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2015, Number 1

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Rev Mex Enf Cardiol 2015; 23 (1)

Discharge planning and home follow a preschool with functional and morphological alterations of the heart

Hernández TAM

Language: Spanish
References: 14
Page: 22-27
PDF size: 193.27 Kb.


ABSTRACT

The survival of pos-operated Fontan people is increasing. In the 70’s the survival was about 75 to 80%, making today a survival rate to 90% reaching an average age of 14 years. The purpose of this case study is to develop a specialized, individualized and comprehensive care plan during the discharge and home monitoring to a preschool with functional and morphological alterations of the heart of unique ventricle. This case study is about a preschool with pulmonary atresia with ventricular septal dependent ductus arteriosus. The surgical stages that passed the child were a systemic pulmonary Blalock-Taussig fistula in 2009 at 2 months of life, and that not being functional a Fontan surgery was performed at 4 years old, after the surgery he was given a home monitoring where the nursing care process based on the model of Virginia Henderson was applied to provide specialized care that has the objective of return the person to their activities of daily life with the support of the primary caregiver through the development of a discharge plan as a tool to achieve a continuity of care to reduce complications at short and long term. Coming to the conclusion of the importance of the discharge plan for the continuity of care, avoiding hospital readmissions for the Fontan posoperative and also detect early warning signs that could alter the health status of the preschool.


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