TY - JOUR AU - โชสิวสกุล, กัลปังหา PY - 2019/04/23 Y2 - 2024/03/28 TI - Nursing Management in Transitional Care Model: A Case Study of Patients with Peripheral Arterial Disease JF - The Journal of Thailand Nursing and Midwifery Council JA - J Thai Nurse midwife Counc VL - 34 IS - 2 SE - Academic Article DO - UR - https://he02.tci-thaijo.org/index.php/TJONC/article/view/160070 SP - 18-29 AB - <p>&nbsp; &nbsp;&nbsp; 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.<br>&nbsp; &nbsp;&nbsp; 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<br>care for the patients, from their admission, transfer, critical stage, long-term rehabilitation, to palliative care.<br>&nbsp; &nbsp;&nbsp; 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<br>stage and be ready to pass away peacefully.</p> ER -