Surviving PE: A Story of Right Place at the Right Time
This is a case study of a 55 yo male that had not seen a provider for many years. He had taken his wife to her PCP. The wife mentioned that the patient had experienced chest pain and SOB earlier that morning while taking out the trash. The PCP completed an ECG on the patient and identifies ECG changes; so has the patient admitted for NSTEMI. On the day after admission, as the patient is returning to his room from a CTPE, he experiences PEA arrest, in transported to the cath lab with CPR is in progress, and is placed on ECMO. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Karen Prenger Source Type: research
Management of Venous Thoracic Outlet Syndrome
Thoracic Outlet Syndrome (TOS) is a common syndrome seen in vascular surgery, with an incidence of 0.3-2%, the majority of patients being female (4:1) and aged 25-40. There are three main forms of TOS, neurogenic, venous, and arterial, all of which are discussed with the primary focus on venous TOS. Anatomy of the thoracic outlet, including the subclavian vein, artery and brachial plexus as well as compression sites including the scalene triangle, costoclavicular space, retro-pectoralis minor and a cervical rib are variables to consider in this patient population. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Dana M. Murray, Jeremy Walter Source Type: research
Popliteal Artery Entrapment Syndrome (PAES)
Often under diagnosed, and untreated Popliteal Artery Entrapment Syndrome (PAES) can lead to significant damage to the popliteal artery, critical limb ischemia and embolization (Williams, Kennedy, Bastian-Jordan, Hislop, Cramp and Dhupelia, 2015). (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Karen A. Hanrahan, Anabelen Contreras, Denise M. Fay, Kathleen L. Mullane Source Type: research
Connecting the Gap between Nephrology and Surgery: A Systems Change Intervention
Hemodialysis ( “dialysis”) is a life-saving treatment for patients diagnosed with End Stage Renal Disease (ESRD). In the last decade, dialysis patients are considerably older, diabetic with complex co-morbidities. Many ESRD patients begin dialysis treatments with a permacath, followed by an arteriovenous fistu la or graft. Vascular access placement is of high importance to begin dialysis treatments. Evaluation requires extensive knowledge, expertise, proficiency and skill. The ultimate goal of determining which type of dialysis access is best for the patient is based on the quality of their vasculature as sessment. (So...
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Cheryl M. Lombardi Source Type: research
Changes in PAD Awareness from an Outreach and Education Initiative – The PAD PRAIRIE Initiative: Promoting Health Aging and Mobility in Rural Minnesota
The purpose of this session is to report change in community PAD awareness from year 1 to 3 from the PAD PRAIRIE Initiative, which is a three-year grant funded by the Margaret A. Cargill Foundation. One of the three arms of the initiative is specifically to raise awareness as well as increase PAD detection and implementation of supervised exercise therapy in rural Minnesota. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Rebecca Brown, Kristin Erickson, Alanna Gerard, Laurissa Stigen, Mary O. Whipple, Diane Treat-Jacobson Source Type: research
Do the Right Thing: Writing for Publication
Writing for publication in nursing is essential to disseminate evidence, share initiatives and innovations with others, provide new information to keep nurses up-to-date, communicate the findings of research studies, and develop the science base of the profession. Writing manuscripts takes effort, but the process can be simplified by understanding how to develop a manuscript and submit it for publication. This session is prepared for beginning and experienced authors, for nurses who want to learn how to write for publication, how to write research articles, reports, clinical articles, systematic reviews, and other types of...
