Related Experiment Video
Updated: Feb 23, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Observing the best of care
1University of West London.
Insights
This case study details the nursing care of an 11-year-old boy with rheumatic heart disease undergoing cardiac surgery. It highlights the critical role of specialized pediatric intensive care nursing during complex procedures.
Area of Science:
- Pediatric Nursing
- Cardiology
- Cardiac Surgery
Background:
- Rheumatic heart disease (RHD) is a significant cause of acquired heart disease in children globally.
- Early diagnosis and management are crucial to prevent severe complications.
- Cardiac surgery is a potential intervention for advanced RHD.
Purpose of the Study:
- To describe the nursing experience and observations during cardiac surgery for an 11-year-old boy with RHD.
- To highlight the complexities of pediatric intensive care unit (PICU) management in such cases.
Main Methods:
- Observational case study during a pediatric nursing student placement.
- Focus on the pre-operative, intra-operative, and post-operative care within the PICU setting.
Main Results:
- The case provided valuable learning opportunities for the student nurse.
- Demonstrated the multidisciplinary approach required for pediatric cardiac surgery.
Conclusions:
- Pediatric intensive care nursing is vital for patients with rheumatic heart disease undergoing cardiac surgery.
- Exposure to complex cases enhances nursing student training and preparedness.
Abstract:
In my second year of training as a children's nursing student, I was on placement on a paediatric intensive care unit when I had the opportunity to observe an 11-year-old boy with rheumatic heart disease undergo cardiac surgery.
Related Concept Videos
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Patient-centered Care
Standards of Care I
Standards of Care II
Methods of Documentation V: CBE
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
