NR34 RUA Interdisciplinary Management of Healthcare Technology Essay

NR34 RUA Interdisciplinary Management of Healthcare Technology Essay

NR34 RUA Interdisciplinary Management of Healthcare Technology Essay

Cardiac problems such as atrial fibrillation are among the health problems with increasing rates globally. Statistics show that the global prevalence of atrial fibrillation is more than 33 million. Cardiac problems act as a source of significant disease burden to the affected populations and global states. Over the years, novel innovations have been adopted to enhance treatment outcomes for cardiac problems. One of the advancements is catheter ablation. Catheter ablation is a solution recommended for use in patients with a history of recurrent arrhythmias (Steinbeck et al., 2018). Therefore, this paper explores catheter ablation as a treatment modality. The writer experienced this modality in a 55-year-old patient with recurrent atrioventricular reentrant tachycardia. The patient was prescribed catheter ablation to prevent recurrences of the problem. This paper provides background information about catheter ablation, risks and benefits, the interdisciplinary team’s role and responsibilities, the nursing scope of practice, and patient education.

Explanation and Background

Catheter ablation is a therapeutic modality utilized in patients with recurrent arrhythmias. It is considered the second line of treatment for patients suffering from symptomatic paroxysmal atrial fibrillation and those with persistent atrial fibrillation. Catheter ablation is recommended for use in recurrent arrhythmias since it reduces the risk of recurrence and maintenance of sinus rhythm (Parameswaran et al., 2021). Catheter ablation is done using radiofrequency energy delivered via the catheter electrode. The process entails placing patches against the skin where the electric energy will be delivered. The energy is converted into thermal injury as it passes through the tissue to the target heart muscle. The tissues that are in direct contact with the catheter suffer from resistive heating while deeper tissues suffer from conductive heating. Skin patches must be placed on the back of the patient to act as the ground to prevent skin burns (Ghzally et al., 2022). Modern ablation equipment allow temperature control and monitoring that minimize coagulum and lesion development following the procedure.

As noted before, catheter ablation is used in patients with recurrent arrhythmias. The categories of patients include those with atrial fibrillation with failure of pharmacological interventions and lifestyle impairing symptoms, symptomatic supraventricular tachycardia associated with atrioventricular re-entrant tachycardia, and symptomatic idiopathic ventricular tachycardia. Catheter ablation is a safe treatment modality with a high success rate. However, patients may suffer from complications such as pulmonary vein stenosis that should be considered during treatment. The cost of catheter ablation varies depending on the institution of healthcare. Estimates show that its cost ranges between $12000 and $16000, with the annual cost of therapy ranging from $3000-$4000 (Lau et al., 2021).

Risks and Benefits

Catheter ablation has considerable benefits for patients. One of the benefits is that catheter ablation reduces the recurrence of arrhythmias in patients unresponsive to antiarrhythmic agents by maintaining the desired sinus rhythm. Catheter ablation has also been shown to reduce the need for the implantation of permanent pacemakers in patients with tachycardia-bradycardia syndrome. Patients with recurrent cardiac arrhythmias also suffer from poor quality of life compared to those suffering from other cardiac problems such as congestive heart failure. However, catheter ablation improves the quality of life of these patients compared to the use of medical therapy. The modality also reduces the psychological distress among these patients, thereby, improving their overall quality of life (Parameswaran et al., 2021). Therefore, catheter ablation has immense benefits to the patients and their significant others.

Healthcare providers can explore some strategies to promote positive outcomes with catheter ablation. One of them entails patient education to allay anxiety and distress that patients may experience during the procedure. Healthcare providers should also ensure highly qualified professionals with extensive experience perform catheter ablation. Junior clinicians should perform it under supervision to minimize adverse outcomes (Muthalaly et al., 2018). Laboratory investigations such as renal and liver function tests should be performed in patients using antiarrhythmic drugs to minimize complications.

Catheter ablation is associated with several complications. They include death, stroke, myocardial infarction, heart block, cardiac trauma, cardiac perforation, and thromboembolic complications such as venous embolism and systemic embolism. It also includes those related to vascular access such as aneurysms, arteriovenous fistula, and retroperitoneal bleeding. Patients may also develop phrenic nerve damage and pulmonary vein stenosis if undergoing atrial fibrillation ablation (Ghzally et al., 2022; Muthalaly et al., 2018; Steinbeck et al., 2018). The complications can be prevented by adopting measures that include identifying the phrenic nerve site before the procedure, ensuring laboratory values are within normal range before the procedure and having a qualified and experienced staff performs the procedure. Interdisciplinary teams can also be used to optimize treatment outcomes (Ghzally et al., 2022).

