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Recurrent epistaxis and integrated nursing management: a case report.
1Green Lane Hospital, Auckland, New Zealand. ppoudel@yahoo.com
Summary
Recurrent nosebleeds (epistaxis) in a hypertensive patient required nasal packing. An integrated nursing approach is crucial for managing epistaxis and improving patient quality of life.
Area of Science:
- Otolaryngology
- Internal Medicine
- Nursing
Background:
- Epistaxis, or nosebleeds, can be a recurrent and acute issue, particularly in patients with underlying health conditions such as hypertension.
- Management of severe epistaxis often requires interventions beyond simple manual pressure.
Observation:
- A 63-year-old male presented with acute, recurrent epistaxis refractory to manual pressure.
- The patient had marginal hypertension and significant medical and behavioral challenges.
Findings:
- Bilateral anterior surgical packing was successfully employed to control the acute bleeding episode.
- The case highlights the need for a comprehensive management strategy for epistaxis.
Implications:
- An integrated nursing approach is essential for preventing future epistaxis episodes in patients with complex medical histories.
- Effective epistaxis management can significantly improve a patient's quality of life, even with co-existing conditions.