Research connections

Article Abstract:

Nurses can incorporate the results of resuscitation research studies into measuring the outcomes of resuscitated patients. Two Brain Resuscitation Clinical Trials (BRCTs) found that neither the use of thiopental loading nor use of the calcium entry blocker lidoflazine during resuscitation from cardiac arrest improved patients' neurologic outcome or survival rate. Advanced age may not predict neurologic outcome, but it may predict mortality. Nurses should collect data on resuscitation outcomes to improve their institution's resuscitation rates.

Research, Cardiac arrest

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Health-related quality of life as an outcome for patients with heart failure

Article Abstract:

Assessing the health and quality of life of heart failure patients may help health care teams provide appropriate care and education to patients and their families. In 1994, guidelines on the care of heart failure patients suggested that health-related quality of life (HRQOL) be determined to help patients and family members cope with heart failure. Eight studies on HRQOL are reviewed. Recommendations include helping patients reduce depression and hostility and develop exercise habits.

Psychological aspects, Cardiac patients

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Driving with an internal defibrillator: legal, ethical, and quality-of-life issues

Article Abstract:

The increased use of internal cardioverter-defibrillators (ICD) combined with the large number of Americans who drive poses serious ethical, legal and social considerations. Although ICD patients are advised not to drive, nearly 77% of patients surveyed continued to drive after surgery. Questions of freedom and quality-of-life needs should be measured against the risk factors to others as well as the legal restrictions applied to cardiac patients.

Social aspects, Ethical aspects, Defibrillators, Medical ethics, Physically disabled automobile drivers, Physically disabled drivers

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