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DISCHARGE EDUCATION FOR A PATIENT WITH MYOCARDIAL INFARCTION – E Care Home Nursing Service

INTRODUCTION

I prepare this topic contain to educate and deliver this knowledge to the patient and relative. This blog is helpful for the patient who was undergone the cardiac surgery, PTCA and post MI treatment and discharged pt.

You may feel sad. You may feel anxious and as though you have to be very careful about what you do. All of these feelings are normal. They go away for most people after 2 or 3 weeks. You may also feel tired when you leave the hospital to go home.

A myocardial infarction (MI) is damage to the heart muscle, or myocardium, that results from lack of blood flow to the heart. The word acute is used to describe a heart attack because symptoms and damage occur suddenly. People who suffer heart attacks require immediate medical attention. Although heart disease has traditionally been considered a man’s disease, it is the leading cause of death among women in the United States. Because heart attack symptoms differ between men and women, many women do not realize that they are experiencing a heart attack and may delay treatment.

BASIC FACTS

  • Myocardial infarction, commonly referred to as heart attack, is the most serious outcome of coronary heart disease, the blockage of the arteries that supply blood to the heart muscle.
  • Most people who have a heart attack wait 1 to 2 hours or more after their symptoms begin before they seek medical help, a delay that can result in death or permanent heart damage.

DEFINITION: – What is the MI?

  • A heart attack happens when the blood vessels that supply blood to your heart are blocked. This can damage your heart or lead to an abnormal heart rhythm or heart failure. A heart attack is also called a myocardial infarction.
  • A heart attack occurs when a vessel that sends blood to your heart suddenly becomes blocked. This causes your heart not to work as well as it should.

RISK FACTOR AND CAUSE: How does it happen?

  • OBESITY
  • SMOKING
  • DRINKING ALCOHOL
  • DIABETES
  • HIGH BLOOD PRESSURE
  • LESS EXERCISE

SIGN AND SYMPTOMS: How do you know that it is MI?

  • PAIN IN THE JAW OR SHOULDER
  • SWEATING
  • NAUSEA AND VOMITING
  • SHORTNESS OF BREATH
  • INDIGESTION OR HEARTBURN
  • WEAKNESS OR UNUSUAL FATIGUE
  • SHORTNESS OF BREATH
  • FEELING DIZZY
  • LIGHT-HEADED OR NAUSEATED

BEFORE LEAVING THE HOSPITAL

  • Schedule a follow-up appointment with your doctor.
  • Arrange and take an appointment for a referral to a cardiac rehabilitation program near you. Participating in a cardiac rehabilitation program is one of the best things you can do after having a heart attack. Rehab programs are medically supervised to help you improve your health and wellbeing and change your lifestyle habits through exercise training, education, and counselling to reduce stress.
  • Learn about and take your medications.
    Remember to take your medications as prescribed and report side effects to your doctor immediately.
  • If you are taking medicines, follow these general guidelines
    • Take your medicine as directed. Do not change the amount or the schedule.
    • Do not stop taking them without talking to your doctor
    • Do not share them.
    • Ask what the results and side effects are. Report them to your doctor.
    • Some drugs can be dangerous when mixed. Talk to a doctor or pharmacist if you are taking more than one drug. This includes over the-counter medicine and herb or dietary supplements.
    • Plan ahead for refills, so you do not run out.
    • Know Your Numbers:
      By tracking your heart rate and blood pressure numbers, you can reduce your risk of having a second heart attack. Ask your doctor to explain what your numbers should be and how often you should check them.
  • Take Steps to Get Physically Active:
    Talk to your doctor to help you determine when you can begin physical activity and what suits your needs and condition. Many doctors recommend walking because it’s safe, easy, and free. You can track your walking with this log.
  • Choose Good Nutrition:
    Good nutrition can help control your weight and lower blood pressure and cholesterol levels. A healthy dietary pattern emphasizes a variety of fruits and vegetables, whole grains, low-fat dairy products, skinless poultry and fish, nuts and legumes, and non-tropical vegetable oils.
  • Move A more good starting goal is at least 150 minutes a week, but if you don’t want to sweat the numbers, just move more! Find forms of exercise you like and will stick with, and build more opportunities to be active into your routine.
  • Find Support:
    Heart attack patients will feel a wide range of emotions, typically for about two to six months. Join the Patient Support Network to share your experience and get support by connecting with other survivors and caregivers.
  • Lifestyle Changes and Prevention:
    Together, you and your doctor will plan proper lifestyle changes that will aid in your recovery. Some things to keep in mind to recover and prevent another heart attack include.
  • If you smoke, talk to your doctor about ways to help you quit. There are many options to choose from, like using nicotine replacement products, taking prescription medicines to ease cravings and withdrawal symptoms, participating in smoking cessation classes, or doing an online self-help program.
  • Have your cholesterol checked regularly.
  • Get regular medical check-ups.
  • Control your blood pressure.
  • Eat a healthful diet, one that is low in saturated fat and rich in whole grains, fruits, and vegetables.
  • Have a regular, low impact exercise program.
  • Maintain a healthy weight.
  • Manage stress through activities such as yoga, meditation, and counseling.
  • If you have diabetes, maintain good control of your condition
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