In my clinical rotation, it has become possible for me to follow my Preceptor to look into the course of several patients with heart conditions. Altogether, the upshot of my shift, which is 8 hours, I assisted in the care of 5 patients. The unit had a mix of patients with various cardiovascular diseases, including coronary artery disease, hypertension, mitral valve prolapses, and heart block. She gave benign care to all the patients, rejecting nothing important. That was a very professional and heartfelt manner of caring. During that tenure, I realized that there was so much we could learn from her while shadowing her interactions using a remarkable restorative care approach.
My Preceptor worked in many of these cases with patients with restorative care needs. The 77-year-old man suffered from coronary artery disease and had classic symptoms of chest tightness. My Preceptor ordered the diagnostic tests to evaluate his condition significantly. As per the blood test analysis, my Preceptor then determined that the patient would undergo a CABG surgical procedure to alleviate blood flow obstruction to the heart (Johnson, 2023). She broke down the protocol into understandable parts and reviewed the procedure’s risks and benefits with the client. CABG can be regarded as a restorative or re-constitutive operation that involves creating a bypass so that the vital organs of the heart and the body receive blood instead of a stumbling flow. Revascularization is a critical management tool for medical restoratives in coronary artery disease.
The 65-year-old man who underwent PTCA surgery a 1-month ago now has an appointment follow-up. My Preceptor and the state agency’s supervisory authority regularly monitored and verified his vital signs carried out cardiac examinations, gave educational training on lifestyle changes, and assisted him in dealing with emotional issues. She was evaluating the patient’s results and the extent of his recovery. PTCA, a therapeutic procedure, is only employed to restore the function of the coronary arteries that are constricted to increase blood flow to the heart (Shao et al., 2020). Therefore, a period of proper follow-up and maintenance by PTCA is essential for the recovery and the improvement of results. A qualified nurse in charge of me made use of information post-procedure protocol.
While the 80-year-old female patient with aortic valve regurgitation and pacemaker placement was under his care, his Preceptor completed the examination, helped with diagnostic tests, provided details regarding pacemaker use, and ultimately scheduled the follow-up. Through this, she gradually taught the Pacemaker care guidance and still answered any doubts. Pacemakers regain normal heart-beat balance and are a very useful therapeutic intervention for specific cardiac diseases. He proved to us how his practical knowledge was important in looking after patients with cardiac devices.
The subject was a 77-year-old male who had a CABG procedure. The patient reported for cardiac rehabilitation on the same day after the procedure. Initially, the Preceptor let our group exercise, tutored counseling sessions, assisted in managing medications, and showed particular coping strategies. The coach customized the exercise regimen to his specific requirements and his limitations. Cardiac rehabilitation is a medical process that focuses on restoring the cardiovascular system to its precise functioning after events like coronary artery bypass grafts (Zaree et al., 2023). It is a compulsory factor in restoring heart health following cardiac therapies. My Preceptor emphasized destigmatization and education of people regarding cardiac rehab to empower patients in his practice.
Notwithstanding, in the first case, a 56-year-old female who had recently experienced a heart block with pacemaker placement, the Preceptor carefully examined her condition, ensured the pacemaker was working properly, and taught her proper pacemaker care. In addition to that, she equally sorted every misconception and doubt about getting better. As I have said before, pacemakers set the heart in motion and are the best treatments for cases of heart block and arrhythmias. My preceptors revealed themselves as a skilled practitioner in pacemaker managing patients.
Overall, the diversity of patients and the variety of treatments they underwent to combat heart diseases were among my important observations. My Preceptor has introduced procedures and different methods, which include education, counseling, and follow-up to ensure that cardiovascular health and the patient’s quality of life are enhanced and returned to normal. Such clinical experience was tremendously enlightening as it introduced the side of cardiac restoration among other cardiac procedures. I appreciate all the graciousness given to me to accumulate wisdom from my Preceptor instead.
References
Johnson, L. R. (2023). Post-Discharge Evidence-Based Multi-Call Intervention Involving a Congestive Heart Failure-Specific Questionnaire to Prevent 30-Day Readmissions (Doctoral dissertation, Rasmussen University (MN)).
Shao, C., Wang, J., Tian, J., & Tang, Y. D. (2020). Coronary artery disease: from mechanism to clinical practice. Coronary Artery Disease: Therapeutics and Drug Discovery, 1-36.
Zaree, A., Dev, S., Khan, I. Y., Arain, M., Rasool, S., Rana, M. A. K., … & Mohamad, T. (2023). Cardiac rehabilitation in the modern era: optimizing recovery and reducing recurrence. Cureus, 15(9).
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