Coordination of multiple services for a patient with severe lymphedema of the right lower extremity.

Autor: Sylvia MB; Vascular Anomalies Center, Children’s Hospital Boston, Massachusetts, MA 02115, USA. marybeth.sylvia@childrens.harvard.edu, Spera E, Hamilton SM, Harrington S, Hartford J, Quigley S
Jazyk: angličtina
Zdroj: Critical care nurse [Crit Care Nurse] 2011 Aug; Vol. 31 (4), pp. 55-68.
DOI: 10.4037/ccn2011222
Abstrakt: Surgical resection of the right lower extremity in an adult with severe lymph-edema of the extremity required intensive coordination of multiple services and specialists because of the medical and surgical complexity of the patient's condition, massive limb size, and surgical location in a children's hospital. Early and prolonged planning was necessary to anticipate problems and provide optimal care. The patient had a successful surgical outcome, improvement in medical comorbid conditions postoperatively, and improvement in the quality of life upon discharge. This coordinated effort will be used in the future as a template for patients with complex conditions whose care requires lengthy planning and involves multiple services and specialists.
Databáze: MEDLINE