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Interdisciplinary Team’s Roles and Responsibilities

Patients undergoing catheter ablation require interdisciplinary care. The interdisciplinary team members include cardiologists, clinicians, nurse practitioners, and nurses. Cardiologists are responsible for treatment administration. They also educate patients about catheter ablation, its procedure, benefits, expected experiences, and risks. Clinicians collaborate with cardiology nurses, nurse practitioners, and nurses in monitoring patients’ response to treatment. Further, they ensure adequate patient preparation for the procedure. Nurse practitioners and nurses prepare the patient for catheter ablation. Moreover, they educate the patient about the procedure and its expected outcomes. They further administer the prescribed medications, monitor the patient’s response, and inform cardiologists and physicians about any change in the patient’s status (Ghzally et al., 2022). One of the challenges that may be experienced in working in an interdisciplinary team is complexities in decision-making. Healthcare providers have to consult extensively and reach a consensus before making a decision. This might be time-consuming and challenging in the case of constantly changing patients’ health status.

Nursing Scope of Practice

Nurses play crucial roles in the care of patients scheduled, undergoing, and post catheter ablation. As a result, they should be knowledgeable, skilled, and have the desired attitudes in caring for these patients. Registered nurses should be knowledgeable about the indications and contraindications of catheter ablation. They should know the benefits and risks of the procedure. They should also know effective models of patient education for use to enhance patient understanding and outcomes (Muthalaly et al., 2018). They should also understand the benefits of interdisciplinary collaboration in caring for these patients to achieve optimum outcomes.

Registered nurses should also be skilled in educating patients about catheter ablation. They should be skilled in preparing the patient for the procedure and adopting measures that minimize adverse outcomes. They should also be skilled in identifying and managing any complications that may arise due to the treatment. Registered nurses should also be skilled in working with interdisciplinary teams in caring for patients prescribed catheter ablation. They should also have a positive attitude towards teamwork in the patient care process. They should be open to ideas and play a proactive role in the implementation of interventions that improve outcomes of catheter ablation (Cano Valls et al., 2021). Lastly, their attitude should support the utilization of evidence-based interventions to enhance safety, quality, and efficiency in the treatment process.

Patient Education

Patient education is important in catheter ablation. Patients should be educated about the procedure to address their anxiety. They should be educated about the benefits, risks, and expected experiences during the procedure. Patients should also be educated about the preparation process for the procedure. Registered nurses should inform the patient about the laboratory and diagnostic investigations required before the procedure. Patients should also be educated about healthy living after catheter ablation. They should be educated about the importance of healthy, balanced nutrition, active physical activity; avoiding smoking and alcohol, and symptoms they should report should they be experienced. Patient education can be achieved using educational videos, brochures, demonstrations, and short message reminders (Cano Valls et al., 2021). The evaluation of the effectiveness of patient education can be determined using methods that include asking patients questions related to the procedure, rating their level of anxiety, and ability to engage in recommended activities.

Conclusion

Overall, cardiac ablation is a therapeutic modality used in patients with recurrent arrhythmias. Cardiac ablation has a high success rate and minimal risk of complications. Strategies should be explored to minimize complications and improve treatment outcomes in cardiac ablation. Interdisciplinary teams should be incorporated into the care process to enhance treatment outcomes. Most importantly, patient education should be prioritized to eliminate anxiety and enhance the quality of life following a patient’s discharge from the hospital.

 

References

Cano Valls, A., Gallagher, C., Carro, E., Matas, M., Mont, L., Lau, D., Sanders, P., & Hendriks, J. M. (2021). Quality evaluation of patient educational resources for catheter ablation treatment of atrial fibrillation. European Journal of Cardiovascular Nursing, zvab078. https://doi.org/10.1093/eurjcn/zvab078

Ghzally, Y., Ahmed, I., & Gerasimon, G. (2022). Catheter Ablation. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK470203/

Lau, D., Sandhu, R. K., Andrade, J. G., Ezekowitz, J., So, H., & Klarenbach, S. (2021). Cost‐utility of catheter ablation for atrial fibrillation in patients with heart failure: an economic evaluation. Journal of the American Heart Association, 10(14), e019599. https://doi.org/10.1161/JAHA.120.019599

