Nursing Care of a Patient Diagnosed with Hemophilia A Undergoing Coronary Artery Bypass Graft Surgery: A Case Report

Abstract

The aim of this study is to determine the daily needs of a patient, who underwent coronary artery bypass graft in the cardiovascular surgery clinic due to the diagnosis of 'Hemophilia', according to Roper, Logan, and Tierney's Model of Daily Living Activities and to plan appropriate interventions for these needs. The problems detected in the case were the risk of fall, bleeding risk, lack of information related to the disease process, ineffectiveness in cleaning the airway, fatigue, pain, elevated blood glucose level, disruption in sleep pattern, and impaired physical activity. Based on these data, the nursing care was established with the diagnoses of the risk of fall, bleeding risk, risk of infection, pain, lack of information, anxiety, ineffectiveness in cleaning the airway, risk of variation in blood glucose, risk of fluid volume imbalance, inability to maintain personal hygiene, impaired physical activity, fatigue, activity intolerance, ineffectiveness in role performance, and disturbance in sleep pattern as well as appropriate nursing interventions. As a result of the care provided, the patient was helped to do and maintain activities of daily living and the needs of the patient and his relatives were met through post-operative nursing training.

Keywords

• coronary artery bypass graft
• hemophilia a; activities of daily living; nursing care.