Nurse’s role in discharge planning for patients with acute coronary syndrome: a case study
Keywords:
discharge planning, acute myocardial infarction, transitional theory, nurse’s roleAbstract
Abstract
Discharge planning is crucial in the patients with acute coronary syndrome as it prepares for the transition from critical illness to self-care at home. Nurses play an important role in helping patients to care for and manage their health when discharged from the hospital. An effective discharge planning encourages the patients to transition from the hospital to home. This article presents discharge planning based on Transition theory and uses evidence-based practice in the nursing care plans for discharge patients with acute coronary syndrome.
This nursing care plan for discharge planning consists of 1) Discharge readiness assessment 2) Preparing for discharge planning to minimize the risk factor and 3) Individual consultation, practicing necessary skills, and follow-up evaluation in the transitional phase of the patient. In this article, a case study is analyzed to guide nursing practice. Therefore, the discharge planning can help patients take action to prevent the recurrence of the disease.
Downloads
References
World Health Organization. World health statistics [Internet]. 2020 [cited 2022 Sep 18]. Available from: https://www.who.int/publications/i/item/97892 40051157
Thailand, Ministry of Public Health. Public health statistics [Internet]. 2020 [cited 2022 Sep 18]. Available from: https://bps.moph.go.th/new_bps/ sites/default/files/2563_0.pdf (in Thai)
Panyapong S, Sripai S, Chaisri A, Doungmala T, Vanon, S. The impact on new normal communities of the Covid-19 pandemic situation in Chaiyaphum province. Dhammathas Academic Journal 2022; 22(1): 209-20. (in Thai)
The Heart Association of Thailand under the Royal Patronage of H.M. the King. Thai acute coronary syndromes guidelines 2020. Bangkok: Nextstep D-Sign; 2020. (in Thai)
Visseren FL, Mach F, Smulders YM, Carballo D, Koskinas KC, Bäck M, et al. ESC Guidelines on cardiovascular disease prevention in clinical practice: Developed by the Task Force for cardiovascular disease prevention in clinical practice with repre¬sentatives of the European Society of Cardiology and 12 medical societies with the special contribution of the European Association of Preventive Cardiology (EAPC). Eur. Heart J. 2021; 42(34): 3227-337.
Queen Sirikit Heart Center of the Northeast. The rate of re-administration within 28 days after discharge in patients with acute myocardial infarction [Internet]. 2022 [cited 2022 Sep 18]. Available from: http://10. 67.67.169/Upload/KPIManagement/indexKPI.html
Neumann FJ, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur. Heart J. 2019; 40(2): 87-165.
Pooun S, Wattanakitkrileart D, Poungkaew A, Dumavibhat C. Influencing factors of readiness for hospital discharge among patients with acute coronary syndrome in super-tertiary hospitals. Thai J. Cardio-Thorac Nurs. 2021; 32(2): 44-58. (in Thai)
Sanprasan P, Wattradu D, Suthipong N. Discharge planning of patients treated with percutaneous coronary intervention (PCI): perspective of elderly patients with ischemic heart disease and caregivers. Thai J. Cardio-Thorac Nurs. 2017; 28(1): 142-53. (in Thai)
Rhiantong J, Panuthai S. Factors related to readiness for hospital discharge among hospitalized elderly patients in tertiary hospitals. Nursing J. 2021; 48(3): 214-25. (in Thai)
Nimit-arnun N. Discharge planning: concept and clinical practice guideline. Christian University of Thailand Journal. 2017; 23(3): 501-10. (in Thai)
Chairin B, Akkadechanunt T, Sirakamon S. Quality improvement of discharge planning for patients with acute myocardial infarctionin cardiac care unit, Nakornping Hospital, Chiang Mai Province. Nursing J. 2020; 47(3): 389-99. (in Thai)
The Healthcare Accreditation Institute Public Organization. Hospital and Health Service Standards No. 5. 2nd ed. Nonthabury: The Healthcare Accreditation Institute; 2022. (in Thai)
Ratchai L, Suwan P, Soawaphan J. Effect of development of PP-METHOD discharge planning guideline for chronic diseases patients in the Songdoa hospital. UHDHOSMJ. 2019; 29(1): 40-52. (in Thai)
Turan Kavradim S, Canli Özer Z. The effect of education and telephone follow‐up intervention based on the Roy adaptation model after myocardial infarction: randomised controlled trial. Scand J Caring Sci. 2020; 34(1): 247-60.
Siriyotthumrong D, Uttama C, Uangpairoj N, Khantarak. Effects of the nurse’s discharge planning model in acute coronary syndrome patients at nakornping hospital. Thai Journal of Nursing. 2017; 43(1): 96-112. (in Thai)
Silarat M, Sangchat B. Perception of symptom and symptom management of people with acute myocardial infarction. Journal of Nursing Science & Health. 2019; 42(1): 22-31. (in Thai)
Kankratoke P, Ruaisungnoen W, Silarat M. Nurse’s role in promoting exercise self-efficacy for heart failure with reduced ejection fraction patients: a case study. Songklanagarind Journal of Nursing. 2021; 41(4): 115-24. (in Thai)
Messerli AW, Deutsch C. Implementation of institutional discharge protocols and transition of care following acute coronary syndrome. CRM. 2020; 21(9): 1180-8.
Schumacher KL, Meleis AI. Transitions: A central concept in nursing. In Meleis AI. (Ed.), Transitions theory: Middle - Rangeand situation-specific theories in nursing research and practice. New York: Springer; 2010.
Galvin EL, Wills T, Coffey A. Readiness for hospital discharge: a concept analysis. J Adv Nurs. 2017; 73(11): 2547-57.
Nilliaum R, aewsasri A, Sinsawad P. Nurse’s role in preparing hospital discharge readiness for caregiver of the patient with acute myocardial infarction. Thai J Cardio-Thorac Nurs. 2017; 28(2): 28-37. (in Thai)
Solai N, Pudwan R, Thong de W. Predicting factors of readiness for hospital discharge among hospitalized coronary heart disease patients at Maharaj Nakorn Chiang Mai Hospital. Chiang Mai Med J. 2018; 53(3): 145-58. (in Thai)
Kourbelis CM, Marin TS, Foote J, Brown A, Daniel M, Coffee NT, et al. Effectiveness of discharge education strategies versus usual care on clinical outcomes in acute coronary syndrome patients: a systematic review. JBI evid synth. 2020; 18(2): 309-31.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Journal of Nursing and Health Care
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
