Nursing care of Non ST- elevation myocardial infarction (NSTE-ACS) patient with Congestive heart failure in Kalasin Hospital : 2 case studies

Abstract

The is a comparative study of two case studied the nursing care of Non ST- elevation myocardial infarction (NSTE-ACS) patients with Congestive heart failure who are admitted to the female medicine department  in  Kalasin Hospital. Two case studies in the critical care phase, continuous care phase and the discharge phase. The data was collected by patient’s history, patient relative , physical examination and medical record to identify problems and needs of patient.Bring the information come to make plans for nursing, nursing diagnosis using Gordon’s 11 –base health model concept. Orem self-care theory, palliative care. There is ongoing evaluation of nursing until the patient goes home.                                                                                                                                                                                                                                                                                                                                                

             Result: In both case studies, nurse played an important role in patient’s history ,assessment, careful monitoring . The ability to screen, assess symptoms,Predictive of risk, coordinate with a multidisciplinary team and give information are required to provide medical treatment , providing patients with prompt , comprehensive and effective care. The goals for patient and health care worker safety.