Abstract
This article describes the nursing experience of caring an elderly aortic stenosis (AS) patient who received a transcatheter aortic valve replacement implantation (TAVI) and permanent pacemaker (PPM) implantation. The period of nursing care was from July 3, 2015 to July 15, 2013. The authors collected and assessed the patient's health problems according to the Gordon 11 Functional Health Patterns Method and identified nursing problems such as low cardiac output (due to AS and post-TAVI conduction disorders), powerlessness, and lack of knowledge about taking anticoagulants, wound care, and self-care at home. To manage low cardiac output, nursing interventions were applied to increase the cardiac output, reduce heart workload, and stabilize the vital signs to supply enough blood to the entire body. To treat powerlessness, a nurse-patient relationship was established to encourage the patient to express concern and personal feelings to enhance the patient's own sense of control over her life plans and confidence in her ability to manage her condition. Additionally, the patient was informed about diet and contraindications to anticoagulants, PPM wound care, and other related health education to promote quality of life. Finally, the author hoped this nursing experience can be used as a reference by nursing staff caring similar client in the future.
Translated title of the contribution | Nursing Experience Related to Caring for an Elderly Aoritic Stenosis Patient with Transcatheter Aortic Valve and Permanent Pacemaker Implantations |
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Original language | Chinese (Traditional) |
Pages (from-to) | 48-61 |
Number of pages | 14 |
Journal | 彰化護理雜誌 |
Volume | 24 |
Issue number | 4 |
DOIs | |
State | Published - Dec 2017 |
Keywords
- aortic stenosis
- elderly patient
- transcatheter aortic valve implantation
- permanent pacemaker implantation