Outcomes of a 3-Month Clinical PAD Rehabilitation Program
Given that there is currently no CMS reimbursement for supervised exercise programs for patients with peripheral artery disease (PAD), studies that document the effectiveness of structured exercise for PAD in a “real-world” setting are needed. Therefore, five Fairview Cardiac Rehabilitation sites, the University of Minnesota School of Nursing, and Vascular clinicians at both University of Minnesota and Fairview collaborated to evaluate clinical, functional, and quality of life outcomes following a 12-w eek clinical PAD-specific exercise program. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Authors: Mary Whipple Source Type: research
A Prospective Randomized Study Comparing Groin Wound Complication with Negative Pressure Vacuum Assisted Dressing and Standard Gauzed Dressings: Interim Results
In this study, the negative pressure vacuum assisted dressing - Prevena ™ (Kinetics Concept, Inc., San Antonio, TX) and standard dressing using gauze with Tegaderm™ (3M™, St Pauls, MN) were used to compare wound complications in high risk patients undergoing elective vascular surgery. Methods This is a randomized prospective study of 94 in a single institution fro m January 2015 to May 2016. All patients undergoing a femoral incision during vascular reconstruction or repair were considered for the study, excluding emergency procedures. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Authors: Care Staley, Megan McCullough Source Type: research
US Health Care Workers have a High Prevalence of Chronic Venous Insufficiency and Risk for Deep Vein Thrombosis (DVT)
Chronic venous insufficiency (CVI) occurs in approximately 30% of adults in the general population. Occupations requiring prolonged standing are associated with a heightened prevalence. CVI confers an increased risk for deep vein thrombosis (DVT). There is limited information on venous disease amongst hospital workers. We conducted a screening program of hospital employees to assess prevalence of CVI and DVT risk. Methods A free screening and education program for venous disease was conducted for employees at a single hospital. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Authors: Sarah Rosenberger Source Type: research
Writing for Publication: Just Like Writing a Country Song
Nurses need to learn to share their expertise through writing for other healthcare professionals and for our community. As our nursing knowledge expands, it must be shared if it is to be applied. Nurses who are dedicated to the profession accept the idea of sharing ideas as a professional commitment. We learn from one another and have an obligation to share our knowledge. Whether one's practice is clinical, administrative, educational or research focused, each of us has the nursing knowledge our Journal is seeking. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Authors: Cindy L. Lewis Source Type: research
Using Qualitative Data to Demonstrate Patient Outcomes in a Vascular Wound Clinic
An ambulatory care wound service was established in a tertiary teaching hospital to provide specialist care for patients with complex vascular wounds. These included ulceration in chronic critical limb ischaemic and mixed disease requiring modified graduated compression, conservative sharp wound debridement, and advanced wound therapies. The aim of this service was to reduce unplanned hospital readmissions by delivering more complex care in an ambulatory setting. The secondary aim of the clinic is to provide a learning opportunity for staff in complex wound management. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Authors: Sue Monaro Source Type: research
Bridging the Gap Between Nephrology and Surgery: Positive Preparation Towards Dialysis
Hemodialysis (herein “Dialysis”) is a life-saving treatment for patients diagnosed with End Stage Renal Disease (ESRD). In the last decade, patients treated by Dialysis have shown to be considerably older, diabetics having complex co-morbidities, including extensive atherosclerotic vascular disease. Unfortunately, a large number of ESRD patients begin Dialysis treatments with a permacath, followed by an arteriovenous fistula (AVF) or arteriovenous graft (AVG). Dialysis can serve as a treatment bridge to renal transplantation. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Authors: Cheryl Lombardi Source Type: research
Renal Artery Aneurysm Cage and Coil Embolization
Renal artery aneurysms are the most frequently encountered visceral artery aneurysms and are usually incidentally discovered on cross-sectional imaging such as CT or MR. When symptomatic, they present with vague epigastric or upper quadrant pain and discomfort with our without hematuria, and patients usually undergo an extensive gastrointestinal workup prior to diagnosis. The risk or renal aneurysm rupture increases with increasing size, and asymptomatic aneurysms>2cm, and symptomatic aneurysms at any size are generally considered for treatment. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Authors: Anita Suchdeve Source Type: research
Evaluation and Treatment of Cosmetic Spider and Reticular Leg Veins
Approximately 80 million Americans have some degree of venous disease of the lower extremities, including a wide variance of etiology and presentations. This number exceeds the incidence of peripheral artery disease and coronary artery disease combined. Patients may seek treatment for leg veins to relieve painful symptoms and/or to relieve cosmetic nuisances. A plethora of treatment options have emerged over the last couple of decades to treat venous disease comprehensively. Office based procedures for venous disease can be performed with minimally invasive techniques, covered by most insurance plans, depending on the etio...
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Authors: Terri Harper Source Type: research
Table of Contents
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Source Type: research
Information for Authors
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Source Type: research
Information for Readers
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Source Type: research
Editorial Board
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Source Type: research
Transitional Surgery Clinic Reduces Readmissions
Affordable Care Act and Center for Medical Services have instituted regulations to incentivize health care systems to improve the quality and efficiency of patient care. Amongst these regulations are financial penalties for hospital readmissions within 30 days. At University of Maryland Medical Center, the Division of Vascular Surgery (DVS) identified an opportunity to enhance post-discharge patient support and address complications that result in readmissions. A multidisciplinary team of outpatient surgical nurses collaborated with DVS surgical nurse practitioners (NP) and physician assistants (PA) to develop a multifacet...
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Authors: Erin Hanlon, Sarah Rosenberger, Daniel Neuzil, Priya Nair, Gloria Fisher, Maria Azenith Qunamague Source Type: research
Nursing Role in Patient Progression Initiative
As mandated by the Joint Commission in 20041, Brigham and Women ’s Hospital began implementing a system to improve patient progression throughout the hospital. Patient progression can be defined as a method that “centers on ways to improve communication among the many multidisciplinary team members involved in patient’s care”2. The purpose of implementin g patient progression on our unit is to improve time to treatment, decrease cost, decrease length of stay and increase patient satisfaction1. Our focus as nurses is to identify and decrease barriers to discharge by facilitating communication between members of the ...
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Authors: Karen Hanrahan, Anabelen Contreras, Denise Marie Fay, Fernanda Trevisone, Alice O'Brien, Leah Szumita Source Type: research
Improving the Quality of Care Coordination of Carotid Endarterectomy Population at the University of Tennessee Medical Center
In 2015, the Vascular Surgery and Transplant Unit ’s (VSTU) leadership noticed an increase in complications in Carotid Endarterectomy (CEA) patients, which caused variability in length of stay. It was determined that expectations of care varied between the surgeons on the unit and there was no established protocol for ambulation after surgery. A pilot study was developed with the goal to decrease the overall length of stay for the CEA population by creating a standard workflow for nurses and ancillary staff regarding the post-operative care of CEA patients. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Authors: Suzanne Sawyer, Stephanie Frome, Katie Wilson Source Type: research
