A Qualitative Exploration of Barriers to Physical Activity Experienced by Older Adults with Peripheral Artery Disease and Diabetes
Peripheral artery disease (PAD) is a disabling atherosclerotic condition affecting 10% of Americans over age 60. Claudication, the ischemic pain with walking typical of PAD, significantly limits physical activity. Studies of populations of older adults have suggested a myriad of factors prevent individuals from engaging in exercise, including social influences, access difficulties, and beliefs regarding exercise. However, less is known about barriers faced by older adults with multiple chronic conditions, such as PAD and diabetes (PAD+DM). (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Authors: Mary Whipple, Diane Treat-Jacobson Source Type: research
Venous Thoracic Outlet Syndrome
Thoracic outlet syndrome is a complex condition managed through a multidisciplinary team approach. There are three types of thoracic outlet syndrome (TOS), neurogenic, venous and arterial. Each type of TOS requires different studies to diagnose. In this case study the focus is on a patient with venous thoracic outlet syndrome (VTOS). Patients at risk for VTOS are those who are very physically active; perform frequent, heavy lifting or make repetitive overhead movements. Patients are usually between 14 to 45 years of age. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 18, 2017 Category: Nursing Authors: Sandra Roberts, JoAnne Hudachek, Brittany Donald Source Type: research
Society for Vascular Nursing —Carotid endarterectomy (CEA) updated nursing clinical practice guideline
Table of Contents (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 3, 2017 Category: Nursing Authors: Kathleen Rich, Diane Treat-Jacobson, Theresa DeVeaux, Karen Fitzgerald, Laura Kirk, Lily Thomson, Anne Foley, Debbie Hill, Society for Vascular Nursing Practice and Research Committee Source Type: research
Review of Article: Leeper, N.J., Myers, J., Zhou, M., Nead, K.T., Syed, A., Kojima, Y. … Cooke, J.P. (2013). Exercise capacity is the strongest predictor of mortality in patients with peripheral arterial disease. Journal of Vascular Surgery, 57, 728-33
With the growing prevalence of atherosclerotic disease, including peripheral artery disease (PAD), there is a high demand for predictive indicators which may assist in guiding therapies for patients with PAD. Patients with PAD are likely to die from coronary artery disease (CAD) or cerebrovascular disease, with 40% –60% of deaths from CAD and 10%–20% of deaths from stroke in this population.1 Patients with PAD have approximately three times the risk of death and cardiovascular event than patients without disease. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - April 27, 2017 Category: Nursing Authors: Rebecca Brown Tags: Research Column Source Type: research
Service provision for stroke: The Greek paradox
Stroke remains a leading cause of mortality, as well as of subsequent serious long-term physical and mental morbidity. This places special demands for updated clinical excellence and optimum organization of stroke care services. Stroke units have been shown to improve patient outcomes. Thus, many western countries have developed and implemented sophisticated stroke facilities and corresponding public awareness strategies. These cannot be easily “translated” in Greece due to special features on the hospital administration system such as a unique rotation system for acute admissions and long-standing austerity. (Source: ...
Source: Journal of Vascular Nursing - April 22, 2017 Category: Nursing Authors: Antigoni Fountouki, Dimitrios Theofanidis Source Type: research
Predictors of warfarin dose requirements in South African patients attending an anticoagulation clinic
Warfarin is the most common oral anticoagulant for the treatment and prevention of thromboembolic disease. However, it has a wide interpatient variability in dose requirements due to various genetic and clinical factors. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - February 19, 2017 Category: Nursing Authors: Elise Schapkaitz, Johanna Sithole Tags: Article Source Type: research
Exercise adherence in the elderly: Experience with abdominal aortic aneurysm simple treatment and prevention
Poor adherence to health-related behaviors can have serious health consequences. Cardiac rehabilitation has been documented to have physiological and psychosocial benefits; however, optimizing adherence to exercise in patients with cardiovascular disease is a particular challenge. We recently completed a large, 6-year randomized trial of exercise training in elderly patients with abdominal aortic aneurysm (AAA) disease (50-85 years), which provided an opportunity to describe adherence strategies in this unique group of elderly individuals. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - February 19, 2017 Category: Nursing Authors: Mary McElrath, Jonathan Myers, Khin Chan, Holly Fonda Tags: Article Source Type: research
Letter to the editor
As a board-certified cardiovascular registered nurse and registered cardiovascular invasive specialist with 17 years of interventional cardiovascular experience, I was pleased to see the discussion about clopidogrel still making headlines. Najmeh Alyasin's article “Clopidogrel loading dose in the management of ST elevation myocardial infarction: still a debate?” on the June issue brings attention to th e fact that clopidogrel dosing in acute myocardial infarction is still unclear and left up to the practicing cardiologist at the time of angioplasty. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - February 19, 2017 Category: Nursing Authors: Martin Martinez Tags: Letter to the Editor Source Type: research
Does a “continuous care model” affect the quality of life of patients undergoing coronary artery bypass grafting?
