Vascular Disease: A Handbook for Nurses

Haytham Al-Khaffaf, Sharon Dorgan9780521674515, 0521674514

Caring for Patients with Vascular Disease: A Practical Approach for Medical and Nursing Staff offers a step-by-step guide to caring for patients in a variety of clinical settings. It follows a patient’s path of care from management in the outpatient clinic, through to the hospital ward, theatre, recovery room and back to the follow-up outpatient clinic. A clear, concise format is used throughout the book, with reference to evidence-based interventions and the physiology underpinning them, and the use of simple line diagrams and treatment flow charts to illustrate the essential aspects of care. Edited by a nurse and a vascular surgeon, with contributions from a group of invited authors, the book reflects the multidisciplinary nature of patient care and will be a valuable resource for nurses, surgeons and other healthcare professionals involved in caring for this patient group.

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Table of contents :
EEn……Page 1
Vascular Disease – A Handbook for Nurses……Page 2
Copyright Info……Page 6
TOC……Page 7
List of Abbreviations……Page 11
List of Contributors……Page 13
Preface……Page 15
1 – Outpatient Department……Page 17
Atherosclerosis……Page 19
Cardiovascular Risk Factors……Page 20
Cigarette Smoking……Page 21
Hyperlipidaemia……Page 22
Role Of Nurses In The Management Of Cardiovascular Risk Factors……Page 23
Symptoms……Page 24
Assessment……Page 25
Prognosis……Page 27
Management……Page 28
References……Page 30
1.2 Carotid Artery Disease……Page 32
Indications For Carotid Endarterectomy……Page 34
Reference……Page 36
Aetiology……Page 37
Prognosis……Page 39
Aneurysm Screening……Page 41
References……Page 42
1.4 Upper Limb Ischaemia……Page 43
References……Page 44
Clinical Manifestations……Page 45
Treatment……Page 47
Role Of The Nurse……Page 48
References……Page 49
Buerger’s Disease (thromboangiitis Obliterans)……Page 50
Takayasu’s Arteritis……Page 51
Reference……Page 52
Neurological Symptoms……Page 53
Treatment……Page 54
Reference……Page 55
Manifestations Of Primary Hyperhydrosis……Page 56
Thoracoscopic Sympathectomy……Page 57
Reference……Page 58
Patient Assessment……Page 59
Venous Leg Ulcers……Page 60
Compression Therapy……Page 61
Arterial Ulcers……Page 67
Mixed Aetiology Ulcers……Page 69
Role Of The Nurse In The Outpatient Department……Page 70
Key Points……Page 71
References……Page 72
Aetiology And Clinical Features……Page 73
Diabetic Ulcers……Page 74
Charcot Arthropathy……Page 82
Further Reading……Page 83
Management……Page 84
Reference……Page 85
Patho-physiology……Page 86
Investigations……Page 88
Treatment Options Of Varicose Veins……Page 89
References……Page 90
Causes……Page 91
Clinical Features……Page 92
Treatment……Page 93
References……Page 94
Diagnosis……Page 95
Management……Page 96
Education……Page 97
Patient Intervention……Page 98
Non-surgical Approach……Page 99
Process……Page 102
References……Page 103
2 – Vascular Emergencies……Page 105
Presentation In Accident And Emergency……Page 106
Management In Accident And Emergency……Page 107
Operative Surgical Options……Page 108
Prognosis……Page 109
Aetiology……Page 110
Initial Management……Page 111
Prognosis……Page 112
Types Of Injury……Page 113
Sites Of Injury……Page 114
Signs Of Vascular Injury……Page 115
References……Page 116
3 – Vascular Investigations……Page 117
What Is A Vascular Laboratory?……Page 118
Key Points……Page 124
Further Reading……Page 125
Minimally Invasive Investigation……Page 126
Conventional Angiography……Page 127
Balloon Angioplasty……Page 129
Carotid Artery Angioplasty And Stenting……Page 131
Glossary……Page 132
References……Page 136
4 – Management Of Vascular Patients On The Ward……Page 137
Acute And Critical Limb Ischaemia……Page 138
Elective Angiography……Page 139
Carotid Endarterectomy……Page 140
Abdominal Aortic Aneurysm……Page 142
Arterial Reconstructive Surgery Of The Lower Limb……Page 144
References……Page 145
Rehabilitation……Page 146
Prosthetic Phase……Page 147
References……Page 154
Vascular Pain……Page 155
Principles Of Pain Management……Page 156
Overview Of The Role Of The Pain Clinical Nurse Specialist……Page 157
Pain Assessment……Page 160
Phantom Pain……Page 161
References……Page 162
5 – The Peri-Operative Period……Page 165
Role Of The Pre-assessment Nurse……Page 166
Vascular Procedures Which Are Pre-assessed……Page 167
Achievement Of Optimum Health Status……Page 168
References……Page 169
The Vascular Patient……Page 170
Carotidendarterectomy……Page 171
Abdominal Aortic Surgery……Page 173
Emergency Abdominal Aortic Surgery……Page 175
Revascularisation Of The Lower Limbs……Page 176
Further Reading……Page 177
Carotid Endarterectomy……Page 178
Abdominal Aortic Aneurysm Repair……Page 181
Thoraco-abdominal Aneurysm Repair……Page 184
Aorto-bi-femoral Bypass For Occlusive Disease……Page 185
Femoro-popliteal Bypass Grafts……Page 187
Femoro-tibial Bypass Grafts……Page 188
Profundoplasty……Page 191
Extra-anatomical Bypass Procedures For Aorto-iliac Occlusive Disease……Page 192
Repair Of Popliteal Aneurysms……Page 193
Endoscopic Thoracic Sympathectomy……Page 195
Varicose Veins……Page 196
Amputations……Page 200
Embolectomy……Page 205
Vascular Trauma……Page 206
Peri-operative Nursing……Page 210
Responsibilities Of The Vascular Scrub Nurse……Page 211
Responsibilities Of The Circulating Nurse (runner)……Page 213
References……Page 214
Suggested Further Reading……Page 215
Levels Of Care……Page 216
Immediately After The Anaesthetic……Page 217
Basic Nursing Considerations……Page 219
Patients Who Require Respiratory Support……Page 222
Patients Who Require Cardiovascular Support……Page 223
Patients Who Are At Risk Of Sudden Deterioration……Page 224
Co-existing Medical Disease……Page 227
Post-operative Problems Arising From Vascular Surgery……Page 231
Patients Who Are Sedated……Page 232
Psychological Disturbances……Page 233
Key Points……Page 234
Further Reading……Page 235
6 – Training And Practice Issues……Page 237
Advice And Support……Page 238
Reference……Page 239
6.2 Training For Vascular Nurses……Page 240
Definition Of Integrated Care Pathways……Page 242
Potential Benefits And Criticisms Of Integrated Care Pathways……Page 243
The Key To Success……Page 248
References……Page 249
Clinical Governance……Page 250
Ethics Governance……Page 255
Useful Contacts……Page 256
6.5 Audit……Page 257
The Audit Cycle……Page 258
Setting The Criteria And Standards……Page 259
Modifying Your Practice……Page 260
National Vascular Database And V-possum……Page 261
Further Reading……Page 262
6.6 Useful Addresses……Page 263
Index……Page 265