Nursing Care of the Patient with Ventilator-Associated Pneumonia: Case Study

Abstract

             Objectives : This study aim to compare nursing process in 2 cases of VAP patient.

             Methods : Comparative 2 cases VAP patient who were treated at medicine intensive care unit (MICU) of Mahasarakham Hospital. Data were collected form medical records form, relative interview, and observation. Health patterns, pathology, signs and symptom, and treatment were used for data analysis. Marjorie Gordon’s 11 functional health patterns including of nursing diagnosis, intervention, and evaluation was used for nursing assessment in 3 phases: critical phase, rehabilitation phase, and discharge phase.

             Result : 2 cases of VAP patient were 1 of dilated cardiomyopathy (DCM) patient, and 1 of bacterial meningoencephalitis patient. They were treated at MICU of Mahasarakham Hospital between November and December, 2019. Sputum culture presented AcinetobacterbaumanniiMDR. After providing care according to infection control clinical practice guideline found that patients did not have severe complications, received appropriate nursing care and discharge plan, and consistent of patients and their families need.