Marian C Hawkey – författare

Launch and cultivate a successful program for the innovative procedure poised to become the standard for patients with aortic stenosis (AS) with Transcatheter Aortic Valve Replacement (TAVR) Program Development: A Guide for the Heart Team .Written by leaders in the field, this clinical instruction manual is the first to consolidate evidence, guidelines, and best practices for the TAVR care pathway from referral to follow-up. This is a must-have for clinicians—nurses, physicians, and allied health professionals—as well as administrative leadership and staff involved in TAVR programs.The text offers a comprehensive view of the TAVR program organized to support staff and quality, and positioned to grow on pace with evolving indications, regulations, technology, and patient needs: Foundational Knowledge – AS clinical presentation, disease progression, historical perspective and current practiceMultidisciplinary Care – Heart Team, Valve Program Clinician, procedural staff, valve clinic, hospital-based care, partnership with primary care and referring providersPatient Evaluation – symptoms, medical history, social determinants of health, diagnostic imaging, echocardiography and computerized tomography, risk stratificationHeart Team Shared Decision Making – case selection, real-world patient scenarios for shared decision-making, risk-predictive tools, considerations for specific conditions – anatomical challenges, low-gradient AS, mitral valve disease, frailty, pulmonary disease, kidney disease, dementiaProcedural Care and Clinical Pathways – specific, detailed examples of procedure plans, order sets, emergency planning, peri-procedural communication and handoffs, post-procedure care pathways, discharge planningProgram Optimization and Evaluation – strategies and tactics for education and communication, staffing considerations, wait list management, scheduling challenges, measurement of clinical outcomes, patient experience, adherence to indications, regulatory compliance, quality registry reporting About the Clinical Editors Marian C. Hawkey, RN, is Director of TAVR Clinical Research at New York Presbyterian/Columbia University Medical Center in New York City.Sandra Lauck, PhD, RN, is a scientist at the Centre for Heart Valve Innovation and Clinical Assistant Professor (St Paul’s Hospital and Heart & Stroke Foundation Professorship) in Cardiovascular Nursing at the University of British Columbia in Vancouver.Elizabeth M. Perpetua, DNP, is Principal Consultant at EMPath Health Services – Perpetua Associates, in Seattle, Washington.

This book serves as the “go-to” resource for cardiovascular nurses and other health care practitioners involved in the care of patients with acquired valvular heart disease. It includes unique information about heart valve anatomy and pathophysiology, the complexity of clinical presentations and diagnostic evaluation, patient education and shared decision-making, surgical and transcatheter treatment options, and transition to palliative care. The content focuses primarily on the specialized care of patients with aortic stenosis and regurgitation, and mitral and tricuspid regurgitation.In addition, this unique resource provides timely information to guide a patient-centred and team-driven approach that reflects contemporary and innovative practice in the management of valvular heart disease. The essential topics of strengthening the multidisciplinary Heart Team and programmatic processes of care, the priorities for nursing care, and the multifactorial challenges of managing this complex patient population are explored in detail. Importantly, this resource aims to support all clinicians who are involved in the various timepoints of patients’ full trajectory of care, from their evaluation pathway, admissions for treatment, and long term follow-up. Clinicians require contemporary knowledge and evidence to guide their practice, provide appropriate care for this complex patient population, and contribute to the advancement of practice. To date, there has been little emphasis placed on the management of valvular heart disease in cardiovascular nursing and allied health curriculum. This book fills this gap and addresses the pressing need for a user-friendly resource to guide the care for this growing population in a rapidly changing clinical environment. The editors are international leaders in the care and management of patients with acquired valvular heart disease and program development. They are widely recognizedfor their pioneering role in shaping the way we care for these patients.