Nursing care of patients with heart failure and comorbidities: 2 case studies

Abstract

This study is a comparative study of nursing care for 2 patients with heart failure and comorbidities at the medical ward. Khon Kaen Hospital The period from 24 June 2023 – 16 July 2023 found that two patients Case study number 1: Thai male patient, age 81 years. Congenital disease: Gout, CKD stage 3, TVD S/P PCI, presented with symptoms 10 hours before coming to the hospital. She had shortness of breath and was unable to lie down 1 day before coming to the hospital. The patient had symptoms of shortness of breath, fatigue, and swelling, so relatives took him to Kalasin Hospital. Doctors inserted a breathing tube and sent him for treatment at Khon Kaen Hospital. Was diagnosed with Congestive heart failure with Respiratory failure U/D gout, CKD stage 3, TVD S/P PCI and was admitted to the inpatient ward in the cardiac intensive care unit (Cardiac Care Unit: CCU). The patient responded. Responds well to treatment, vital signs are normal and blood sugar levels can be controlled and the endotracheal tube could be removed within 4 days. Case study number 2, a Thai male patient aged 78 years with congenital disease HT, DLD, CKD stage 3, came with symptoms 6 hours before coming to the hospital. Have symptoms of shortness of breath Feeling breathless The relatives then took him to Ban Phai Hospital. and sent to Khon Kaen Hospital, Doctor inserts endotracheal tube Was initially diagnosed with COPD with AE with RS failure and was admitted to the Male Medical Ward 3 and transferred to the Cardiac Care Unit (CCU) on June 26, 2023, 2 days after staying in the hospital. The patient responded well to treatment and had normal vital signs and controlled blood sugar levels. and the endotracheal tube could be removed within 4 days. During treatment, evaluation according to Gordon's 11 health plans and found nursing problems covering 3 phases, namely the initial admission period, the treatment period. and the phase of planning for discharge and continuing care. These 2 patients received treatment and nursing according to professional standards. Until the problems are resolved and they can be sold. Case study patient 1 can be discharged by referring back to Kalasin Hospital to receive antibiotics for another week, totaling 11 days of care. nd no appointment to see a doctor at the heart clinic The second case study included a total of 7 days of treatment and 3 weeks of appointments to see the doctor at the heart clinic.