100%(12)12 out of 12 people found this document helpful
This preview shows page 1 - 4 out of 23 pages.
The Effects of Cardiac Rehabilitation on Prevention of Recurrent Myocardial InfarctionsLisa HuntleySouth UniversityNSG 6101June 23, 2019
RESEARCH PROPOSALBackground and Significance of ProblemCurrent 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 commonlyreferred 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
There is a gap in literatureregarding 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 CADtherapies, 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).