Nursing Care of the Patient with Ventilator-Associated Pneumonia with Multiple Drugs Resistant : 2 Case Studies

Abstract

Objective: To study nursing care for patients with ventilator-associated pneumonia with drug-resistant infection. Compare 2 case studies.

Methods: Comparative study of 2 specific case studies. In ventilator-associated pneumonia with drug-resistant infection who were admitted in medical intensive care unit. The study was a health assessment form the Marjory Gordon health model framework and patient medical records. Collecting data from medical records Interview patients and relatives. Evaluate nursing problems using the Gordon Health Assessment Model. Use the nursing diagnosis writing format according to NANDA guidelines to provide nursing care and evaluate nursing results in 3 phases: the critical phase, the rehabilitation phase, and the community discharge planning phase.

Results: Both case studies had emergencies from septic shock causing circulatory failure and respiratory failure requiring endotracheal intubation and ventilator. There are complications Pneumonia from using a ventilator with drug-resistant infection, Sputum culture presented Acinetobacter baumannii MDR. Nurses 's role important in keeping patients safe and no complications, Using pathology knowledge, disease progression, have the ability to quick assess patients, effective and provide appropriate nursing care, Including providing care according to WHAPO and SHIPP Bundle guidelines follow to the policy of the Infection Control and Prevention Nursing Group at Maha Sarakham Hospital, Keeping patients out of critical condition. Both case studies were safe and no microorganisms detected in other systems. They were able to transfer  for further treatment at a community hospital. They received Nursing care and preparation before  discharged  and appropriate psychosocial care consistent  patients and families needs.