Complete Heart Block Case Study

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  • Topic: Artificial pacemaker, Nursing, Cardiac pacemaker
  • Pages : 23 (5159 words )
  • Download(s) : 345
  • Published : May 21, 2013
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ACKNOWLEDGMENT

It gives me an immense pleasure in presenting this case study, which is made for the partial fulfillment of the requirement for the fourth year of B.Sc. Nursing Programme. We were provided 8 weeks of the clinical practice, at Shahid Gangalal National Heart Center. During our 8 weeks of clinical exposure each student had to do a detailed study of one cardiac problem. During my clinical exposure to Coronary Care Unit (CCU) for 1 week I got an opportunity to take case for study. We had morning, evening and night duty for complete exposure to clinical picture.

Regarding this process, I would like to express the heartfelt gratitude to various personnel who helped in different ways for the successful accomplishment of this work. This has been possible with the tremendous support, encouragement and patience from them.

Firstly, I would like to give cordial thank to our Nursing Director Miss Nani Maiya Shrestha, our Co-ordinator Madam Sabita Poudel. I am equally thankful to our Supervisor Madam Narayani Paudel for providing full support, ideas and inspiration for presentation of this case study.

I am indebted to all the faculty members, teachers, staffs of entire Coronary Care Unit for their mutual co-ordination which aided in making this case study .Last but not least, I would like to continue my thanks to the patient and patient party for providing the fact necessary information without which this case study would not have been possible.

Lastly, I would like to thank all the people who have direct and indirect link with me to make this case study successful.

CONTENTS
1. Introduction Of case………….……………………..

2. Objective of the case study………………………….

3. History of patient……………………………………

4. General Physical examination……………………….

5. Anatomy and physiology of Conductivity of Heart

6. Description of Disease condition…..………..………

7. Clinical Features……………………………………. * Book picture
* Patient picture

8. Diagnostic evaluation………………………………... * Book picture
* Patient picture

9. Management………………………………………… * Medical management
* Surgical management
* Nursing management

10. Application of Nursing Theory

11. Description of Drugs used for patient

12. Description of Nursing Theory……………………….

13. Nursing Care Plan…………………………………….

14. Daily Progress Note………………………………….……...

15. Health Education……………….

16. Discharge Teaching……………………………….….…

17. Conclusion…………………………………….………

18. References……………………………………………..
INTRODUCTION OF THE CASE

A new patient name Nutan Govinda Joshi came to Emergency on 2069/09/02 with a chief complain of generalized weakness since today 3pm and altered sensorium since 5pm and presented to emergency at 8:10pm. With chief complain, examination and lab investiogation he was diagnosed as Complete Heart Block (CHB) with hypertension and type 2 diabetes mellitus.

He was admitted to Coronary Care Unit (CCU) at 10:05pm from cath lab with Temporary Pacemaker implantation (TPI).
The patient was admitted on 2069/09/02 and was discharged on 2069/09/11. He stayed in SGNHC for 10 days and was under my observation from the 2nd day of admission until his discharge.
I took this case of “COMPLETE HEART BLOCK WITH HYPERTENSION WITH TYPE 2 DIABETES MELLITUS” as my case study because I found this case interesting and knowledgeable. I took full care of the patient during his stay. It was a wonderful and a new experience in taking care of him.

OBJECTIVES OF CASE STUDY

“The case study is a research approach, situated between concrete data taking techniques and methodological paradigms.” Case study is an ideal methodology when a holistic, depth investigation is needed. It is an empirical inquiry that investigates a phenomenon within a real life context. It provides a systemic way of...
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