Nursing Care in Acute Decompensated Heart Failure (ADHF) Based on Levine’s Conservation Model: A Case Study

Arief shofyan Baidhowy, Elly Nurachmah, Tuti Herawati, Erwin, Endang Sulistiowati, Hana Mutiasari

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Background: Globally, the prevalence of ADHF is rising. Patients who are diagnosed for ADHF have a high risk of cardiovascular death, re-hospitalization, and in-hospital morbidity and mortality. The Levine Conservation Model, which tries to promote patient conservation energy, is one of the nursing approaches.

Aim: The purpose of this case study is to analyze using Levine’s conservation theory on Mrs. S, with a diagnosis of ADHF.

Method: The single case design method is applied in the case study approach using Levine’s conservation theory. Five days of patient care were delivered at the National Cardiovascular Center Harapan Kita, Jakarta. Researchers conduct care, always in collaboration with the authorized nurse.

Results: The findings of this case study highlight two issues energy-conservation and integrity conservation. Trophic gnosis results from the integrity of structure conservation include the risk of decreased cardiac output, hypervolemia and the risk of ineffective renal perfusion related to renal dysfunction, while the integrity of energy conservation is pain and decreased activity tolerance. Acute cardiac care and hydration control are the main focus of interventions. The evaluation obtained from this case study was that the patient felt comfortable, reduced pain and edema.

Conclusion: Levine’s Conservation Model is an effective nursing model in caring patients with ADHF.
Original languageEnglish
Title of host publicationProceedings of the 1st Lawang Sewu International Symposium 2022 on Health Sciences (LSISHS 2022)
Chapter45
Pages397-406
DOIs
Publication statusPublished - 16 Apr 2023

Keywords

  • ADHF
  • Levine’s
  • Conservation Model body weight depends on gender

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