Nursing & Care


Nursing Care In Cardiac Surgical Interventions In Intensive Care Unit: A Case Report

Mukadder Mollaoğlu, Ayfer Aksuoğlu and Safiye Yanmış

Coronary artery disease (CAD) is characterized by narrowing or obstruction of flow in one or more of the vessels nourishing the heart. The study was conducted on a patient diagnosed with coronary artery disease who underwent 3-vessel CABG in a university hospital. Study data was collected using data collection-assessment diagnostics and daily planning methods. The case was examined within the context of Majory Gordon’s FHP Nursing Care Model and nursing diagnoses approved by North America Nursing Diagnoses-NANDA. 65 year old female patient presented with NYHA Class 2 (New York Heart Association) Functional Classification dyspnea symptoms and chest pain that started nearly a month ago. The patients were diagnosed with coronary artery disease, and 3-vessel CABG operation was performed. Following operation, the case was monitored in cardiovascular surgery intensive care unit (ICU) for 2 days, and she was transferred to the ward. The case was diagnosed with ineffective individual health management, disruption of oral mucous membrane, risk of blood sugar fluctuation, risk of electrolyte imbalance, constipation, activity intolerance, sleeplessness, sensory perceptual alteration; Auditory/Visual, death anxiety, body image disturbance, ineffective dealing, and ineffective role performance. Interventions were aimed at these diagnoses. With a planned and professional nursing care, the individual's biological, physiological, psychological and social problem after CABG operation was minimized. Her problems were dealt with the most effective way, and she was discharged from the cardiovascular surgery ICU.