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How modern pacemakers improve nursing processes and patient engagement

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Sonia Bunyard

The University of Texas at Tyler, School of Nursing

NURS 5324: Health Care Informatics

Jerri Post, PhD, RN

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Pacemakers are essential to maintain life in individuals with certain heart conditions such as congenital heart abnormalities, bradycardia, syncope, and heart failure

New and improved pacemaker devices are significantly smaller in size and leadless enabling patients a faster recovery after placement. They prevent lead-related complications such as extraction challenges and pocket-related complications such as infection and body disfigurement.
Modern pacemakers improve patient compliance & outcomes, enhancement in nursing interventions inside the hospital, and outpatient data management.

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Small size

Improve the quality of life &psychosocial outcomes in all ages

No body disfigurement, mobility restrictions, or need for leads or surgical pocket placement.

Less long term complications & hospitalizations

Less risk for surgical complication & infection

No skin breakdown or erosion

High efficacy pacing

Mild anesthesia/ short recovery time

Home data transmissions

(Gist et al., 2019)

(Leier, 2017)

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Higher cost

Insurance decline payment

Micra by Medtronic is the only one approved as of today

Single chamber devices for right ventricular pacing only

Risk for perforation during placement

(Gist et al., 2019)

(Leier, 2017)

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I believe the pros far outweigh the cons in the utilization of modern pacemakers. With the longevity of the modern pacemakers, patients are at less risk due to fewer replacements. Home data transmissions allow for better monitoring of the device and improved health outcomes.

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This is my husband's pacemaker that was removed in 2020. He had this pacemaker for 5 years.

Learn more about this device here

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The modern pacemaker shown on the right is much smaller than previous models (left). The modern pacemaker is leadless and designed to last 8-13 years.

Learn more about this device here

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Deliberative
The deliberative strength in me has helped us in the last 20 years to make serious decisions about his care.

Learner
As a learner, I enjoy research on pacemakers because such a small device ensures children and adults can live a healthy long life

Achiever
As an achiever, I have invested a lot of my time investigating pacemaker options for ourselves and my patients.

Responsibility
The responsibility strength gives me a deep sense of dedication to my family and patients.

Discipline
My discipline strength brings precision and controlled planning.

(Gallup, 2021)

(Fineout-Overholt, 2017)

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1. Amelia - Adaptability - I picked Amelia for the team because I think adaptability is an important strength. She will be flexible when unforeseen circumstances happen.

2. Carlee - Consistency - I believe Carlee will be a good team member because she has the ability to help define policies and protocols then ensure the team follows them.

3. Daisy - Developer - Daisy will be a strong contributor to the team because she will look for improvements in the project and utilize her findings & knowledge to help other team members.

4. Ivan - Intellection - Ivan is a strong team member because he will be able to analyze processes. Because Ivan works well independently, he will be able to work on data reports for the project.

5. Sheila - Strategic - For the team, I believe Shelia will make important contributions because she has good judgement and makes solid decisions. She will be able to look at possible outcomes and suggest solutions.

(Fineout-Overholt, 2017)

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October 18, 2019

April 1, 2017

February 23, 2020

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Fineout-Overholt, E. (2017). Clifton StrengthsFinder Theme Names [Housing and Residential Life at the University of Minnesota]. Gallup, Inc.

Gallup. (2021). Cliftonstrengths online talent assessment. Retrieved August 5, 2021, from https://www.gallup.com/cliftonstrengths

Gallup. (2021). Cliftonstrengths online talent assessment. Retrieved August 5, 2021, from https://www.gallup.com/cliftonstrengths

Gist, K. M., Marino, B. S., Palmer, C., Fish, F. A., Moore, J. P., Czosek, R. J., Cassedy, A., LaPage, M. J., Law, I. H., Garnreiter, J., Cannon, B. C., & Collins, K. K. (2019). Cosmetic outcomes and quality of life in children with cardiac implantable electronic devices. Pacing & Clinical Electrophysiology, 42(1), 46–57. https://doi-org.ezproxy.uttyler.edu/10.1111/pace.13522

Leier, M. (2017). Advancements in Pacemaker Technology The Leadless Device. Critical Care Nurse, 37(2), 58–65. https://doi-org.ezproxy.uttyler.edu/10.4037/ccn2017453

López-Liria, R., López-Villegas, A., Leal-Costa, C., Peiró, S., Robles-Musso, E., Bautista-Mesa, R., Rocamora-Pérez, P., Lappegård, K. T., & Catalán-Matamoros, D. (2020, February 23). Effectiveness and safety in remote monitoring of patients with pacemakers five years after an implant: The poniente study. International journal of environmental research and public health. Retrieved October 1, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068341/.

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Cosmetic Outcomes and Quality of Life in Children with Cardiac Implantable Electronic Device

Katja M. Gist, MSCS - Heart Institute, Children's Hospital Colorado, University of Colorado Denver: Anschutz Medical Campus, Aurora, CO, USA

Bradley S. Marino, MD – Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

Claire Palmer, M.S. - Children's Hospital Colorado Child Health Research Biostatistical Core, University of Colorado Denver: Anschutz Medical Campus, Aurora, CO, USA

Frank A. Fish, MD - Monroe Carell Jr. Children's Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TN, USA

Jeremy P. Moore, MD - UCLA Medical Center, University of California at Los Angeles, Los Angeles, CA, USA

Richard J. Czosek, MD - Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA

Amy Cassedy, PhD - Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA

Martin J. LaPage, MD - - C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, MI, USA

Ian H. Law, MD - University of Iowa Stead Family Children's Hospital, University of Iowa, Iowa City, IA, USA

Jason Garnreiter, MD - Cardinal Glennon Children's Hospital, St. Louis University School of Medicine, St. Louis, MO, USA

Bryan C. Cannon, MD - Mayo Clinic, Rochester, MN, USA

Kathryn K. Collins, K. K. - Heart Institute, Children's Hospital Colorado, University of Colorado Denver: Anschutz Medical Campus, Aurora, CO, USA

Advancements in Pacemaker Technology: The Leadless Device

Mary Leier, NP - Electrophysiology and Heart Rhythm Center at Cedars Sinai Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.

Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study

Remedios López-Liria - Department of Nursing Science, Physiotherapy and Medicine, Hum-498 Research Team, Health Research Centre, University of Almería, 04120 Almería, Spain;

Antonio López-Villegas - Social Involvement of Critical and Emergency Medicine, CTS-609 Research Team, Hospital de Poniente, 04700 Almeria, Spain

Cesar Leal-Costa - Institute of Clinical Medicine. Faculty of Health Sciences, University of Tromsø, 9019 Tromsø. Norway

Salvador Peiró – Nursing Department, University of Murica, 30100 Murica, Spain

Emilio Robles-Musso - -Health Services Research Unit, Fisabio-Public Health, 04700 Valencia, Spain

Rafael Bautista-Mesa – Management Unit, Hospital de Poniente, 04700 Almeria, Spain

Patricia Rocamora-Pérez - Department of Nursing Science, Physiotherapy and Medicine, Hum-498 Research Team, Health Research Centre, University of Almería, 04120 Almería, Spain

Knut Tore Lappegård - Institute of Clinical Medicine. Faculty of Health Sciences, University of Tromsø, 9019 Tromsø. Norway

Daniel Catalán-Matamoros - Department of Communication Studies, Universidad Carlos III de Madrid, 28903 Madrid, Spain;