical therapy is a choice career for those who enjoy helping people recover from injury, and the following text will provide reason for choosing this profession.
Each day we are faced with making decisions regarding the plan of care and discharge of a patient based on the number of days an insurance company allows to treat the patient. Most times the days allowed are less than what is required to assist the patient back to their prior level of function and ability to safely return home. This causes an internal struggle for the provider and can lead to easily accepting what the insurance company allows even though it is not always best for the patient. Typically, we follow the rule of always doing what is right, which could mean that we keep the patient on the unit longer than the insurance will provide payment.
While being able to financially support myself one day still motivated me, I began to appreciate the importance of physical independence as well. I never want to be physically limited and unable to do the things that make me happy, such as snowboarding or kayaking, and I also want to remain independent into old age. This reinforced my desire to pursue physical therapy because I want the opportunity to help others achieve this same kind of freedom that will improve their quality of life. A student and professional must be invested in the patients and be able to empathize with them. Having these abilities will contribute to creating more effective treatment plans and achieving better treatment
could tell some of my symptoms were gone. I was feeling good after about 2 week and I was fully healed
Jackson, M.A. & Simpson, K. H. (2006). Chronic Back Pain. Continuing Education in Anaethesia, Critical Care and Pain, 6(4), 152-155. http://dx.doi: 10.1093/bjaceaccp/mkl029
The duration of stretch was 30 seconds with 10 seconds rest time in between each stretch.
In conclusion, overall for both studies, to prevent complications and a premature death, it is necessary to do more than just ask questions about the patient’s life style, symptoms of angina, diet and nutrition, etc (Forslund et al. 2010). The true challenge for nurses is to involve people with DM in their own care and thus improve the prognosis (Forslund et al. 2010). And in reducing ESRD incidence, continual interventions, such as blood glucose and blood pressure control, to improve diabetes care and to increase awareness of risk factors for kidney disease in diabetics might be a key factor (Burrows et al. 2010). Ultimately, prevention of DM and improved diabetes management are likely to contribute in part to the prevention of kidney disease, ESRD, and sudden cardiac arrest.
Physiotherapy is the study of the movement and function of the human anatomy and the relationship between the persons’ health and wellbeing (Dhrs.uct.ac.za, 2015). A physiotherapist’s speciality is treating “individuals across the life-span who have illness, injury or disability affecting the neuro-musculoskeletal, cardiopulmonary, vascular, and neurological systems” (Ontario Physiotherapy Association, 2015:3). A physiotherapist’s main goal is for their patient to receive the highest level of independence by educating patients how to “prevent reoccurring injuries” that disrupt their daily routine (Ontario Physiotherapy Association, 2015:3). Physiotherapists would deal with “long term ailments” (Zweigenthal et al., 2009:235) that cannot simply be treated with the dosage of medication but with the dedication from both the physiotherapist and patient in the appointed interactive physical sessions, a treatment plan can be formulated to guarantee the most efficient road to