The effect of depression on adherence to antihypertensive medications in elderly individuals with hypertension
This study was carried out to find the effect of depression on adherence to antihypertensive medications in elderly individuals with hypertension. The descriptive study population consisted of hypertensive individuals aged 65 years and older, who presented to one of the three Family Health Centers located in the provincial center of Erzincan. No sampling was attempted, and 350 people who met the inclusion criteria were included in the study. The study data were collected between May and September 2014 by face-to-face interviews using a descriptive questionnaire, the Medication Adherence Self-Efficacy Scale-Short Form for h...
Source: Journal of Vascular Nursing - July 24, 2018 Category: Nursing Authors: Ezgi Demirt ürk, Rabia Hacıhasanoğlu Aşılar Source Type: research
Problems associated with performance of peripheral intravenous catheterization in relation to working experience
The aim of this study was to explore general registered nurses' (RNs) assessments of problems associated with difficult peripheral intravenous catheterization (PIVC) depending on their years of working experience, that is, those who had worked 3 years or less and those who had worked more than 3 years. The design was a quantitative, nonexperimental, descriptive, and analytic survey. The participating RNs (n = 83) were divided into two groups according to the length of their working experience, and the analysis was performed using the SPSS, version 24, software. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - July 16, 2018 Category: Nursing Authors: Linda Sandstr öm, Angelica Forsberg Source Type: research
From the Editor's Perspective …
Aretha Franklin sang it all too well; “R-E-S-P-E-C-T, find out what it means to me”.1 Most often when people are asked what treatment they want the most from their leaders, peers, and coworkers at work, the answer is the desire to be treated with dignity and respect. We all work in stressful situations and know that if we work well together and demonstrate respect and kindness, we can enjoy our work environments. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - July 15, 2018 Category: Nursing Tags: Perspectives Source Type: research
Comparison of abdominal and arm areas in patients receiving subcutaneous heparin in terms of development of pain, hematoma, and ecchymosis
The purpose of this study was to compare the abdominal and arm areas in the patients using subcutaneous heparin in terms of pain, hematoma, and ecchymosis development. As a result of subcutaneous heparin injections, complications such as pain, ecchymosis, and hematoma may develop in the injection site. The injection site chosen for injection is one of the factors that are effective on complications. This quasi-experimental study was conducted with 54 patients at orthopedics –traumatology and cardiothoracic surgery clinics of a university hospital. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - July 10, 2018 Category: Nursing Authors: Zeliha Cengiz, Meral Özkan Source Type: research
A study of the use of peripherally inserted central catheters in cancer patients: A single-center experience
This study was conducted in a prospective observational study design and collected data of patients with a diagnosis of any cancer, at a tertiary care oncology hospital in Ahmadabad, Gujarat, India, during a 2-year period. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - July 4, 2018 Category: Nursing Authors: Irappa Madabhavi, Apurva Patel, Malay Sarkar, Pritam Kataria, Nagaveni Kadakol, Asha Anand Source Type: research
In the shadow of perceived threat: The live experience of Iranian patients candidate for undergoing coronary angiography
This article aimed to explore the Iranian patients' experiences of undergoing CAG. In this qualitative study that is a substudy of a larger study, 15 patients (seven men and eight women) with a mean age of 49.8 ± 11.6 years were recruited from three hospitals in Shiraz, southwest Iran. Data were collected using semistructured, face-to-face interview before undergoing CAG. Interviews were audiotaped and transcribed. Data were analyzed using qualitative content analysis. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - June 7, 2018 Category: Nursing Authors: Farkhondeh Sharif, Majid Najafi Kalyani, Fazlollah Ahmadi, Mohammad Taghi Iman Source Type: research
Hospitalization for Critical Limb Ischemia: Creating an Environment for Care and Communication
Patients with critical limb ischemia are aged and frail, and have comorbid conditions which increase their risk for geriatric syndromes. Extended lengths of stay, deconditioning and institutionalization is common. Understanding what happens to these patients when they are hospitalized will contribute to providing patient-centered care and may improve outcomes. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Sue Monaro, Jane Pinkova, Janice Gullick, Sandra West Source Type: research
LIMFLOW - A Percutaneous Approach to Deep Vein Arterialization: Site Update
Deep vein arterialization is a technique used to treat critical limb ischemia with non-healing wound/gangrene to the foot when no other revascularization option is available. This technique has previously been an open procedure. Deep vein arterialization is meant to be limb salvaging technique along with wound healing. Open deep vein arterialization can be complicated, and at times, considered controversial. LIMFLOW is a new procedure that utilizes a percutaneous approach to deep vein arterialization. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Jeri L. Long Source Type: research
Acute Limb Ischemia: A Case Study
Thrombosis of a limb artery or bypass graft can result in acute limb ischemia (ALI). ALI is an abrupt cessation in blood supply to an extremity that threatens limb viability and often requires urgent revascularization. Catheter-directed thrombolysis (CPT) is the preferred treatment for patient presents with ALI category I or IIa. Postoperative bleeding, delirium, and alcohol withdrawal are potential complications for patients undergoing CPT which can significantly increase lengths of stay, particularly ICU stays, and add significantly to the individual and institutional cost of hospitalization while also negatively impacti...
