Reflection and Critical Analysis of Simulation Introduction Unstable coronary syndrome, which includes unstable angina, can be either ST-segment elevation or non-ST-segment elevation. While the former has always been viewed as more serious, higher rates of mortality are associated with non-ST-segment over the long-term ( Coady , 2006). Unstable angina is a symptom of coronary heart disease and is caused by blocked blood flow to the heart or myocardial ischemia because of occlusion of a coronary artery ( Coady ). Segment element pertains to whether occlusion is total or partial. The key issues in the scenario involving Mrs. Smith relate to the competency of knowledge-based practice and the impact of gender on nursing care. Knowledge-based...The end:
.....e context of entry-level registered nurse practice. Accessed July 4, 2010. http://www.cno.org/docs/reg/41037_EntryToPractice_final.pdf Kumar, A. & Cannon, C.P. (2009). Acute coronary syndrome: Diagnosis and management, part 1. Mayo Clinic Proceedings, 84(10), 917-939. Onorati , F. & Feo , M. (2005). Myocardial protection in diabetics with left main stem disease. Journal of Cardiovascular Surgery, 46(3), 305-313. Registered Nurses Association of Ontario (RNAO) (2006). Nursing best practice guideline: Client-centered care. Accessed July 3, 2010. http://www.rnao.org/Storage/15/932_BPG_CCCare_Rev06.pdf Zaman , M. & Junghans , C. (2008). Presentation of stable angina pectoris among women and South Asian people. CMAJ, 179(7), 659-667.