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Emotional issues after cardiac surgery

Emotional issues after cardiac surgery. Dr Parul Tank MD DNB DPM MRCPsych Consultant Psychiatrist, Asian Heart Hospital Head of Department, Rajawadi Hospital, Mumbai.

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Emotional issues after cardiac surgery

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  1. Emotional issues after cardiac surgery Dr Parul Tank MD DNB DPM MRCPsych Consultant Psychiatrist, Asian Heart Hospital Head of Department, Rajawadi Hospital, Mumbai

  2. Out of the cardiac experience, life can become richer, more meaningful, and even joyous. Heart disease does not have to be only an ending. It can be a new beginning. Rhoda LevinHeartmates

  3. Heart • Heart is linked with emotions • It also a main source of life • Cardiac patients feel more distressed than others • Physical symptoms similar to psychological symptoms

  4. Immediate post op symptoms • Less sleep • Irritability • Mild disorientation • Mild memory lapses • Fear and anxiety

  5. Depression • It is a normal reaction and self limiting • It is due to overload of emotional and physical stresses • Reduces quality of life • Seen in 12 to 52% patients post op • Increases risk of readmission and even mortality

  6. Common symptoms • Anger, irritable • Decrease sleep and appetite • Body symptoms • Feeling of suicide • Low mood • Tearfulness • Lack of interest, ideas of hopelessness and helplessness

  7. Anxiety • Feeling of fear and uncertainity • “Ghabrahat” • Mild to severe • 15 to 45 % of post op patients

  8. Anxiety • Common symptoms include • Uneasiness • Irritable • Physical symptoms like chest pain, headaches, diarrhoea, dryness of mouth, tremors, palpitations

  9. Reasons • Past history of emotional problems • History of alcoholism, drugs • Poor family or social support • Anxious personality • Certain medications • Fear of the unknown /death

  10. Practical tips Recognise the emotions Seek more information about the surgery and any other questions

  11. Lifestyle changes • Give time to heal – be patient • Stop alcohol, nicotine • Follow a healthy diet • Enjoy social activities • Do physical activities • Accept negative feelings – do self talk • Relaxation techniques • Seek help if needed

  12. The family • It can be a stressful time for family • Meet patient even if disoriented • Give reasurance • Seek help if you are anxious or depressed • Treat patient with care but not overconcern • Take time out • Avoid guilt feelings

  13. Take a Chill Pill Thank you!

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