부산대학교 도서관

This article narrates nursing experience from caring a patient with stage C heart failure admitted to the intensive care unit for individual care activities in order to avoid deterioration towards stage D. Nursing period was from March 25 to April 20 in 2016, conducted with initiative care; the provision of medical information; family communication; medical records and Gordon 11 functional health assessment application; reference literature, and so on. For the purpose of establishing health problems: Excessive body fluid volume; heart disease and inappropriate feeding habits led to in vivo water retention, activity of no endurance or low cardiac output led to oxygen supply and demand imbalance, anxiety about the disease itself and in regards disease deterioration. For the individual needs of each patients, the development of relevant care plans and measures, care process, correction of knowledge about inappropriate eating habits, appropriate consumption of water and salt, reduction of water accumulated in the body; a planned implementation of cardiac rehabilitation exercise, enhance cardiac endurance and function; improve respiratory failure, muscle endurance situation and health education activities as well as encourage positive thinking, social support feelings to ease the patient's sense of anxiety about the disease, and finally stop the third phase of heart failure progressing to the fourth phase. In the near future the patient can be transferred to the general ward after a smooth return home. From these valuable nursing experiences, the expectation of sharing is to provide individual ca re activities to guide such patients through the pain of physical and mental suffering, so that both patients' physical and mental level can be taken care thoroughly.