This paper will critique a quantitative research study (Lesnecki, 2010) that examined influences of individuals that delayed seeking treatment during an acute myocardial infarction (AMI). The article examined psychosocial and environmental influences that may have played a role for the period of AMI symptom onset to actually obtaining medical treatment. The research study will be reviewed looking at background, study purpose, design and methodology, data analysis, results, discussion, limitations, and applications for nursing practice. Background Lesnecki (2010) gave a brief literature review and described the magnitude of the problem with treatment delay in patients with AMI. She touched on the prevalence of treatment delay in …show more content…
She used secondary analysis, by retrospectively gathering patient characteristics obtained from medical records. One group of participants was studied at two points in time, first, by looking back at admission medical records, and secondly, by face to face interview after admission to the hospital. This was not a randomized clinical trial with a treatment and control group, and there was no manipulation of an independent variable. Therefore, blinding was not appropriate for this study. All participants received treatment for their AMI, but the treatment was not a variable that was studied. The author was interested in studying the factors that surrounded any delay of treatment. Therefore, experimental and quasi-experimental research designs would not have been appropriate for this study, in this author’s view. The researcher wanted to identify influences and examine relationships, as well as determine frequency of those variables, suggesting to this writer that a descriptive, comparative design was appropriate for the study. Sample The population studied (Lesnecki, 2010) was clearly identified as a convenience sample, with data obtained from “three Northeastern Pennsylvania hospitals” (p. 186). The weakness of a convenience sample is that it can be difficult to control for biases. The author tried to reduce bias in her sample by using inclusion and exclusion criteria, which narrowed membership of the
In December of 1992, my paternal grandfather suffered a heart attack. He had been hauling several 50 lb. sacks of corn up into the deer feeder on his property by himself. He got into his truck, turned the ignition, put it into drive and before he could take his foot off the brake, he was dead. He was 68 years old. I was thirteen and that seemed so old. I remember that prior to the event there were many conversations within my family about the condition of my grandfather’s heart and cardiovascular system and how he needed to make lifestyle changes. I remember him taking nitroglycerine pills. I remember him coming to Dallas to go to an appointment so that they could perform tests with names like “stress EKG.” I
1. What is the common name for Mr. Thomas’ condition? Look this condition up in a reference
The research design was clearly stated in the “Methods” section of the article, which stated that they used “prospective, quasi-experimental pre-post study design, including an Intent to Treat analysis” (Sorondo et. al., 2016). However, this poor method resulted in a biased sample, since it is “not possible due to all the active patients from primary care practices” (Sorondo et. al., 2016). Also, this design method proposed several limitations that involved a poor presentation of the population by inviting certain participant that were currently enrolled in a care coordination program. Perhaps the researchers should have allowed any chronic-condition patients that were not enrolled in a care coordination program to be involved in the study.
A cohort study would be most appropriate to address this question, as a cohort study compares large populations
A myocardial infarction otherwise known as an MI or heart attack can happen to anyone at any time. It is very important for people of all generations, sexes, and origin to know the signs and symptoms of an acute myocardial infarction. The signs of an MI may be different from person to person and no two people will share the same exact symptoms; therefore, knowing what to watch out for is the best form of education a patient can have. The amount of time a patient seeks treatment before the blood flow is completely obstructed and the heart muscle begins to die is a very important part of the treatment for an MI. If the heart muscle becomes hypoxic or damaged during a heart attack it heals by forming scar tissue. The heart will still work; however, it will have to work harder to compensate for what it has lost. Every year in the United States thousands of people not only survive a heart attack, but go on to live a very healthy and normal life. The amount of time it takes for a person to get to the emergency department is one of the biggest factors in determining how long it will take for someone to recover after a myocardial infarction (American Heart Association, 2015).
Part I - Choose a specific disease and prepare an appropriate list of six terms that you could use to describe this disease, and define each of the terms.
