Clinical Nurse

This coursework establishes the goals and objectives of a clinical nursing specialist practicum. It demonstrates advanced knowledge and skill that a clinical nursing specialist should demonstrate in the care of patients with cardiovascular diagnoses. According to literature, cardiovascular diseases are so critical that no mistakes should be anticipated. As such, this cadre of clinical nurses should not just understand the patients’ medical condition, but also the effects of administering certain drugs to such patients. This is due to the fact that some drugs could aggravate cardiovascular complications, thereby worsening the patients’ medical condition.  In addition, the coursework focuses on the review of the current literature with particular emphasis on the treatment of Acute Coronary Syndrome (ACS). The literature advocates for a weekly plan that would enable nurses to monitor the progress of the cardiac complications and propose therapeutic intervention before the situation gets out of hand. Essentially, it would enable medical profession to develop in-service for cardiology nursing staff related to new treatments for ACS and present as a roving in-service that is acceptable to all stakeholders. In particular, my case would require a coordinated work with preceptor to identify high risk cardiac patients with a view to following them throughout practicum for regular consultation regarding nursing care. Ideally, this would allow me to appreciate the role of a clinical nurse in cardiovascular care from a first-hand perspective.

The conventional practice of clinical nursing has considerably grown over time. Although fundamental features of the discipline remain the same, it would be prudent that new clinical nurses attempt to understand the system and the changes that have occurred in order to integrate them into a workable program. The practicum program intends to integrate these clinical aspects as this would enable me perfectly fit into the current system of clinical nursing. For instance, I intend to widely interact with advance practice nurses so that I can learn from them certain emerging issues that are extremely relevant to the practice of clinical nursing. Besides, it would give the ample opportunity to engage with people of different ages and determine the clinical advantages that some sections of the society enjoy with regards to cardiovascular problems. For instance, infants have underdeveloped microvasculature that cannot withstand high blood pressure that is associated with hypertension. Conversely, geriatrics has relatively weakened vasculature due to nature of their connective tissues. This essentially predisposes them to severe consequences in case they develop cardiovascular complications.  However, the middle age is quite resistant to the full effects of these complications as they are less likely to suffer internal bleeding from hypertension (Hamric, Sprouse & Hanson, 2009).

Management Strategies of Acute Coronary Syndrome

Nursing specialists have a critical role in the management of Acute Coronary Syndrome. This is one of the cardiovascular complications that involve coronary arteries thereby leading to a blockade and eventually myocardial infarction.  For instance, the disease angina that develops due to exertion and resolves at rest could be very challenging to unsuspecting patients. In addition, the fact that it presents as chest pain gives it clearly similar presentations as most respiratory complications. In light of this, the nursing specialists who spend most of the time with clinical patients must be able to timely recognize and monitor the progress of these complications. According to the International Association of Cardiologists, Acute Coronary Syndrome is a typical coronary thrombosis that has a strong correlation with drug abuse, especially cocaine. Notably, cocaine is not just a drug of abuse, but a therapeutic agent used in local anesthesia. This implies that medical practitioners dealing with cardiac patients who have to get minor surgeries must be keen on the types of anesthetic agents that they use. For instance, the use of cocaine and some of its derivatives would instead aggravate cardiac complications. In most cases, management of diseases also entails understanding the background information and the precipitating factors. For example, clinical nurses would provide better clinical care to cardiac patients if they properly understand the management of its precipitating factors, like anemia and increased heart rates (Adelman, 1992). 

Although acute coronary syndromes are divided into several groups, unstable angina remains the most lethal. It is basically the type of chest pain that results from ischemia of the cardiac cells and often occurs over a prolonged period of time with little or no exertion. And due to the fact that unstable anginas are difficult to properly control on drugs alone, clinical management of patients is quite critical. For instance, the medical personnel would most likely be involved in monitoring the concentration cardiac enzymes as this is the safest method. As such, it becomes quite prudent that clinical nurses understand these principles so that they can provide the best patient care. According United States Cardiac Association, acute coronary syndromes should be given priority as they have lately become the major cause of mortality and morbidity in the global society. Essentially, the management of these complications would be one of my focal points, especially with regards to the administration of certain drugs, like aspirin as their administration would worsen the situation of cardiac complications (Morrison & Monagle, 2009).

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