Nursing considerations in the administration of verapamil.
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Biomedical subjects
Publications and source records attributed to S Cardin.
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The most common reason to perform cardiac transplantation is dilated cardiomyopathy. Alterations in cardiac output secondary to decreased contractility and increased preload and afterload will, over time, lead to progressive deterioration of the patient with this type of end-stage cardiac disease. Heart transplantation is now an accepted therapy for these patients. This article focused on the patient in the period awaiting cardiac transplantation. Five pertinent nursing diagnoses were identified and discussed. A case study approach was utilized to highlight patient problems and nursing interventions.
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The sexual concerns and needs of 100 women whose husbands had suffered a myocardial infarction were studied. Thirty-one had considered the impact of myocardial infarction on their sexual life before discharge of their spouse from the hospital and all of them had thereafter. Only 45 of the wives received any sexual information before the spouse's discharge. Seventy-six couples resumed sexual activity after myocardial infarction; 24 (including 14 who tried and failed) did not. Concerns about inadequate sexual instructions, risk of sexual activity, sexual difficulties of the husband, change in sexual patterns, patient's symptoms during intercourse, and emotional relationship of the couples were demonstrated. Fear was not alleviated by information received, but was not important in preventing return to sexual activity; however, fear may have affected the frequency and quality of sexual activity. The need for more comprehensive counseling by physicians and nurses and for the wives to explore their sexual concerns became evident.
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