Muthalaly, R. G., John, R. M., Schaeffer, B., Tanigawa, S., Nakamura, T., Kapur, S., Zei, P. C., Epstein, L. M., Tedrow, U. B., Michaud, G. F., Stevenson, W. G., & Koplan, B. A. (2018). Temporal trends in safety and complication rates of catheter ablation for atrial fibrillation. Journal of Cardiovascular Electrophysiology, 29(6), 854–860. https://doi.org/10.1111/jce.13484

Parameswaran, R., Al-Kaisey, A. M., & Kalman, J. M. (2021). Catheter ablation for atrial fibrillation: Current indications and evolving technologies. Nature Reviews. Cardiology, 18(3), 210–225. https://doi.org/10.1038/s41569-020-00451-x

Steinbeck, G., Sinner, M. F., Lutz, M., Müller-Nurasyid, M., Kääb, S., & Reinecke, H. (2018). Incidence of complications related to catheter ablation of atrial fibrillation and atrial flutter: A nationwide in-hospital analysis of administrative data for Germany in 2014. European Heart Journal, 39(45), 4020–4029. https://doi.org/10.1093/eurheartj/ehy452

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NR341/342 Complex Adult Health
RUA Interdisciplinary Management of Healthcare Technology Guidelines

Purpose

This purpose of this assignment is for the student to present a complete picture of interdisciplinary care using specific therapeutic modalities in the care of a complex adult health client. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been incorporated and/or anticipated using a healthcare technology or therapeutic modality for the care of the complex health client.
Course outcomes: This assignment enables the student to meet the following course outcomes:

1. Provide patient and family centered nursing care to adults with complex health needs using theories and principles of nursing and related disciplines. (PO 1)

2. Initiate the use of appropriate resources in direct care responsibilities within complex adult health situations. (PO 2)

3. Demonstrate effective therapeutic communication and relationship skills in family centered nursing care to adults with complex health needs. (PO 3)

4. Demonstrate effective clinical decision making based on critical thinking skills and legal, ethical, and professional standards and principles when caring for patients and families with complex adult health needs. (POs 4 and 6)

5. Implement a plan of care for continued personal, professional, and educational development related to nursing practice with complex adult health situations. (PO 5)

7. Use evidence including research findings from nursing and related disciplines to answer clinical questions related to nursing care of patients with complex adult health needs. (PO 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.
Total points possible: 100 points
Preparing the assignment

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
1) Choose a therapeutic modality or healthcare technology.
2) Examples of a therapeutic modality include Extracorporeal Membrane Oxygenation, Automatic rotating pronation beds, right and/or left ventricular assist devices, nontraditional ventilator modes.
3) Examples of healthcare technology can include regional O2 saturation monitoring (NIRS).
4) Refer to your faculty member if your selection requires prior approval.
5) Write a 4-5 page paper (not including the title page or reference page) using APA format.
6) For APA, formatting, or grammar assistance visit the APA Citation and Writing page in the online library.
7) Include the following sections (detailed criteria listed below and in the Grading Rubric):
a. Introduction – 5 points/5%
• The chosen therapeutic modality or healthcare technology meets one of the following criteria:
o Has been introduced recently at the bedside for care of the complex adult patient.
o Is a non-traditional modality for very ill patients in special circumstances.
o Is being used in a new way to treat a patient with complex needs.
o Requires specific training above and beyond general entry-level nursing education.
• Introduce the therapeutic modality or healthcare technology.

NR341 Complex Adult Health
RUA Interdisciplinary Management of Healthcare Technology Guidelines
• Name the therapeutic modality or healthcare technology.
• A brief fictional case is used to illustrate the therapeutic modality or healthcare technology.
b. Explanation and Background– 15 points/15%
• Include a clear description of the therapeutic modality or healthcare technology.
• Discuss how the therapeutic modality or healthcare technology works.
• Describe the patient population it is used for.
• Include medication, safety, and cost considerations as applicable.
c. Risks and Benefits– 15 points/15%
• Describe how the therapeutic modality or healthcare technology can benefit the patient.
• Discuss ways to promote positive outcomes.
• Explain the complications that may arise.
• Discuss considerations for preventing complications.
d. Interdisciplinary team’s Roles and Responsibilities– 20 points/20%
• Identify all interdisciplinary team members caring for the patient, such as respiratory therapy, assistive personnel, providers, case managers, clinical nurse specialists, and researchers.
• Describe the roles and responsibilities of each member of the healthcare team that is involved in the use of the therapeutic modality or healthcare technology.
• Discuss the roles and responsibilities of the nurse as a member of the interdisciplinary team caring for the patient.
• Discuss one challenge in working with an interdisciplinary team.
e. Nursing Scope of Practice – 15 points/15%
• Discuss the knowledge needed for the Registered Nurse to provide care for the patient using the therapeutic modality or healthcare technology.
• Describe skills needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology.
• Discuss attitudes needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology.
f. Patient Education – 20 points/20%
• Describe the information to be taught to the patient and/or family.
• Discuss how information will be taught.
• Discuss potential cultural considerations to teaching.
• Explain how the effectiveness of the teaching will be evaluated.
g. Conclusion – 5 points/5%
• Provide a summary of the paper.
• No new information is introduced.
• Include additional resources for further learning.
h. APA Style and Organization – 5 points/5%
• References are submitted with paper.
• Uses current APA format and is free of errors.
• Grammar and mechanics are free of errors.
• At least three (3), nursing, scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided.

