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Learning to live with controlled ventricular tachycardia: utilizing the Johnson model.

In view of the multifaceted needs of both patients and families, the role of the nurse lies in assessing system instability and in prioritizing efforts for stabilization within the hospital. Since the problems are so complex, it may be impossible to resolve all of them before discharge. Therefore, follow-up referrals to counseling services and visiting nurse associations are helpful. Of added benefit is an ongoing, supportive relationship with a physician and/or a nurse specialist who is familiar with the needs of these special patients and their families. The use of a behavioral systems model such as Johnson's assists the nurse in organizing assessments of patient and family needs and in planning nursing strategies to meet those needs. The patient's very realistic fears of dying coupled with the frequently occurring loss of cardiac function present an enormous challenge to the nurses who work with them. The close professional relationships that result from this process are extremely rewarding.