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Peripheral Artery Disease

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1Peripheral Artery Disease Empty Peripheral Artery Disease Mon Nov 21, 2011 4:56 pm

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According to the Journal of the American College of Cardiology...Peripheral Artery Disease is caused by atherosclerosis most of the time. Atherosclerosis may be caused by smoking, diabetes and dyslipidemia. Aneurysms can be associated with PAD as well - possible due to hereditary reasons or due to smoking or trauma. PAD may also be a result of thromboembolic, inflammatory or aneurysmal disease. Clients with PAD face a risk of progressive ischemic limb issues as well as risk for cardiac ischemic events.

Chapter 8 of "The Other End of the Stethoscope" resounded with me. Working in a mental health facility, I have born the brunt of many patients' fear and anger at where they are, both literally and figuratively. That is the key - You are where you are. It is not for us to judge someone else's behavior at such a vulnerable time in their lives. I do feel it is our responsibility to be humble and compassionate with every patient we encounter. Whether that means sitting quietly with someone or simply taking a verbal lashing and leaving the room without an angry reply.
Is it easy to do always? Absolutely not. That is why they call it work. I have to remind myself to not give a stern look or give a response to some of my patients. This book is a great reinforcer of compassionate care.

2Peripheral Artery Disease Empty Re: Peripheral Artery Disease Mon Nov 21, 2011 5:54 pm

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Exactly. The patients are in the hospital for a reason, and it is not for us to question what they are doing there. Our job is to take holistic, compassionate care and understand that we may encounter patients that take their anger out on us in verbal or physical form. I think if we can try to control the situation where the patient's outrage is avoid is the best way we can try to handle the situation. Try to intervene before the situation takes a turn for the worse. Smile

3Peripheral Artery Disease Empty Re: Peripheral Artery Disease Mon Nov 21, 2011 6:15 pm

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I agree totally, and we as caregivers have to remind ourselves that our patients are under a lot of stress, and have lost a great deal of control over their lives. Anger is common in the grief process and we as nurses are always around to catch most of it.

4Peripheral Artery Disease Empty Understand Mon Nov 21, 2011 7:26 pm

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I understand how you feel. I don't work at a hospital, but I can tell you that working with the oublic in any capacity can have resemblences. Take for instance someone who comes into the restaurant where I work. If a person meets you for the first time and has a bad attitude, you can very easily carry that with you wherever you go. By simply understanding that that this person may not have anything against you personally but rather has alot on their mind, you can infer a btter therapeutic dialogue. Sometime syou just have to slow down and look at the bigger picture.

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