A Case Study of Congestive Heart Failure and Discharge Planning for an Adolescent Pediatric Patient with Congenital Heart Disease

Authors

  • Onchira Theannamngian King Chulalongkorn Memorial Hospital

Keywords:

heart failure, congenital heart disease, pediatric nursing, discharge planning, D-METHOD

Abstract

Congestive heart failure is the most common complication found in pediatric patients with congenital heart disease, leading to insufficient blood circulation to various parts of the body, which may lead to shock or even death. The condition is mainly caused by structural abnormalities in the patient's heart and blood vessels present since birth. Various risk factors and improper self-care by the patients can accelerate the development of heart failure. The goal of treatment is to prevent and control heart function deterioration, which is an important role for nurses. The purpose of this article is to present a case study of heart failure in an adolescent pediatric patient with complex congenital heart disease, including symptoms, pathophysiology, treatment guidelines, discussion, and a nursing care plan before discharge from the hospital, using the D-METHOD concept to guide nurses in providing effective care to this group of patients.

References

Nakano SJ, Miyamoto SD, Price JF, Rossano JW, Cabrera AG. Pediatric heart failure: an evolving public health concern. J Pediatr 2020;218:217-21.

Adebiyi EO, Edigin E, Shaka H, Hunter J, Swaminathan S. Pediatric heart failure inpatient mortality: a cross-sectional analysis. Cureus 2022;14(7):e26721. doi: 10.7759/cureus.26721.

Masarone D, Valente F, Rubino M, Vastarella R, Gravino R, Rea A, et al. Pediatric heart failure: a practical guide to diagnosis and management. Pediatr Neonatol 2017;58(4):303-12.

Das BB. Current state of pediatric heart failure. Children 2018;5(7):88: doi: 10.3390/children5070088.

Al-Fahham MM, Ali YA. Pattern of congenital heart disease among Egyptian children: a 3-year retrospective study. Egypt Heart J 2021;73(1):1-8. doi: 10.1186/s43044-021-00133-0.

Kishore S, Kumar M, Kumar A, Gupta A, Chandan C, Anshuman A, et al. Clinical and echocardiographic profile of congenital heart diseases in the 0-12-year age group in a tertiary care medical institute in eastern India: a retrospective, cross-sectional study. Cureus 2022;14(6):e26114. doi: 10.7759/cureus.26114.

Tompkins R, Romfh A. General principles of heart failure management in adult congenital heart disease. Heart Fail Rev 2020;25(4):555-67.

Division of Nursing, Ministry of Public Health. Guidelines for patient discharge planning. Pathum Thani: Printing House Thammasat University; 1996. (in Thai)

Ritklar L. Results of discharge planning by using D-METHOD on re-admission and satisfaction in patients with coronary artery disease. Thammasat University Hospital Journal Online 2018;3(3):19-27.

Park MK, Salamat M. Park’s pediatric cardiology for practitioners. 7th ed. Philadelphia: Elsevier; 2020.

Nasu T, Matsumoto S, Fujimoto W, Numazaki H, Morino Y. The safety and efficacy of compression therapy in patients with stable heart failure. Int J Cardiol Heart Vasc 2024;50:101343. doi: 10.1016/j.ijcha.2024.

Sokolska JM, Sokolski M, Zymliński R, Biegus J, Siwołowski P, Nawrocka‐Millward S, et al. Distinct clinical phenotypes of congestion in acute heart failure: characteristics, treatment response, and outcomes. ESC Heart Fail 2020;7(6):3830-40.

Thai Society for Pediatric Endocrinology. New Thai growth chart by TSPE [Internet]. 2022 [cited 2024 Jan 5]. Available from: https://thaipedendo.org/thai-growth-chart-by-tspe/ (in Thai)

Best O, Ban S. Adolescence: physical changes and neurological development. Br J Nurs 2021;30(5):272-5.

Gonzalez VJ, Kimbro RT, Cutitta KE, Shabosky JC, Bilal MF, Penny DJ, et al. Mental health disorders in children with congenital heart disease. Pediatrics 2021;147(2):e20201693. doi: 10.1542/peds.2020-1693.

Leusveld EM, Kauling RM, Geenen LW, Roos-Hesselink JW. Heart failure in congenital heart disease: management options and clinical challenges. Expert Rev Cardiovasc Ther 2020;18(8):503-16.

Mille F, Burstein D. Diagnosis and management of pediatric heart failure. Indian J Pediatr 2023;90(5):492-500.

Centeno-Malfaz F, Moráis-López A, Caro-Barri A, Peña-Quintana L, Gil-Villanueva N, Redecillas-Ferreiro S, et al. Nutrition in congenital heart disease: consensus document. An Pediatr 2023;98(5):373-83.

Herridge J, Tedesco-Bruce A, Gray S, Floh AA. Feeding the child with congenital heart disease: a narrative review. Pediatr Med 2021;4:7. doi: 10.21037/pm-20-77.

Rohit M, Rajan P. Approach to cyanotic congenital heart disease in children. Indian J Pediatr 2020;87(5):372-80.

Jaarsma T, Hill L, Bayes‐Genis A, La Rocca HB, Castiello T, Čelutkienė J, et al. Self‐care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2021;23(1):157-74.

Vicent L, Goenaga MA, Muñoz P, Marín-Arriaza M, Valerio M, Fariñas MC, et al. Infective endocarditis in children and adolescents: a different profile with clinical implications. Pediatr Res 2022;92(5):1400-6.

Izidoro EJS, Koliski A. Maintenance fluid therapy in sick children: state of art. Resid Pediatr 2019;9(3):347-54.

Bianchi VE. Impact of nutrition on cardiovascular function. Curr Probl Cardiol 2020;45(1):100391. doi: 10.1016/j.cpcardiol.2018.08.003.

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Published

2024-04-30

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บทความวิชาการ (Academic Articles)