The Beat of Compassion: A Clinical Presentation of Nursing Excellence

Ganga1, Anbarasi2

1Charge Nurse, Kauvery Hospital, Alwarpet, Chennai, Tamil Nadu

2Senior Nurse Educator, Kauvery Hospital, Alwarpet, Chennai, Tamil Nadu

Abstract

This clinical story presents a case of a 31-year-old male patient who underwent successful radiofrequency ablation for supraventricular tachycardia (SVT). The patient’s journey, from admission to discharge, is narrated, highlighting the nursing care and interventions provided. The story showcases the importance of holistic nursing care, patient education, and interdisciplinary collaboration in achieving optimal patient outcomes.

Introduction

Supraventricular tachycardia (SVT) is a type of abnormal heart rhythm, or arrhythmia that originates in the upper chambers of the heart. It can cause symptoms such as palpitations, shortness of breath, and dizziness. Radiofrequency ablation is a minimally invasive procedure that uses heat energy to destroy the abnormal electrical pathways in the heart, restoring a normal heart rhythm.

Case Presentation

A 31-year-old male patient, Mr. X, was admitted to our hospital with complaints of palpitations triggered by stress. He had a history of palpitations on and off for 2 months. His medical history revealed that he had undergone right orchidectomy in 2014. After conducting a thorough physical examination, electrocardiogram (ECG), and cardiac electrophysiology study, he was diagnosed with supraventricular tachycardia (SVT).

Diagnosis and Management

ECG shows supraventricular Tachycardia

The patient underwent successful radiofrequency ablation of the slow pathway, which restored a normal sinus rhythm. Post-procedure, he was monitored in the intensive care unit (ICU) for any complications. He was started on medications to prevent recurrence of SVT and to manage anxiety

Normal ECG rhythm after treatment

Nursing Implications

The patient’s diagnosis and treatment plan presented several nursing implications. The patient required close monitoring of his vital signs, cardiac rhythm, and respiratory status. He also required education on disease management, treatment options, and lifestyle modifications to prevent recurrence of SVT. Additionally, the patient required emotional support and counseling to manage anxiety and stress.

Nursing Interventions

The nursing team provided comprehensive care to the patient, including:

  • Vital sign monitoring: Regular monitoring of the patient’s vital signs, cardiac rhythm, and respiratory status.
  • Medication management: Administration of medications as prescribed to prevent recurrence of SVT and to manage anxiety.
  • Patient education: Education on disease management, treatment options, and lifestyle modifications to prevent recurrence of SVT.
  • Emotional support: Emotional support and counseling to manage anxiety and stress.
  • Interdisciplinary collaboration: Collaboration with the interdisciplinary team, including cardiologists, electrophysiologists, and other healthcare professionals, to ensure comprehensive care.

Patient Education

Patient education plays a vital role in the management of supraventricular tachycardia (SVT). The Nursing team provided comprehensive education to Mr. X and his family on the following topics:

  • Disease management: Explanation of SVT, its causes, symptoms, and treatment options.
  • Medication management: Education on medications prescribed to prevent recurrence of SVT and to manage anxiety, including dosage, side effects, and potential interactions.
  • Lifestyle modifications: Advice on lifestyle changes to prevent recurrence of SVT, such as:
  • Stress reduction techniques (deep breathing, yoga, meditation)
  • Regular exercise (walking, jogging, cycling)
  • Healthy diet (low-sodium, low-caffeine)
  • Avoiding triggers (alcohol, caffeine, nicotine)
  • Symptom recognition: Education on recognizing symptoms of SVT, such as palpitations, shortness of breath, and dizziness.
  • Emergency preparedness: Instruction on what to do in case of an emergency, such as calling emergency services or visiting the nearest hospital.
  • Follow-up care: Explanation of the importance of follow-up appointments with the cardiologist and electrophysiologist to monitor progress and adjust treatment plans as needed.

Evaluation of Patient Education

The nursing team evaluated the effectiveness of patient education by:

  • Assessing knowledge: Quizzing Mr. X and his family on the topics taught.
  • Observing skills: Observing Mr. X and his family demonstrating skills, such as medication administration and symptom recognition.
  • Eliciting feedback: Asking Mr. X and his family for feedback on the education provided.

By providing comprehensive patient education, the nursing team empowered Mr. X and his family to take an active role in managing his SVT, reducing anxiety, and improving overall health outcomes.

Heartfelt Gratitude

The patient’s attender expressed heartfelt gratitude and appreciation to the nursing staff for their dedication, compassion, and commitment to providing high-quality care. The patient’s family was impressed by the nursing team’s professionalism, empathy, and kindness.

Conclusion

This clinical story highlights the importance of holistic nursing care, patient education, and interdisciplinary collaboration in achieving optimal patient outcomes. The nursing team’s dedication, compassion, and commitment to providing high-quality care made a significant difference in the patient’s journey, from admission to discharge.

Nightingale Journals

Kauvery Hospital
Find Doctor
Book Appointment