Myocardial Infarction is more commonly known as a heart attack. When Myocardial Infarction occurs, a coronary artery is clogged, which takes blood supply from the heart, and causes the death of heart muscle. Myocardial Infarction can be caused by many things, including an unhealthy diet, lack of exercise, excessive smoking or drinking, or the use of recreational drugs. It can also be caused by existing heart diseases, when they are not treated properly. The symptoms include, shortness of breath, nausea, sweating, anxiety, and extreme chest pain. There are multiple tests that can be done to figure out if a patient has experienced Myocardial Infarction, such as a chest x-ray, an electrocardiogram (a test of the heart's activity), or an echocardiogram.
This study addressed the challenge posed by less-urgent patient population showing up in the ED across Canada. This segment of the ED patients represents a significant proportion of the individuals seeking care in Canadian EDs thereby contributing to overcrowding. The authors hypothesized that less urgent patients might benefit from a targeted approach to care, given that they have conditions that do not require urgent or emergent care but must be seen in an acute care setting like a satellite clinic to adequately address their conditions.
The Journal of the American Board of Family Medicine contributes coronary heart disease as accountable for more than half of all the cardiovascular events in individuals younger than 75 years of age (Jennifer N. Smith,
According to the Center for Disease Control (CDC) “every year about 735,000 Americans have a heart attack. Of these, 525,000 are a first heart attack and 210,000 happen in people who have already had a heart attack” (CDC, 2015). Heart attacks or myocardial infarctions (MI) can be fatal if appropriate steps and protocols are not followed soon after the onset. It requires critical thinking by nurses and the health care team to reduce the damage to the heart and prevent death. Every year 425,000 people in the United States die from a MI (Ignatavicius & Workman, p. 831, 2013). Key nursing interventions, and implications will be emphasized as well as common complications that may occur.
The study’s conceptual model or theoretical framework helps guide future research to build a scientific knowledge base. The research provided fits well into the nursing practice. Acknowledging when nurses appear to be discouraged, troubled, or socially secluded may assist in retaining future registered nurses. Analyzing the nurses’ perceptions in more detail will be advantageous to nurses’, patient’s, families, and eventually enhance the quality of care.
Acute coronary syndrome (ACS) refers to a group of conditions with clinical symptoms similar to acute myocardial ischemia, including pressure-like chest pain associated with nausea and sweating (1). It includes non-ST segment elevation myocardial infarction (NSTEMI), ST-segment elevation myocardial infarction (STEMI), and unstable angina (UA).
A heart attack is called myocardial infarction and it can do something to your artery and muscle that will also stop the flowing of the blood. To restore blood supply to the muscle of the heart is that it prevent the heart damage of to death .nitroglycerin also spread the arterial wall and though and improving the blood flow to the heart muscle. The drug like it is also the most danger disease for anybody in the United States. There is four chamber in the heart and they is called ventricles, and artiums.There are two of each of the ventricles and atriums. It can also happen by the blood clot that is to narrow the coronary artery. The coronary and angioplasty artery
Acute coronary syndrome is responsible for more than 7 million deaths around the world each year; one crucial factor that increases the time to receive treatment is the patient’s decision to wait to receive care because they do not recognize the signs and symptoms (De Vonn, Hogan, Ochs, & Saphiro, 2012).
Myocardial Infarction, commonly known as heart attack, occurs when blood flow decreases to the heart due to blockage in the coronary artery. This condition primarily affects the myocardium, which is the middle layer of the cardiac tissue. If there is a lock of oxygen, the myocardial cells will die, thus decreasing contractility, stroke volume and blood pressure. Specifically, when the left ventricle is damaged there may be an inability for the heart to pump properly to allow blood to blow back into the left atrium, and into the pulmonary veins and capillaries. However, the “back pressure” will rises, thus allowing fluid to cross the alveolocapillary membrane, and disrupting the diffusion of oxygen and carbon dioxide; thus allowing a patient to develop heart failure (Myocardial infarction, 2000).