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Cindy Lewis Source Type: research
Measuring Quality of Life of Patients with PAD who have Undergone Toe Amputations using the Vascular Quality of Life Questionnaire-6 (VascuQol-6) Tool
Studies have shown that limb loss has a profound impact on physical, mental, and emotional health. However, the impact of having a toe(s) amputated is unknown1. The purpose of this study is to describe health related quality of life using the VascuQol-6 for those with PAD who have toe amputations. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Catherine R. Ratliff Source Type: research
The Road Less Traveled: Evolution of a Peer Visitation Support Program for Limb Amputees
A wealth of information exists detailing the physiological care and healing of persons requiring limb amputation. However, scant attention has been paid to their psychological rehabilitation. Evidence supports peer visitation programs which allow patients to speak directly with another amputee possessing lived experience. In 2005, vascular nurses at a 1,200 bed academic Magnet ® institution noted a gap between evidence and practice spurring the creation of an Amputee Support Group (ASG). Initial goals were to provide education, therapeutic connections, peer visitation, and resources for amputees. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Kimberly Bartman Source Type: research
Health Literacy and Abdominal Aortic Aneurysms
This study assessed the level of AAA literacy among respondents who participated in a free AAA screening event. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Donald Zimmerman, Malachi Sheahan, Dong-Jun Min Source Type: research
Translation of a Vascular-Specific Cardiac Risk Stratification Tool into Practice for Patients Undergoing Open Abdominal Aortic Aneurysm Repair
Postoperative myocardial infarction (POMI) is a common complication after open aortic abdominal aneurysm (OAAA) repair. Perioperative cardiac risk stratification informs clinicians and patients of individualized risks of surgery. The Vascular Quality Initiative Cardiac Risk Index (VQI CRI) is a validated, vascular procedure-specific risk stratification tool to calculate the probability of in-hospital POMI. This project implemented and evaluated the tool ’s usability as well as its effect on provider clinical decision-making at an academic medical center in the Mid-Atlantic region. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Kelly Allen, Sarah Rosenberger Source Type: research
Lower Extremity Lymphedema: A Retrospective Analysis of Risk Factors
The notion that cancer (CA) is responsible for causing more than 90% of all cases of secondary lower extremity (LE) lymphedema continues remain dominant, while its relationship to obesity, chronic venous insufficiency (CVI) and other etiologies remains grossly overlooked. The purpose of this study is to demonstrate that secondary LE lymphedema a) has the highest prevalence amongst patients with obesity and CVI versus those affected by CA, and b) is often the product of several etiologies. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Elizabeth A. Valenti Source Type: research
Nursing Implications for Gene Therapy to Treat Peripheral Arterial Disease
Current trends in gene therapy affect nursing practice. As treatments with gene therapy progress, nurses are required to have advanced knowledge and techniques to provide nursing care for patients who undergo gene therapy. Gene therapy using Sendai virus (SeV) vectors for peripheral artery disease (PAD) has been progressing in Japan. The key challenging of nursing for this new gene therapy are examined by reflection analysis from the first-in-human phase I and II clinical trials. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Michiko Tanaka, Yoshikazu Yonemitsu Source Type: research
Brachial Artery Aneurysm in a 2 Year Old
We report a 18 month old healthy female who presented with painless, pulsatile swelling on the medial aspect of the left arm, 4 cm above the elbow joint. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Mini George Source Type: research
Real-life Clinical Implementation of PAD Rehabilitation in Rural Minnesota vs. the Clinical Research Setting: Sicker, Slower, and More Symptomatic
Centers for Medicare and Medicaid Services (CMS) has expanded national coverage determination to include supervised exercise therapy for beneficiaries with symptomatic peripheral artery disease (PAD). Despite this opportunity, many questions remain surrounding implementation an evidence-based supervised exercise program for PAD patients. A nurse-led team from Minneapolis, MN have worked for several years implementing this program in a real life clinical setting in the twin cities metro and rural Minnesota. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Rebecca Brown, Laurissa Stigen, Alanna Gerard, Kristin Erickson, Diane Treat-Jacobson, Lois Gildea Source Type: research
Implementation of Supervised Exercise Therapy for Peripheral Artery Disease: Practical Strategies from Clinical Experience
In the wake of a new coverage determination from the Centers for Medicare and Medicaid Services for reimbursement for supervised exercise therapy for patients with symptomatic peripheral artery disease (PAD), there is a need to develop best practices for development and implementation of supervised exercise therapy programs for this patient population. In order to be successful, it will be necessary to translate the knowledge gained from 25 years of rigorous research into the' real world' of clinical practice. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Diane Treat-Jacobson Source Type: research
