ABSTRACT
AIM: The aim was to describe the health history of patients after pulmonary oedema and investigate how they perceive their condition and treatment. METHODS: In part one of the study medical records of patients treated for acute pulmonary oedema (n=44) were reviewed regarding social status, health history, medication and cause of the pulmonary oedema. In part two, interviews were performed focusing on the patients' conceptions of the illness, current situation and effects of pulmonary oedema on daily life. RESULTS: One-year mortality was 65% and all but 3 patients had a previous heart diagnosis. Analyses of the interviews yielded five categories: A suffocating feeling; trust in care providers; medication - an annoyance but also a saviour; dealing with existential issues alone or with relatives; concurrent diseases affecting daily life. CONCLUSION: Patients' who experience a pulmonary oedema have several heart-related conditions and a very poor prognosis. Experiencing pulmonary oedema is an anxiety-provoking situation and patients should be regularly and carefully monitored.
Subject(s)
Adaptation, Psychological , Attitude to Health , Cost of Illness , Pulmonary Edema/psychology , Acute Disease , Aged , Anxiety/etiology , Anxiety/psychology , Causality , Existentialism/psychology , Female , Health Services Needs and Demand , Hospitals, University , Humans , Male , Nursing Methodology Research , Pulmonary Edema/drug therapy , Pulmonary Edema/etiology , Pulmonary Edema/mortality , Qualitative Research , Quality of Life/psychology , Residence Characteristics , Retrospective Studies , Social Support , Surveys and Questionnaires , Sweden , Trust/psychologySubject(s)
Attitude of Health Personnel , Attitude to Health , Nursing Staff, Hospital/psychology , Positive-Pressure Respiration/standards , Pulmonary Edema/therapy , Aged , Aged, 80 and over , Education, Nursing, Continuing , Female , Humans , Inservice Training , Male , Nursing Evaluation Research , Nursing Methodology Research , Nursing Staff, Hospital/education , Positive-Pressure Respiration/psychology , Positive-Pressure Respiration/statistics & numerical data , Pulmonary Edema/psychologyABSTRACT
Based on a case story and having examined the literature, we describe the incidence, symptoms, course, complications and treatment of the kind of pulmonary oedema that may arise in connection with acute heroin intoxication. A possible pathogenesis is also discussed. Heroin-induced pulmonary oedema is rather frequent and the mortality is high. It differs from cardiogenic pulmonary oedema at essential points. It is most likely due to an increased permeability of the lung capillaries. However, it is still unclarified whether this is caused by a toxic or an allergic reaction, or by hypoxia. The treatment is supportive, using a respirator and oxygen enriched breathing air until the hypoxia has been abolished, and support of the circulation with reasonable liquid supply and infusion of inotropic and vasoactive drugs.
Subject(s)
Heroin Dependence/complications , Heroin/poisoning , Pulmonary Edema/chemically induced , Adult , Humans , Male , Pulmonary Edema/psychology , Pulmonary Edema/therapyABSTRACT
Everyone wants to maintain control over events in their life. The need for personal control does not end when the patient is hospitalized; instead the patient's need for personal control usually intensifies in critical care situations. The nursing diagnosis of powerlessness is common for most critical care patients, and especially so for the patient experiencing respiratory difficulties such as Pulmonary Alveolar Edema. These authors describe a model of powerlessness which suggests strategies for increasing the patient's control over his or her situation.
Subject(s)
Nursing Diagnosis , Power, Psychological , Pulmonary Edema/psychology , Humans , Internal-External Control , Male , Patient Care Planning , Pulmonary Edema/nursing , Pulmonary Edema/therapyABSTRACT
PAE can occur as a consequence of heart failure. Depending upon the extent of left ventricular failure, pulmonary edema can vary widely in severity. To anticipate potential health care needs and, ultimately, to treat PAE, the critical care nurse identifies common nursing diagnoses. Once the nurse understands the physiologic or psychological mechanisms for the particular nursing diagnoses, he or she can serve as a reference point to identify expected nursing outcomes.
Subject(s)
Hemodynamics , Nursing Diagnosis , Pulmonary Edema/nursing , Adaptation, Psychological , Cardiac Output , Coronary Circulation , Humans , Male , Mental Processes , Middle Aged , Pulmonary Edema/physiopathology , Pulmonary Edema/psychology , Pulmonary Gas Exchange , Urination , Water-Electrolyte BalanceABSTRACT
In summary, the goal in managing HPPE is to recognise its occurrence and initiate appropriate treatment. While there may be a wide range of possible nursing diagnoses that have application to the HPPE patient, eight essential diagnoses were discussed and outcomes identified: impaired gas exchange; ineffective breathing pattern; ineffective airway clearance; cardiac output, alteration in; fluid volume deficit; infection, potential for; coping, ineffective individual: depression; and powerlessness.