The physical and mental needs of patients with coronary heart disease are affected by both the disease and the heart surgery in different ways. Such diverse needs require different approaches. A continuous care model, which involves orientation, sensitization, control, and evaluation, may favorably influence patient outcomes following coronary artery bypass grafting (CABG). We were interested to ascertain whether a continuous care model might lead to improved quality of life, compared with a routine care model, in patients undergoing CABG. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - February 19, 2017 Category: Nursing Authors: Nasrin Razmjoee, Abbas Ebadi, Mohsen Asadi-Lari, Marziyeh Hosseini Tags: Article Source Type: research
Effects of injection-site splinting on the incidence of phlebitis in patients taking peripherally infused amiodarone: A randomized clinical trial
Intravenous amiodarone is considered an effective treatment option for cardiac ventricular and atrial arrhythmias. Peripheral infusion of amiodarone may cause blood vessels irritation and phlebitis that is the most common complication of this drug by this route even when it is administered within recommended dosing limits. The effect of injection-site splinting on the occurrence of phlebitis among a group of cardiac arrhythmia patients receiving peripherally infused amiodarone. This research is a clinical trial on patients of Tehran Heart Center who were hospitalized due to cardiac arrhythmias. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - February 19, 2017 Category: Nursing Authors: Farah Ayat-Isfahani, Mina Pashang, Bita Davoudi, Saeed Sadeghian, Arash Jalali Tags: Article Source Type: research
Perceived learning needs of patients with abdominal aortic aneurysm
Patients undergoing surgical treatment of abdominal aortic aneurysm (AAA) should receive adequate information about the disease, treatment options, and self-care. Patients' learning needs should be acknowledged. The aim was to describe the perceived learning needs in patients with AAA. A secondary aim was to explore their experience of methods for patient education. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - February 19, 2017 Category: Nursing Authors: Olga Nilsson, Rebecka Hultgren, Anna Letterst ål Tags: Article Source Type: research
Adult simulation and demonstration of nurse competency with neurological assessment
Nurses work in challenging environments and vast amounts of information are shared on a continual basis. Changes in health care and bedside nursing are constant which make maintaining competency in this dynamic environment challenging. In addition, as documentation has transitioned to electronic medical records, new challenges have been created. The purpose of this paper is to describe an educational intervention using a live standardized patient (actor) simulation with staff nurses that care for patients after a stroke or carotid intervention. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - February 19, 2017 Category: Nursing Authors: Pamela J. Mahaffey, Megan Robertson Tags: Clinical Column Source Type: research
From the Editor's perspective …
Pain management is not only a matter of compassion, but a medical necessity for patients to heal. However, the delivery of high-quality pain management is challenging and difficult to quantify. Commonly used tools in delivering care, such as pain intensity ratings, pain experience reporting, assessments of individual patients' expectations, and patient satisfaction scores, have limitations and are not always useful when addressing quality improvement measures to improve pain management for our patients. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - February 19, 2017 Category: Nursing Authors: Cindy Lewis Tags: Perspectives Source Type: research
Review of article: Coadministration of adipose-derived stem cells and control-released basic fibroblast growth factor facilitates angiogenesis in a murine ischemic hind limb model by Horikoshi-Ishihara, Tobita, Tajima, et al. Journal of Vascular Surgery 12/2016;pp1825–1834
In our constantly aging vascular patients, sometimes surgical intervention is not an option for frail vessels. Regenerative medicine is on the forefront of health care for inoperable patients living with rest pain and/or ischemia due to peripheral arterial disease. For these patients, cell-based therapeutic strategies remain an alternative treatment option.1 We have seen lower extremity rest pain and ulcerations resolve after revascularization so there is no doubt that reperfusion is necessary for viable tissue. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - February 19, 2017 Category: Nursing Authors: Paula Cassell Tags: Research Column Source Type: research
Table of Contents
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - February 19, 2017 Category: Nursing Source Type: research
