Clinical Practice of Nursing Care in Acute Myocardial Infarction: A Framework for Comprehensive Care

Purpose: This article aims to elucidate the comprehensive care and management of patients experiencing acute myocardial infarction (MI). The focus is on explaining the holistic approach grounded in evidence-based nursing practice and rationale. The critical role of nurses in diagnosing, managing, and treating acute coronary syndromes, particularly MI, is underscored. Subject and Methods: The subject of the study is acute myocardial infarction, a manifestation of coronary artery disease. The critical care nursing required for managing MI involves a multifaceted approach, necessitating knowledge in physiology, pathophysiology, pharmacology, and proficiency in utilizing advanced technologies to monitor physiological parameters. The study emphasizes patients presenting at the emergency department with acute chest pain and electrographic abnormalities, identifying them as most susceptible to major complications within the initial 24 hours. Results: The major goals of patient care during acute myocardial infarction encompass relief of ischemic signs and symptoms, prevention of further coronary damage, absence of respiratory difficulties, maintenance of adequate tissue perfusion, decreased anxiety, adherence to self-care programs, and early recognition or absence of complications. The study emphasizes the need for high-quality nursing care aligned with evidence-based practices, stressing the importance of nurses adapting their practices as new evidence emerges. Conclusion: In conclusion, a comprehensive care and management framework for acute myocardial infarction is outlined, emphasizing the nursing process of assessment, diagnosis, planning, intervention, and evaluation. The study underscores the significance of evidence-based nursing practice in achieving optimal outcomes for patients experiencing acute myocardial infarction.