final proposal week 10.docx - The Effects of Cardiac Rehabilitation on Prevention of Recurrent Myocardial Infarctions Lisa Huntley South University NSG

final proposal week 10.docx - The Effects of Cardiac...

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The Effects of Cardiac Rehabilitation on Prevention of Recurrent Myocardial Infarctions Lisa Huntley South University NSG 6101 June 23, 2019
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RESEARCH PROPOSAL Background and Significance of Problem Current research worldwide has established that myocardial infarctions and other cardiovascular related events are the leading cause of death in the United States (Van Dyke, 2018; Rampatige et al, 2014).). In 2015, heart disease accounted for approximately 630,000 deaths, representing one in four deaths (Van Dyke, 2018). Myocardial infarction more commonly referred to as a “heart attack” or “MI,” is defined as “myocardial cell death after prolonged ischemia,” (Thygesen, et al, 2012). Myocardial infarctions can be prevented if individuals eat well, exercise, and maintain a healthy weight. Myocardial infarction can be prevented in several ways: controlling blood pressure, cholesterol and triglyceride levels, maintaining a healthy weight and diet, exercising regularly, limiting alcohol intake, managing stress and diabetes, getting enough sleep and not smoking (medlineplus.gov, 2018). Unfortunately, most people don’t do any of the above and for this reason many people suffer a myocardial infarction before the age of 65. Every 42 seconds a heart attack occurs in the United States. Every year at least 660,000 people will have their first heart attack and 85% of those people will survive (Caswell, 2018). After the initial myocardial infarct, the chances of a subsequent myocardial infarction are increased. Patients who survive acute myocardial infarction (AMI) have a high risk of subsequent major cardiovascular events. Efforts to identify risk factors for recurrence have primarily focused on the period immediately following acute myocardial infarction admission (Wang et al, 2018). Statement of the Problem and Purpose of the Study
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There is a gap in literature regarding the value of ongoing post discharge communication with an NP in decreasing the risk of a recurrent MI. Recurrent myocardial infarctions an ongoing issue in the United States. One of the main reasons for the reoccurrence is the lack of continued interaction with a healthcare provider (Brinks, Fowler, Franklyn, & Dulai, 2016). Research has shown that participation in a cardiac rehabilitation treatment program after MI decreases the risk of a recurrent MI, and improve exercise capacity (Dunlay et al, 2014). Patient education and provider engagement appear to be critical aspects of improving adherence to CAD therapies, where the provider is a physician, pharmacist, or nurse and follow-up is performed in person or by telephone ( Levy, Huang, & Ho, 2018) . Cardiac rehabilitation is very important when caring for patients with broad spectrum heart disease or acute myocardial infarctions, and it can very well be the one action that prevents a recurrent cardiac episode ( McMahon, Ades, & Thompson, 2017).
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