“As soon as I hit the doors, I know I’ll want a cigarette,” says Jason Vennard, who, after 22 years, has to give up smoking, drinking alcohol and unhealthy eating habits.
At only 40 years old, Jason suffered a heart attack.
He had been working outside all day and became hot and nauseated. “I thought it was really bad heatstroke and felt like I was going to pass out.” He decided to go home and relax on the couch.
Later that night, things took
a turn for the worse. “I started getting chest pain like someone was pushing
their knuckles into my chest as hard as they could. My arms got really heavy
and it felt like growing pains.” When Jason’s fiancee returned home, she
rushed him to the Edson
Over the next six hours, the staff figured out what was wrong, stabilized Jason and sent him by ambulance to the Misericordia Community Hospital.
Jason spent a number of days on the Coronary Care unit meeting with different specialists and undergoing various tests and procedures. He travelled to the Royal Alexandra Hospital to have a stent inserted into one of the blockages in his heart.
Before his heart attack, Jason didn’t have a history of heart issues and wasn’t on any medication. He’s now on five new medications and the nicotine patch.
To help keep track of a patient’s pre-admission home medications, the Misericordia has implemented a Medication Reconciliation (MedRec) program. “MedRec is a way to ensure that changes to the home medications are carefully assessed, documented and ultimately explained to the patient just prior to discharge from the hospital,” states Kinnson Lo, Project Pharmacist for the MedRec Implementation Project.
Jason admits there’s a lot to
take in, but his care team—which consists of a physician, dietitian,
respiratory therapist and pharmacist—helped him navigate his post-heart attack recovery. The
team created a medication discharge plan and resources for Jason to follow up with once he’s back home.
Kinnson says patients are an integral part of the medical decision-making process. “Discharging from hospital can be a stressful time, so it is very important that they are involved in the discharge plan. They need to understand what medications are new or changed, proper use of medications, how to monitor for side-effects, and whether followup testing is required. It’s a lot to absorb, which is why the patient needs that discharge teaching and the medication discharge plan on paper."
The Canadian Patient Safety Institute (CPSI) and Institute for Safe Medication Practices Canada (ISMPCanada) have released a new initiative called 5 Questions to Ask About Your Medications. It highlights five key questions patients should be asking their doctor, nurse or pharmacist to ensure they understand their medication treatment plan. "We want patients to be confident in managing their own health," says Kinnson.
Jason says the process was well-organized
and that he feels prepared to go home. “The staff took all the guessing out of
things. Now, I don’t have to worry.” He says he understands the medication, diet and exercise changes that need to happen to ensure he stays healthy.
Friends and family say Jason’s heart attack was an "awakening" and have made
changes to their own lives.
“It’s a complete lifestyle change,” admits Jason. “But if I don’t do it, next time I might not be sitting here.”
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