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Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned.

Grading Rubric
Criteria are met when the student’s application of knowledge within the paper demonstrates achievement of the outcomes for this assignment.
Assignment Section and Required Criteria
(Points possible/% of total points available) Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not present in paper
Introduction
(5 points/5%) 5 points 4 points 3 points 2 points 0 points
Required criteria
1. The chosen therapeutic modality or healthcare technology meets one of the following criteria:
• Has been introduced recently at the bedside for care of the complex adult patient.
• Is a non-traditional modality for very ill patients in special circumstances.
• Is being used in a new way to treat a patient with complex needs.
• Requires specific training above and beyond general entry-level nursing education.
2. Introduce the therapeutic modality or healthcare technology.
3. Name the therapeutic modality or healthcare technology.
4. A brief fictional case is used to illustrate the therapeutic modality or healthcare technology. Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no less than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.
Explanation and Background
(15 points/15%) 15 points 13 points 11 points 6 points 0 points
Required criteria
1. Include a clear description of the therapeutic modality or healthcare technology.
2. Discuss how the therapeutic modality or healthcare technology works.
3. Describe the patient population it is used for.
4. Include medication, safety, and cost considerations as applicable. Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.

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Risks and Benefits
(15 points/15%) 15 points 13 points 11 points 6 points 0 points
Required criteria
1. Describe how the therapeutic modality or healthcare technology can benefit the patient.
2. Discuss ways to promote positive outcomes.
3. Explain the complications that may arise.
4. Discuss considerations for preventing complications. Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no less than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.
Interdisciplinary Team’s Roles and Responsibilities (20 points/20%)
20 points
18 points
16 points
8 points
0 points
Required criteria
1. Identify all interdisciplinary team members caring for the patient, such as respiratory therapy, assistive personnel, providers, case managers, clinical nurse specialists, and researchers.
2. Describe the roles and responsibilities of each member of the healthcare team that is involved in the use of the therapeutic modality or healthcare technology.
3. Discuss the roles and responsibilities of the nurse as a member of the interdisciplinary team caring for the patient.
4. Discuss one challenge in working with an interdisciplinary team. Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no less than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.
Nursing Scope of Practice
(15 points/15%) 15 points 13 points 6 points 0 points
Required criteria
1. Discuss the knowledge needed for the Registered Nurse to provide care for the patient using the therapeutic modality or healthcare technology.
2. Describe skills needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology.
3. Discuss attitudes needed for the Registered Nurse to Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.

provide care for the patient using therapeutic modality or healthcare technology.
Patient Education
(20 points/20%) 20 points 18 points 16 points 8 points 0 points
Required criteria
1. Describe the information to be taught to the patient and/or family.
2. Discuss how information will be taught.
3. Discuss potential cultural considerations to teaching
4. Explain how the effectiveness of the teaching will be evaluated. Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no less than 2 requirements for section. Includes no less than 1 requirement for section. No requirements were met for this section.
Conclusion
(5 points/5%) 5 points 4 points 3 points 2 points 0 points
Required criteria
1. Provide a summary of the paper.
2. No new information is introduced.
3. Include additional resources for further learning. Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.
APA Style and Organization
(5 points/5%) 5 points 4 points 3 points 2 points 0 points
Required criteria
1. References are submitted with paper.
2. Uses current APA format and is free of errors.
3. Grammar and mechanics are free of errors.
4. At least three (3), nursing, scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided. Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no less than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.
Total Points Possible = 100 points