Nursing care of patients with ST-Elevated Myocardial Infraction using the concept of family-witnessed resuscitation, FWR) : A case study Role of Advanced Practice Nurse

Abstract

  The purpose of this case study was to study the pathology of the disease and to analyze the nursing process by using the role of the advanced practice nurse in acute ischemic heart disease patients (ST-Elevated Myocardia Infraction) with the concept of family-witnessed resuscitation (FWR). The tools used in the study consisted of data from medical records and patient interviews be able to identify nursing problems in critical stages While receiving treatment at the Emergency department (ED) as Nursing diagnosis: Severe chest pain due to acute coronary syndrome, 2) risk of tissue hypoxia due to reduced low cardiac output 3) risk of adverse effects from fibrinolytic drugs 4) risk of Complications during the transfer (Adverse event) such as cardiac arrest, repeated cardiogenic shock, and 5) the patient and family are anxious. Fear about the pathology of the disease and the treatment plan It was found that most of the nursing care achieved its nursing goal. it was found that rehabilitation after treatment in the critical period is important in building an understanding of self-care Nurses must promote self-care in terms of observing abnormal symptoms or complications that occur. Monitoring the occurrence of adverse reactions from fibrinolytic drugs promotes continuity of treatment to avoid recurrence and allows patients to live with their illness properly.

An advanced practice nurse working in ED is a key person with clinical expertise who consults, guide, support, and lead nursing teams in dealing with complex issues requiring specialized services. Expertise is required to improve the quality of services and promote the use of evidence in complex patient care. To improve the quality of nursing care and better service outcomes.