What nursing care should be given to a patient with a permanent pacemaker?
Permanent pacemakers: the nurse's role in patient education and follow-up careJ V Stewart et al. J Cardiovasc Nurs. 1991 Apr. Show
AbstractEducating cardiac patients in how to lead an active life after a permanent pacemaker implant presents many challenges for nurses involved in their care. Suitable educational material delivered during both the inpatient and the outpatient phases of care can foster a positive attitude and independence in these patients. Nurses are becoming increasingly independent in their management of the follow-up care of these patients. Guidelines for the assessment of pacemaker function, detection of malfunction, and reprogramming techniques are provided. Similar articles
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Pacemaker Nursing Care Plans Diagnosis and InterventionsPacemaker NCLEX Review and Nursing Care Plans A pacemaker (PM) is a small electronic device that detects intrinsic arrhythmias and stimulates the heart with electrical impulses to restore its regular heartbeat. PM therapy is typically indicated for patients with cardiac disorders, cardiac rhythm irregularities, cardiac failure, and abnormalities in electrical activity, such as in the case of a heart block (in which the atrioventricular node cannot generate enough impulse) and sick sinus syndrome. Indications Of Pacemaker Therapy
The following conditions are indicated for permanent pacemaker insertion:
How a Pacemaker WorksPM functions by modulating cardiac rhythm through the transmission of electrical signals to regulate heartbeat and correct arrhythmias such as bradycardia. It saves and transmits information about the patient’s cardiac function and is often implanted to evaluate therapy. The handling physician may also adjust its settings if necessary and check its battery during follow-up appointments. Pacemakers consist of two parts:
PM can also utilize bipolar spacing (a positive and negative electrode) and unipolar pacing. It should be mentioned that PM should be replaced when the battery wears out. Types of Pacemakers
Risks of Having A Pacemaker
Diagnostic Tests Prior to Pacemaker Therapy
Procedure of Pacemaker Insertion
Precautions Of Having a Pacemaker
Nursing Care Plan for Pacemaker 1Impaired Physical Mobility Nursing Diagnosis: Impaired Physical Mobility related to pacemaker therapy secondary to cardiac dysrhythmias, as evidenced by diminished muscle strength, pain, incapacity to move as intended, and restricted range of motion. Desired Outcome: The patient will achieve optimal range of motion within the disease’s limitations and have improved limb function.
Nursing Care Plan for Pacemaker 2Disturbed Body Image Nursing Diagnosis: Disturbed Body Image related to pacemaker therapy secondary to cardiac dysrhythmias, as evidenced by concern for rejection, fear of being rejected by others, negative feelings about appearance, noncompliance to care, and social withdrawal. Desired Outcome: The patient will be able to identify physical body changes and appropriately manage negative body image.
Nursing Care Plan for Pacemaker 3Risk For Injury Nursing Diagnosis: Risk For Injury related to pacemaker therapy secondary to cardiac dysrhythmias. Desired Outcome: The patient will have a reduced risk of complications related to pacemaker implantation.
Nursing Care Plan for Pacemaker 4Ineffective Tissue Perfusion Nursing Diagnosis: Ineffective Tissue Perfusion related to pacemaker therapy secondary to cardiac dysrhythmias, as evidenced by low blood pressure, decreased heart rate, low cardiac output, changes in mentation, and inappropriate pacing. Desired Outcome: The patient will exhibit an absence of dysrhythmias and be able to comply with all activity restrictions.
Nursing Care Plan for Pacemaker 5Risk For Infection Nursing Diagnosis: Risk For Infection related to pacemaker therapy secondary to cardiac dysrhythmias. Desired Outcome: The patient will exhibit no indication of infection at the pacemaker site.
Nursing ReferencesAckley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Nursing diagnoses handbook: An evidence-based guide to planning care. St. Louis, MO: Elsevier. Buy on Amazon Gulanick, M., & Myers, J. L. (2022). Nursing care plans: Diagnoses, interventions, & outcomes. St. Louis, MO: Elsevier. Buy on Amazon Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2020). Medical-surgical nursing: Concepts for interprofessional collaborative care. St. Louis, MO: Elsevier. Buy on Amazon Silvestri, L. A. (2020). Saunders comprehensive review for the NCLEX-RN examination. St. Louis, MO: Elsevier. Buy on Amazon Disclaimer:Please follow your facilities guidelines, policies, and procedures. The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. This information is intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. What nursing management is needed for the client after the pacemaker insertion?All patients with permanent pacemaker will be continuously monitored for heart rate and rhythm after pacemaker insertion. Adequate cardiac output will be ensured with efficient monitoring of vital signs and urine output.
What is the role of nurse in pacemaker?Nursing care for patients with pacemakers involves the monitoring and prevention of common complications, preventing dislodgement, and educating the patient on the proper use and maintenance of the pacemaker.
What are some precautions a patient will have to take when implanted with a pacemaker?Be careful when using cell phones and other electronic devices. Keep them at least 6 inches away from your pacemaker. It's safest to hold all cell phones to the ear farthest from your pacemaker or use the speaker mode setting. Don't carry your phone or electronic device in your chest pocket, over the pacemaker.
What are 4 things to be avoided if you have a pacemaker device?Discuss the following in detail with your doctor:. It is generally safe to go through airport or other security detectors. ... . Avoid magnetic resonance imaging (MRI) machines or other large magnetic fields. ... . Avoid diathermy. ... . Turn off large motors, such as cars or boats, when working on them.. |