The Nursing Care Process of a Patient with ECMO Device according to Gordon’s Functional Health Patterns
Berrak BALANUYE, Sevcan AVCI IŞIK, Ziyafet UĞURLU, Nalan ÖZHAN ELBAŞ
Başkent University, Department of Nursing, Ankara 06810, TURKEY
ECMO (ExtraCorporeal Membrane Oxygenation) is a treatment method that has been applied to the patients with reversible cardiac or respiratory failure for temporary life support. The case study was determine the Nursing Care Process of a Patient with ECMO Device according to Gordon’s Functional Health Patterns.The patient (R.G.) who is 54-years-old male with inferior MI and PTCA applied. Cardiac support was provided with ECMO was incardiovascular surgery intensive care unit and by monitored mechanical ventilation.The hemodynamics of R.G. was unstable and high dose of dopamine, adrenaline, lasix, heparin infusion was started.R.G.’s Glaskow Coma Scale is 9. Because of ECMO, the left arm occured compartment syndrome, the fasciotomy was made. Acinetobacter in blood, candida in the urineand pneumonia occured. He was taken in prismadialysismachine. Braden Scale for Predicting Pressure Score Risk is 5 point, widespread ecchymosisin the coccyx, Bates-Jensen wound assesment tool was evaluated between 17-21 points. ECMO nurse follow-up in the form of parameters, in the first day of ECMO is Activated Clotting Time(ACT)=241second, Blood Pressure= 77/56mm-Hg, Revolution per minute (RPM)=6800, Flow=3.9min/L.The care was planned according to 28 nursing diagnosis under Gordon’s Functional Health Patterns. At the end of 26 days of treatment and nursing care to poor prognosis was inseparable from ECMO and R.G. died. Caring a patient with ECMO, aware of complications are important for nurses.The usage of improved ECMO nursing care guides was suggested.
Biography
I graduated from Başkent University, Faculty of Health Sciences, Department of Nursing in 2010. I worked as a nurse at cardiovascular surgery intensive care unit for 3 years. I completed my master degree at Başkent University in 2014. Master thesis title is “The Effects of Workloads of Nurses Whom Work in Surgical Clinics on Patient Safety”.I continue to PhD program at Gazi University, Department of Surgical Nursing. I am working as a Research Assistant at Başkent University, School of Nursing. I published two study. One of them was “The Attitude And Opinions Of Nurses Working In Operating Theaters Towards Technology And The Difficulties They Encounter ” and the other one was “Awareness of Skin Cancer, Prevention and Early Detection among Turkish University Students”.
Presenting author details
Full name: Berrak BALANUYE
Contact number and mail: +905333646336 /
Session name/ number: Nursing Practice
Category: Oral presentation