Your staff development PPT presentation will include the information from your written paper in 10-12 slides (including a title and reference slide in APA format). Make sure to include speaker notes at the bottom of your slide to explain the content of your slide.
Hysterectomy and myocardial infarctions
The clinical problem in this paper is the effects of hysterectomy on the development of myocardial infarction in women aged between 30 and 45 years with or without high blood pressure. Here we are to identify the occurrence of myocardial infarction in women with or without hypertension after they have gone through a hysterectomy.
Reason for choosing this topic
This topic is fundamental because hysterectomy is a common type of surgery in women, and understanding its effects relating to hypertension and myocardial infection may save a lot of lives. Hysterectomy is the surgical removal of part or all of the uterus from the female body. Hysterectomy is necessary for a woman because of various reasons like endometritis, thinking of the uterine wall, uterine prolapse, cervical cancer, uterine fibroids, and vaginal bleeding. However, hysterectomy due to disease is only considered when the other options have failed (Shah et al., 2015). A surgeon may remove the whole uterus and cervix, remove the upper part of the uterus while leaving the uterus still in place or radical hysterectomy where the surgeon the side tissues of the uterus, the whole uterus, the cervix and the top part of the vagina. The surgery is usually performed in females with benign uterine infections.
Current studies have shown that there is a rapid increase in the incident of hypertension, and myocardial infarction is a woman who goes through a hysterectomy. According to a research-based on a population of 6674 women of 30-49 years from the Taiwan National Insurance Research Database, the surgery increased the risk of hypertension and myocardial infarctions. Myocardial infarctions are also called heart attack (Laughlin-Tommaso et al., 2016). The condition happens when the blood flow to a given part of the heart stop of reduces causing damage to the muscles of the heart. The condition causes severe discomfort and pain on the chest, which may spread to the arms, shoulders, back, jaw, and neck. The primary reason is that after hysterectomy, there was a reduction of the hormones estrogen, which subsequently reduced the heart activity. This effect then led to hypertension. Hypertension is known to cause myocardial infarctions. Research also shows that the occurrence of myocardial infarctions is common in patients with high blood pressure after they undergo a hysterectomy.
The PICOT question
Having looked at the clinical problem and the PICOT question is:
Are 30 to 45-year‐old black American women (P) who have high blood pressure (I) compared with those without high blood pressure (C) at increased risk for an acute myocardial infarction (O) during the first year after hysterectomy (T)?
Possible integration of the evidenced that you found in clinical practice
The evidenced in this paper strongly supports the fact that black American women (P) who have high blood pressure are at a high risk of developing myocardial infarction at their first year after going through hysterectomy as compared to the women without hypertension. Research has shown that there is a high risk of development of hypertension and myocardial infections in women after they undergo hysterectomy and hence the women that already have a high blood pressure will get affected further by the condition.
The best approach to this problem is the getting doses of artificial estrogen shortly after having the operation as indicated early, the primary cause of the myocardial infarctions after the hysterectomy operation is the reduction of the levels of estrogen in the body (Shah et al., 2015). Therefore is the body gets boosts of the hormone it will continue function as it was functioning before the operation. This way, the effects of the procedure such myocardial infarctions as a result of high blood pressure will be low.
The estrogen administration therapy can also get integrated with practices such as protecting the heart. This aspect can get achieved through exercising regularly to ensure the heart does not develop complications. The patient should also maintain a healthy diet and avoid eating foods that negatively affect the heart’s functioning capacity (Health Science Library, 2018). Furthermore, the nurses should always monitor the patient’s blood pressure and cholesterol levels to avoid the development of complications such as high blood pressure and the subsequent myocardial infarctions. The patient should also visit the doctor for checkups to reduce the risks of developing related heart infections such as myocardial infarctions which are as a result of a hysterectomy.
Methods to evaluate the effectiveness of implementation
The primary process of assessing the implementation is checking on the patient and how he or she is fairing after the surgery through tests and checkups (Health Science Library, 2018). Community health agencies are also crucial in evaluating the outcomes of a given implemented care since they are in touch with patients.
Health Science Library (2018). UTI case scenario for evidence-based nursing practice resource activity.
Laughlin-Tommaso, S. K., Khan, Z., Weaver, A. L., Schleck, C. D., Rocca, W. A., & Stewart, E. A. (2016). Cardiovascular risk factors and diseases in women undergoing hysterectomy with ovarian conservation. Menopause (New York, NY), 23(2), 121.
Shah, A. S., Griffiths, M., Lee, K. K., McAllister, D. A., Hunter, A. L., Ferry, A. V., & Walker, S. (2015). High sensitivity cardiac troponin and the under-diagnosis of myocardial infarction in women: prospective cohort study. bmj, 350, g7873.
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