A patient with cardiac and cerebrovascular comorbidity

This case report highlights the experience of formulating nurse-led health education or intervention for a patient with cardiovascular and cerebrovascular comorbidity. Nursing care was guided by Omaha system. The risk factors of a patient with cardio-cerebral comorbidity were evaluated and intervened from four dimensions: health-related behavior, physiology, social psychology and environment. Some risk factors that affected the progression of the patient's disease still existed, such as second-hand smoke in the environment, social drinking, alternative therapies, and sitting for a long time. Alternative therapies such as Raw Garlic & Vinegar Soak, Corn Silk Decoction, Sesame Seed & Black Bean Porridge were also used by the patient to treat diseases. The patient lacked some self-management abilities, such as not of attending regular follow-up, no home blood-pressure measurement, no regular monitoring in lipid management and diabetes management, Family members and the patient had no knowledge of first aid, identification and knowledge about cardiac and cerebrovascular adverse event management. 3 months later, the patient's health-related behaviors had improved, such as actively avoiding second-hand smoke, paying attention to his nutritional status, and engaging in scientific exercise. At the same time, his self-management skills had also been enhanced, such as mastering knowledge related to first aid and attending follow-up visits on time.