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Ellen Malone, Nga Nguyen Source Type: research
Fenestrated Endovascular Aneurysm Repair for Juxtarenal Aortic Aneurysm
Abdominal aortic aneurysms (AAAs) most commonly occur in the infrarenal location; only approximately 5 percent of AAAs involve the renal or visceral arteries. This review will focus on the endovascular repair of juxtarenal aortic aneurysms (JRA) using fenestrated stent grafts. JRA have only recently succumbed to endovascular procedures; previously, open surgical repair (OSR) was required due to anatomical limitations for landing and sealing a stent graft. Indications for repair of JRA are the same as for infrarenal AAA: symptomatic AAA, sac diameter greater than or equal to 5.5 cm, or rapid growth, defined as 0.5cm in 6 mo...
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Dana M. Murray Source Type: research
Spinal Protection following Aortic Aneurysm Repair
Diagnostic modalities and treatment options for patients with aortic aneurysm continue to improve, but the risk of spinal cord ischemia leading to paraplegia, either immediately or delayed onset, remains high. What can/should we be doing to reduce the risk? This presentation will look at the use of the lumbar drain in the management of the aortic aneurysm patient; including indications, management, and possible complications. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Karen Prenger Source Type: research
Balancing Blood Pressure after Carotid Revascularization
Cardiovascular instability is more common in patients with cardiovascular disease, those receiving vasoactive medications and in those undergoing cardiovascular procedures such as carotid endarterectomy (CEA) or carotid artery stenting (CAS). The aim of carotid revascularization is to decrease the subsequent risk of fatal or disabling stroke in patients with significant carotid stenosis, but the benefits are apparent only if perioperative morbidity and mortality are low. Hypertension is common in patients undergoing carotid revascularization, with a prevalence of about 65%. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Debra Kohlman-Trigoboff Source Type: research
Best Practice for Concomitant CABG/CEA: A Case Study/Literature Review
More than 200,000 coronary artery bypasses and over 100,000 carotid endarterectomies are performed annually in the United States. Few combined coronary and carotid procedures have been reported in the literature. Protocols and procedures are in place for the surgical management of each operative procedure yet the surgical management of concomitant coronary artery and carotid artery disease is still evolving. Some literature shows that combined coronary and carotid procedures can be done safely with good patient outcomes. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Colleen Taylor, M. Eileen Walsh Source Type: research
Effective Pre-Screening Questions for Early Detection of Peripheral Artery Disease
Though prevalence of peripheral artery disease (PAD) is on the rise, screening techniques have not been adapted to accommodate this increased prevalence. Effective pre-screening tools are needed to quickly identify those who require diagnostic testing, such as an ankle brachial index (ABI). With early detection of PAD, disease progression can be slowed, and patients can begin therapeutic treatments in a timely manner. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Alanna Gerard, Rebecca Brown, Laurissa Stigen, Kristin Erickson, Diane Treat-Jacobson, Lois Gildea Source Type: research
Changing Practice to Improve Care of Vascular Amputated Patients
In 2010 the Vascular Team at the Peter Lougheed Centre in Calgary, Alberta, developed clinical care pathways for 4 major surgeries and revised patient education materials to meet industry standards. The patient care plans are meant to empower the patient in directing their recovery process with targeted goals by specific post-op days to use as a self-monitoring guide in their daily progress for recovery. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Tamara Kreptul Source Type: research
