Nursing Management in Transitional Care Model: A Case Study of Patients with Peripheral Arterial Disease


  • กัลปังหา โชสิวสกุล วิทยาลัยพยาบาลบรมราชชนี กรุงเทพ


nursing management, transitional care, case study, patient with peripheral arterial disease


     Peripheral arterial disease, a common circulatory disorder characterised by arterial atresia, can be caused by a number of factors, such as atherosclerosis and polycythemia. This disease impedes blood circulation to peripheral organs, causing necrosis and risk of amputation.
     This article presents a case study of patients with peripheral arterial disease caused by polycythemia during the critical stage of their chronic illnesses. Due to their complications, the patients were treated using a specially managed nursing care model closely supervised by advanced practice nurses. Customised to suit individual patients’ needs, this caregiving model integrated various competencies to provide transitional
care for the patients, from their admission, transfer, critical stage, long-term rehabilitation, to palliative care.
     Subjected to thorough problem evaluation and conducted based on empirical evidence, this model was expected to be capable of inducing changes, multidisciplinary collaboration, ethical decision-making and family empowerment. These factors could improve the entire caregiving process and produce desirable outcomes, enabling patients and their families to cope with the illness-induced changes, adjust to their fnal
stage and be ready to pass away peacefully.


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How to Cite

โชสิวสกุล ก. Nursing Management in Transitional Care Model: A Case Study of Patients with Peripheral Arterial Disease. TJNC [Internet]. 2019 Apr. 23 [cited 2022 Nov. 28];34(2):18-29. Available from: