see attachment H Week 5 respond to a student

Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post

------You don't have to post this in APA format necessarily, it's just giving feedback to the student with a paragraph, it doesn't have to be a lot of text----

Tara Ritzma

After reading about many different nursing practices that have changed in the 20th century, there is one area that struck my interest. During the 1960s, major growths were happening in healthcare and technology. One of the major developments in nursing and healthcare of this time was the introduction of the first coronary care units (Chamberlain University College of Nursing, 2022). The start of coronary care units was initiated in the 1960s, however intensive care units that treated patients with noncardiac critical illnesses came later in the 1970s (Chamberlain University College of Nursing, 2022). Physicians began to rely heavily on the expertise of the ICU nurse to care for patients that may require emergency intervention.  Before the start of coronary care units, only physicians were allowed to interpret cardiac rhythms (Chamberlain University College of Nursing, 2022). This is the era where nursing autonomy flourished. According to Caunt (1992), before the initial coronary intensive care started, 30% of all patients admitted with a myocardial infarction died while being in the hospital. However, after the introduction of a coronary care unit, that number fell to 15% because of the early detection and emergency treatment of life threatening arrythmias (Caunt, J 1992, p. 82). Meltzer (1962) also adds that this reduction in mortality rate was because of nurses being able to make important decisions in life threatening situations and use early defibrillation before the team of physicians were available (p. 82). 

I cannot imagine watching a patient severely decline while waiting on a medical team of physicians to arrive in an emergency situation. During this time in the 1960s, I'm grateful that physicians began to trust nurses more with their level of expertise and helped train these nurses to have the knowledge to initiate emergency treatment that could sustain a patient's life. Nursing has come so far even since this big change, and it is ever changing to this day. 

References:

Caunt, J. (1992). The changing role of coronary care nurses. (p 82).  https://doi.org/10.1016/0964-3397(92)90036-J (Links to an external site.)

Chamberlain University College of Nursing. (2022). NR 393-60694 Week 5: Mid to Late 20th Century Nursing [Online lesson].  Week 5 Lesson: Mid- to Late-20th Century Nursing: Nursing History-Miller (instructure.com)

Meltzer, L E., Pinneo R et al 1989. System of intensive coronary care- a manual for nurses. Charles Press, Maryland. (pp 25-29).