Nursing care for patients with chest, abdominal, and pelvic injuries in critical conditions : A Case Study

Abstract

     This case study aimed to study the nursing care for patients with chest, abdominal, and pelvic injuries in critical conditions in a case study of a Thai woman who was hit by a car. The data collection instrument was a form designed to record information from medical records regarding the mechanism of injury, symptoms and signs, history of current illness, history of past illnesses, history of medication, surgery, lifestyle and health behaviors, laboratory test results, and other special test results. The data were analyzed to determine nursing diagnoses using Orem's and Gordon's models of health, and to plan nursing actions using the nursing process. This process was then followed by monitoring and evaluating the nursing operations according to the plan.

     The study results found that after surgery, the patient had no serious complications from the surgery. The surgical wound was not swollen or red, there were no pressure sores, and the discharge from the drainage tube was light red and odorless. The amount of discharge gradually decreased. After rehabilitation, the patient was found to be able to perform daily activities in bed, such as eating, washing her face, brushing her teeth, wiping her body in bed, and improving her hygiene. The patient was able to exercise by tensing back muscles, leg muscles, and flexing the ankle correctly. The patients and their relatives understand their illnesses and cloud properly manage their health after returning home to recuperate, and have no problems when attending scheduled doctor appointments.